MUSC Catalyst

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Vol. 30, No. 50

MEDICAL UNIVERSITY of SOUTH CAROLINA

August 10, 2012

musc chiLdren’s hospitAL

by the numbers

25th

BIRTHDAY CELEBRATION SEE THE CELEBRATION vIDEO wITH muSIC STAR DARIuS RuCkER’S SONg, “THIS.” STORY, pAgE 8

49,054 Pediatric Surgical caSeS in the PaSt 25 YearS

From left, Caleb Pack, 4, Jeremy Lane, 7 and Fallyn Hendrix, 5, scoop some frosting off a cake celebrating the Children’s Hospital’s 25th birthday.

35 Gallons

1,432,622 milliliters of human milk given to premature infants in the NICU every year

66,138

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0f paint used in the Children’s Hospital atrium, along with15 pounds of glitter, 100 pounds of sand, 2,500 boxes of crayons, 15 pounds of rhinestones and 5,000 sheets of construction paper

Babies born at MUSC in the past 25 years.

rbeducing nfections irthdAy iw ishes Pediatric OfficialsIntensive explore how Carethe Unit MUSC staff Children’s are to preventing grown and infections. where it’s heading. committed Hospital has

46

200

percent growth in the pediatric blood and marrow transplant program in the past four years in the state, placing it in the top third of centers in the nation.

15

HOURS

60

241 Pediatric kidney transplants in the past 25 years

3,888 spent in a year by volunteers willing to knit homemade hats for children

percent of the state’s new pediatric cancer patients treated here.

RANKING

of Pediatric Cardiology and Heart Surgery program by U.S. News & World Report (2012)

FIRST AND ONLY STATEDESIgNATED LEvEL 1 pEDIATRIC TRAumA CENTER AND pART OF THE muSC AmERICAN COLLEgE OF SuRgEONS DESIgNATED LEvEL 1 TRAumA CENTER

L Achievement AwArd sifetime crub cLub

3

Program Applause Raising awareness

Dr.and Charles patients theirDarby families Honor Pediatricreveals Jr.’s passion children. area. can tour the for preoperative

5

Meet Brandon Melissa

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Year Classified in Review ads

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2 THE CATALYST, August 10, 2012

Pediatric research flourishes through collaboration BY CINDY ABOLE Public Relations Seven years ago when the doors opened at the Charles P. Darby Children’s Research Institute, the MUSC community celebrated the science and medical knowledge gained through the Department of Pediatrics. They also were anxious for new translational research discoveries and the potential for preventing and improving childhood diseases. When Lowcountry pediatrician and then Department of Pediatrics chairman Charles P. Darby Jr., M.D., founded the Children’s Hospital in 1987, he shared a vision to improve children’s health care in South Carolina. An important part of this vision included a plan to enhance research and discovery. To do this, Darby and Children’s Hospital leadership focused on recruiting talented physicians, scientists and health care professionals who could work collaboratively under one facility. Before the institute existed, pediatric research was more dispersed between Children’s Hospital pediatric programs and basic science departments throughout the university. Research was conducted in pediatric cardiology, endrocrinology, hematology/oncology and neonatology-perinatology and developmental pediatrics. Darby’s vision still resonates within the institute and across campus. Today, more than 150 investigators and staff

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Dawn Brazell, brazell@musc.edu

work in high tech laboratory modules and research programs within South Carolina’s largest, most comprehensive pediatric research facility. Investigators have received National Institutes of Health (NIH) translational funding for basic and translational research in areas including cancer, blood disorders, congenital heart disease, multiple sclerosis, AIDS and immunological diseases, genetic disorders, diabetes, pulmonary disease, learning disabilities and more. The institute’s scientific director and pediatric developmental neurogenetics director Inderjit Singh, Ph.D., is proud of the progress made by Children’s Hospital clinicians and scientists in bridging the translational gap on campus and collaboration across the state. “We’ve been successful in taking basic science activities into translational science and conducting clinical research. Our goal is to provide institutional support for faculty-initiated research, facilitate more interactions between basic and clinical scientists Singh and build a supportive infrastructure for guiding clinical translational research projects toward preclinical and human translational research trials.” According to Singh, pediatric research collaborations on campus continue to flourish. Discoveries from research on childhood diseases have already The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.

The Children’s Hospital has been involved in many translational research discoveries including the study of neuroprotective agents in the brains of preterm babies.

progressed to clinical trials and beyond. Some research studies are on track for further development in the production of new FDA-approved drugs, therapies and clinical interventions. In 2011, Robert Gourdie, Ph.D., a professor in cell biology and regenerative medicine, successfully received two patents for the development and commercialization of a wound-healing, scar-reducing peptide gel. Gourdie’s team developed this product from studying electronic signaling within heart muscles. They found that the peptide gel decreased scar tissue and healed wounds faster in laboratory animals. Their work led to Gourdie’s collaboration with First String, a biotech developer. The spin-off biotech company supports regenerative medicine technology. The gel has further uses for spinal cord injury patients and macular degeneration. Translational scientist Bruce Hollis, Ph.D., and neonatologist Carol Wagner, M.D., have made great progress in their studies with vitamin D in human milk and pregnancy. In the last decade, Hollis and Wagner have discovered how the body produces vitamin D when it is exposed to sunlight deficiency and how it affects the body’s cell function and immunity. They conducted two NIH-supported pilot studies as well as large-scale studies, incorporating 700 subjects each, and gave randomized vitamin D supplements to pregnant and lactating women. They concluded that women, especially during pregnancy, should take 4,000 IUs

(international units) of vitamin D daily to improve pregnancy outcomes. Singh’s study of adrenoleukodystrophy led to the discovery of statin drugs for patients with multiple sclerosis. In other research, Singh, also working with neonatologist Doe Jenkins, M.D., studied the effects of N-acetyl cysteine and its protective properties in the developing brain of unborn babies. In clinical trials, Jenkins administered medicine to mothers with fevers prior to birth. Their breakthrough work provided preventative treatment for cerebral palsy. In addition, researchers and clinicians also support scientific and analytical work with MUSC’s Proteomics and Lipidomic centers. Looking ahead, Singh hopes to continue the team’s research focus on pediatric cancers, childhood obesity, nutrition, inflammation and genetic disorders. According to Singh, with the growing prevalence of Alzheimer’s disease and stroke in adults, he would like to see more scientists focus on understanding the factors that cause these diseases in early development. Singh, Department of Pediatrics Chairman Rita Ryan, M.D., and Children’s Hospital leadership are in the process of recruiting the institute’s next executive director. Pediatric leaders will continue to make strategic new recruitments of translational scientists. Plans are being developed to enhance fellowship training and educational programs to boost research productivity across all disciplines.


THE CATALYST, August 10, 2012 3

Patient with CF wants children’s health care improved BY CAROLINE ALTmAN Public Relations

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ome say Joey Benton is the poster child for MUSC’s Children’s Hospital. That’s because his face has graced hospital walls and roadside billboards to sell Children’s Hospital license plates. The hospital gets $42 of the $50 cost of each plate sold, raising funds distributed through the MUSC Volunteer Advisory Committee. Joey, who recently went to Washington, D.C., to represent MUSC’s

Joey “Peanut” Benton shared the importance of children’s health care with Nancy Pelosi, former speaker of the House of Representatives, and Pat Votava, MUSC Children’s Hospital director of government relations and grants.

Children’s Hospital, continues to work to improve children’s health care. Joey, nicknamed “Peanut,” is a 9-yearold soccer player with cystic fibrosis (CF). He enjoys playing with his friends and computer games. His favorite book is “Diary of a Wimpy Kid,” and he is a fan of the movie “Ferris Bueller’s Day Off.” After being born at a normal birth weight, Peanut never grew. At 6-weeksold, he was diagnosed with CF. From that point on, his parents knew they were going to support CF research. His mother, Caroline Benton, said, “We’ve always known that we had to do our part for Joey’s future.” Since then, Peanut has helped other children with illnesses. At 5 years old, he became the face of the license plate fundraiser. During visits to the Children’s Hospital his father, also named Joey Benton, said it was comical revisiting Peanut’s photograph as his son became almost unrecognizable after losing his Eddie Munster haircut and growing for four years. Several doctors and nurses still recognize Peanut as the license plate cover boy when he visits the hospital. To Benton, being a celebrity in the hospital was a gift to his son, a child who has gone through so much. “It was neat driving down I-26 and seeing him smiling back at us.” During Peanut’s recent visit to Washington, he shared the importance of children’s health care with congressional delegates of the Senate and House. Benton said Peanut had the chance of a lifetime when he got a rare honor to be on the speaker’s balcony and

Joey Benton has promoted the license plates since he was 5 years old, and continues to promote children’s health care on local and national levels. To download the application, visit http://www.scdmvonline.com/ DMVNew/forms.aspx under MV-95. share the importance of health care for children nationwide. Caroline Benton said, “The average

life expectancy when Joey was born was 32. Now it’s 38, and I believe we’re very close to that number skyrocketing.”


4 THE CATALYST, August 10, 2012

birthday its ’25th Hospital marks Children’s s possibLe chAnging whAt BY DAwN BRAzELL Public Relations

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wenty-seven years ago, John Sanders would go to the top of Rutledge Tower, back in the day when it was St. Francis Hospital, to take pictures of the new MUSC Children’s Hospital. Sanders remembers being excited seeing Marie Osmond come for the opening. It’s an excitement he still feels as MUSC Children’s Hospital celebrates its 25th birthday this week. “Over the years, programs we have developed have become leaders in the industry. The staff and physicians here are incredible and are so dedicated to the children. We have also seen the patient satisfaction by our families increase over the years to be one of the leaders in the nation.” Sanders, who left MUSC to work in Cincinnati and Delaware, returned nine years ago as the administrator of the Children’s Hospital. Looking back, he’s amazed how the hospital has grown. An important change occurred when the Children’s Emergency Department became a separate entity. “That changed the dynamics of the hospital. At one point 10 percent of our admissions came from the Emergency Department and now more than 35 percent come from there. We are also reaching out to the community to provide services at our After Hours Care Program,” he said of the clinic that opened in North Charleston in July and the East Cooper site opening this fall. When the Children’s Hospital was completed in 1987, it focused primarily on children with very difficult illnesses or injuries. It still offers expertise service, but its reputation has grown to encompass a comprehensive level of pediatric care. “Today, the MUSC Children’s Hospital is truly the community’s Children’s Hospital. We have good collaboration with other facilities who now recognize that we are able to provide a unique service specific to kids.” This is an important birthday milestone. The MUSC Children’s Hospital has ranked very well against some of the most famous facilities over the years through Child Magazine, Parent Magazine and U.S. News & World Report, he said. “In some ways 25 years is not that long, but if you look at how the hospital has grown and how it is viewed nationally, it is amazing. Over the years we have

Ella Nora Evans, born June 30 at 28 weeks, weighed just 2 pounds, 9 ounces.

Dr. Rita M. Ryan checks on newborn, Ella Nora Evans, in the fifth floor special care nursery. recruited some of the most talented physicians and staff in the world. We have programs that provide the most progressive models of care. We have outcomes that are simply excellent.” That reputation has and is attracting quality faculty, a factor pleasing to Rita M. Ryan, M.D., chair of the Department of Pediatrics. It makes her job of recruiting and reaching out to the community much easier. “We want the community to understand how important it is for surgical procedures on children to be performed at the Children’s Hospital. It is not only the pediatric surgical subspecialist who is here, it is

also pediatric anesthesiologists, pediatric radiologists, pediatric respiratory therapists, pediatric nurses, pediatric pharmacists, pediatric nutritionists, and of course, our child life specialists, who are there for our patients on all floors, including in the pediatric emergency room, to help.” Given the impressive roster of new faculty coming on board, the quality of services at the Children’s Hospital will just continue to get better, she said. The following are a few of the new additions. q A new pulmonologist, Maria Riva, M.D., joins the staff in January 2013, specializing in pediatric sleep medicine, an area of dire need for children with disabilities who often suffer from sleep problems and for children with craniofascial issues and airway abnormalities. q Genetic services are being expanded with the recruitment of two new faculty members in an area that will see rapid growth. “I think applied genomics is going to be big in the future. We’ve been waiting for the ‘big win’ for discovering a gene for a specific disease and those things are happening, but the biggest wins recently have been in how one person responds to a specific drug versus another,” Ryan said. q MUSC is opening a new Pediatric Therapeutic Endoscopy Unit, bringing the latest in treatment options. She describes the new division chief of pediatric gastroenterology, Jose Antonio Quiros

See Birthday on page 12


THE CATALYST, August 10, 2012 5

Meet Melissa

Melissa Kubu Department Children’s Hospital Volunteer & Guest Services How long at MUSC 3 months How are you changing what’s possible at MUSC Because I am passionate about what I do, I can offer the best service possible to MUSC’s volunteers, patients and families. After all, they are why we are here. Family My husband, James, and children, Jamison, 3, and Olivia (born Aug. 6) Dream job I’m doing it. I have always said that if I could volunteer the rest of my life, I would. The next best thing is working with volunteers. A must-have in the fridge Ice cream and cheese Last book read Hardwiring Excellence: The Studer Group. The book should be required by all new employees coming into health care.


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Scrub Club

Tour takes children behind-the-scenes to lessen fears BY DAwN BRAzELL Public Relations

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The first part of the Scrub Club tour allows patients to visit the preoperative area. Above, Ellis and Elizabeth Brown check out various items Elizabeth might see when she comes in for her surgery. Senior child life specialist Jennifer Redfern, along with Tommy the monkey, help answer questions they have. Watch a Scrub Club video at http://bit.ly/MUSC_Scrub_Club.

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veryone agrees. Monkey is a terrible name for the toy animal, especially one with the misfortune of having an IV permanently attached to his wrist. Jennifer Redfern, senior child life specialist with MUSC’s Children’s Hospital, turns to 9-year-old Elizabeth Brown who’s here on a Scrub Club visit at MUSC. The club is open to all pediatric patients and their families who are interested in a preoperative tour. “What should we call him then?” Elizabeth cocks her head to the side, ponders the monkey’s face, and declares, “Tommy.” Redfern nods. “The monkey’s name will be Tommy.” In front of Tommy is a case stocked with lip balms in a rainbow of colors. Redfern tells Elizabeth to pick her favorite flavor. Taking the winning strawberry flavor, Redfern rubs the balm in the mask, explaining this will go over Elizabeth’s face when she has surgery, and it will help it to smell better than the plastic. Elizabeth rubs it into the mask and takes a sniff and smiles, agreeing that it smells much better now. As a child life specialist, Redfern knows this is a critical part of preparing Elizabeth for her procedure. “It gives a choice. We don’t get a lot of choices in the hospital so it gives them more control.”

See Club on page 7

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Ellis and Elizabeth Brown color and name their medical dolls. Right, they check out the toy cabinet. Redfern likes to give children an idea of the fun activities available while in the hospital.

4. Redfern pulls up photos on her phone of Elizabeth and her mother, Julia Brown, in their scrub attire. A game of I Spy in the OR helps Elizabeth feel more comfortable in the room and allowed Redfern to answer questions about the operating room.


The Catalyst, August 10, 2012 7

5. After seeing the operating area, Ellis and Elizabeth Brown go to the waiting room, where their parents will wait during her procedure. Redfern explains a pain chart to Elizabeth. Below, the family checks out a hospital room and picks out their favorite menu items.

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Redfern uses medical play to help children be more comfortable in the hospital. Below, Tommy the monkey with an IV. Julia Brown asks Jennifer Redfern her remaining questions about her daughter’s surgery as her children play in the Child Life Atrium.

CLuB Continued from Page Six The two continue the discussion of what her surgery will entail as Elizabeth and her younger brother Ellis get hospital fabric dolls to decorate. Elizabeth decides she’ll take it with her on the rest of her tour. Elizabeth and her mother, Julia, suit up in scrub gear to visit the operating room, where Redfern answers questions about what the various instruments and equipment are used for, and then it’s time for surgery “I Spy.” They all take turns finding items, with anxiety draining from Elizabeth with each round of play. Then it’s time to visit the waiting room where Julia and family will be waiting to hear how Elizabeth’s surgery is going. Redfern explains the procedures board and gets popsicles for the children. As Elizabeth eats her treat, Redfern shows her faces that indicate various levels of pain. Elizabeth will be asked her pain levels after surgery and this will help her understand the process before she undergoes surgery.

Her mother looks over the room, adjusting that this is where she’ll have to wait for news of her daughter’s surgery. “This has been good. It takes care of some of the unknown,” she said of the tour. Final stops on the tour include going to a hospital room and checking over the menu, where Elizabeth picks out some of her favorite food options, and then going to a giant children’s play space called the Child Life Atrium. Elizabeth and Ellis immediately run to the air hockey table and begin checking out other toys. Redfern, who has been a child life specialist for 11 years, said she loves her job. “There’s nothing better than making a small difference in the life of a child. We take care of the emotional needs of kids. Our goal is to make that experience a positive one.” That means offering developmentally-appropriate information for children and play activities that can help them process what’s happening in their lives. It also means figuring out and defusing their fears. Some parents say nothing about an upcoming or

ongoing medical procedure, but that can magnify fears. “Nothing is scarier than the imagination of a child. A child can create a very scary story.” Redfern, who is one of 11 child life specialists at MUSC, sees daily how the power of preparation and play helps children to heal. Research shows it speeds recovery and gives them a positive association with the medical center where they’ll receive their care. “One bad experience can change forever the trust a child has in the medical staff.” Often she sees children who are overwhelmed by the medical environment and the unknown. They have so few choices and control in their life. That’s where she can make a big impact. She gives children choices every chance she gets and focuses on putting the focus back on play, even though they have to be in the hospital. “There’s nothing better than knowing we’ve made a difference in how they see the medical staff in general,” she said. “It’s really about empowering them. It’s helping the family empower themselves.”


8 THE CATALYST, August 10, 2012

Lights, camera, action: Birthday video a hit BY DAwN BRAzELL Public Relations

2011 y

It takes a village to raise a child. It also takes a village to treat them. That’s what the MUSC Children’s Hospital’s latest video, celebrating its 25th birthday this week, shows. From a helicopter landing with its dedicated pediatric flight team of specialists to nurses caring for tiny, premature babies struggling to get a purchase on life, this video features almost 100 people, including doctors, nurses, staff and patients, who all have their own slice of the story to tell. Featuring music star Darius Rucker’s song, “This,” the video was released at 11 a.m. Aug. 9. Meredith Strehle, manager of business development for the Children’s Hospital and her administrative intern Janna Cone coordinated the special events and video filming. There was a celebration at 10 a.m. Aug. 9 in the Child Life Atrium. Deb Oliver, a licensed practical nurse in the Rutledge Tower Pediatric Clinic who has been at MUSC for 35 years, sang an a cappella birthday song followed by addresses from administrators and from U.S. Rep. Tim Scott. There were birthday cupcakes donated by Bi-Lo, and a special birthday banner is currently on display on the President Street garage. There also was a Hollywood red carpet theme for the event. Children’s Hospital units and clinics competed to design the top stars to adorn the carpet, with the Children’s Neurology Clinic taking top prize. The clinic will receive a birthday party. Strehle said the events and the video capture the fun, caring spirit of employees that makes the Children’s Hospital so special. She found Rucker’s song, “This,” and as she listened to the words thought it captured the way some of the families and patients may feel. “Life takes turns sometimes that you don’t expect, but it leads people here to the Children’s Hospital where we can make a positive impact on their lives.”

See Video on page 10

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Daniel Spillane and James Monk (sitting) film a helicopter once landed. MUSC has a dedicated pediatric transport team.

The video is based on singer Darius Rucker’s song, “This.” To see the video, scan the QR code right or visit http://tagr.com/t/V3wR6 (It went live at 11 a.m. Aug. 9.)

The video includes footage of MUSC’s pediatric flight team simulating a patient transport. Above, Mark Daniell, pediatric flight nurse, rolls an isolette, which creates a mini ICU for babies. “No matter how good the surgeon is,” said Daniell, “until the patient gets here, they can’t be helped.”


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Josh and Ashley Bradley watch as their daughter, Kirby, born April 10, gets stronger. Born with a heart condition, their daughter has not been able to leave the hospital yet to return to her home in Spartanburg.

The Loyd family good-naturedly walks down a hallway in the Children’s Hospital numerous times for the video filming by Daniel Spillane (far left) and James Monk. The family from left, is Gracie, Don, Annie and Kelly.

Drs. Olivia Titus and Chris Streck put on their angel wings to enter the Bradleys’ room as part of the video.

Nurse Kathy Kurowski shows off part of one of her costumes that “The Perfect Divas” use. Nurses on her unit, 7 East, decorate IV poles and use music and dance to cheer up patients. They enjoyed helping with the video.


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Patient Skylar Byars, 6, designed this poster above to be used in the video. At right are nurses who put together a choreography for the song’s chorus.

vIDEO Continued from Page Eight The video also is a way to do something that is all about the children and to use the talents of local resident Rucker, who is a strong supporter of the hospital. “We wanted the video to be about the kids, families, faculty and staff and to highlight everything they do and have done to bring us to the 25th birthday celebration. Our hope is the video will go viral, and share the story and great happenings here with the world. We hope this video will be shared by the Children Hospital’s staff and physicians and others as a way of being proud of the last 25 years and as a wish for the next 25 years,” Strehle said. The video took two months of planning with videographers, Daniel Spillane of Business Development and Marketing Services, and James Monk, doing three days of filming. It also took cooperation from staff and patients. “It is fun to see staff and physicians cut loose and have fun filming,” said Strehle. “It shows their dedication to the Children’s Hospital and doing anything for the kids. It takes a special personality and spirit to specialize and work with children. I think this video displays that spirit.” Kathy Kurowski, R.N., and other

The Children’s Hospital’s Neurology Clinic won the star contest with this design that sports a battery-powered light feature. nurses on 7 East, were happy to participate, bringing out their decorated IV poles that they take into patients’ rooms on occasion to do a song and dance. “The Perfect Divas,” as they are known, enjoy dressing up and dancing to entertain patients. The group is so good, they do their performances totally improv. The acts vary from Christmas in

July to a kitty cat theme, complete with a ‘Kitty Litter’ cake. “When patients have been here awhile, we go in and sing to cheer them up. It’s team building, and it helps everybody have a good time.” The video gave them a chance to show off that spirit. It also lets patients get into the act. Ashley and Josh Bradley of Spartanburg, said they were glad to participate. Their daughter, Kirby, was born at 39 weeks with a heart condition, atrioventricular septal defect complete, that required her to remain in the hospital for several months for a series of procedures. Josh good-naturedly shrugs. They found out after his wife’s first ultrasound that their daughter would need surgery and had prepared for the long hospital stay. “It is what it is. You just deal with it. It’s been amazing to see how tough she is. She’s a fighter.” They look forward to when they can bring their daughter home, but for now the Children’s Hospital is home. “It doesn’t bother us to be in the spotlight a bit,” he said, his wife adding that it’s a way to let others know what MUSC’s Children’s Hospital has to offer. Don and Kelly Loyd agree. They brought in their twin girls, Annie and

Gracie, 4, for filming and to visit staff who they got to know so well when their twins arrived pre-term at 28 weeks. Gracie weighed 3 pounds, and Annie, 2 pounds 12 ounces. “Gracie was in pretty bad shape,” Kelly said. “She was intubated at birth. Annie needed a little help. She was a tall, skinny thing. They called her a spitfire.” It would be 77 days before Gracie was well enough to go home. It was a long haul, said Kelly, who now serves on the Family Advisory Council. She said she realizes what a treasure the Children’s Hospital is, and she enjoys being active on the council. Their stay gave her an insider’s view of the Children’s Hospital, and she knows the care they received is part of the miracle of her daughters being alive and doing so well. “It was luck, and it was the top to bottom care and caring that we received from everyone. It wasn’t just the doctors and nurses, but also the pharmacists, respiratory therapists and many others as well as the strong will of these two little girls. We’re excited to do anything we can to help MUSC.” Kelly said parents don’t realize the specialized services the Children’s Hospital has until they have to use it. “Any way we can put a face to what’s here, we want to do it. We know how lucky we are to have it in our backyard.”


THE CATALYST, August 10, 2012 11

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12 THE CATALYST, August 10, 2012

destinAtion progrAms: chiLdren’s hospitAL

Dr. Rita M. Ryan, right, with the Loyd family, Don, Kelly, Gracie (in pink) and Annie.

BIRTHDAY Continued from Page Four Giron, M.D., as a dynamo. The doctor, who comes from San Francisco, Calif., brings with him a highlyskilled endoscopy expertise and he has plans to host a gastrointestinal conference here, that he’s been running for the past five years. q Amy-Lee Bredlau, M.D., just joined the staff in hematology oncology. She specializes in pediatric brain tumors and will be working closely with Steven Glazier, M.D., running a pediatric brain tumor clinic. q Pediatric nephrologist – Katherine Twombley, M.D., who specializes in pediatric kidney transplants, just joined MUSC. q David Bundy, patient quality and safety officer for pediatrics, just started. “He’ll be a game changer. We’re very committed to patient safety and quality outcomes. It’s very important. We want to be the best. We want to have the safest children’s hospital in South Carolina. That’s how this guy thinks. He’s a broad thinker.” It’s not just new faculty members joining the Children’s Hospital that she’s excited about, though. She praises the existing hospital’s pediatric cardiology and cardiac surgery team, as well as the current hematology-oncology service. “We still have the lowest mortality post-operatively for neonatal cardiac surgery in the country,” said Ryan, who became chair in July 2011. “Our pediatric bone marrow transplantation team is excellent. We have overall outstanding clinical services. It’s one of the reasons why I came here. I didn’t have to fix any major clinical services. They are all top-notch.” One direction she likes to see the hospital heading is in telemedicine. David S. McSwain, M.D., recently

q Cardiology and Cardiac Surgery q Bone Marrow Transplantation q Kidney, Liver and Heart Transplantation q Congenital Airway Problems (Pediatric ENT and Cardiothoracic Surgery) q Cochlear Implant Program (Pediatric ENT) q Voiding Dysfunction Program (Pediatric Urology) q Pediatric Epilepsy Center (Neurology and Neurosurgery) q Pediatric GI q Pediatric Hypertension (Pediatric Nephrology) q Pediatric Kidney Stones

received a Duke Endowment grant that will enable specialists at the Children’s Hospital to share their expertise with the community via telemedicine carts. This is an important move that also will open the door to ways to provide more access in rural areas, she said. “It’s fantastic about the Duke Endowment grant. They’re trying to improve care for those who are away from the ‘mecca’ of medicine and need subspecialty expertise and also trying to improve care for kids who don’t have good access to medical care in general, for example, in more rural areas. For both of those things, it’s exciting.” Another good change is a shift to wellness and prevention. MUSC is home to The Boeing Center for Children’s Wellness’ Lean Team, led by Janice Key, M.D., chief of adolescent medicine. The group is making important strides in the community in preventative health. “This is a game changer for the Charleston County School district. They have made incredible strides in educating people in the school district about what is better for children. They have eliminated all fat fryers from every school. All the schools serve only low-fat dressing and only whole wheat bread, even in the pizza crust, and they offer salads daily. Dr. Key has spearheaded this, and she has done a great job.” Sanders said MUSC Children’s Hospital certainly has come a long way since Marie Osmond walked the grounds. It will be exciting to see the new era that’s coming. “We hope that going forward we will be looking at a new facility for our hospital that will provide an atmosphere that can provide even better outcomes for

(Pediatric Nephrology) q Pediatric Trauma q Center for Complex Limb Deformities (Orthopedic Surgery) q Pediatric Burn Center q Pectus Surgical Center q Regional Perinatal Center (combination of OB/ Maternal-Fetal –Medicine and Neonatology q Pediatric Minimally Invasive Surgery Center q Craniofacial Center (ENT) q Pediatric Spine Center (Orthopedic Surgery) q Craniosynostosis (Pediatric Neurosurgery)

our patients and families. We continue to recruit the best and brightest and will strive to be the best in the industry. We do that because we want to be the best, and the children of this community deserve it.”


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