JANUARY 1997 VOLUME 12, NUMBER 1 Advisory Board helps Childrens Hospital in ways large and small The Childrens Hospital Community Advisory Board was created in 1992 with the enthusiastic support of Dr. Ogra. The mission of the goal-oriented civic volunteers is to support Childrens Hospital and enhance the quality of childrens health services in the local community and across Texas. Andy DeYoung and Dr. C. Joan Richardson provide staff support to implement board initiatives. Each year the board determines a strategic plan of action based upon a public health project, facilities improvements, childrens programs, and fund raising. Some of their past efforts include the following. Purchasing of the neonatal transport ambulance. The 15,000-lb ambulance, decorated with dolphins, is the first of its kind in Texas. Renovation the Pediatric Intensive Care Units family waiting room to make it warm and inviting for anxious families. Purchasing a colposcope, a photographic instrument to document whether a child has been sexually abused. The photographic results of a positive colposcope exam can be presented as evidence for prosecution of the accused in a court of law, mitigating trauma to the child during testimony. The colposcope acquired by UTMB has been put to very productive use. Organizing softball tournaments and auctions to raise funds for Childrens Hospital initiatives. Helping to develop the Passport Program to educate new moms with infants, in conjunction with the Department of Obstetrics and Gynecology. Providing free immunizations for infants and children beyond university grounds. Helping promote hospice services in a home-like environment for children and their parents in the newly created Butterfly Room. Currently, the boards projects include the creation of the Childrens Garden, supporting the Childrens Carnival, starting a community-based Immunization Outreach Program, and participating in the Vini Ogra, M.D., Distinguished Pediatric Lectureship, which featured Edward Zigler, Ph.D. of Yale University in 1996. A small patient enjoys the toys in the new childrens emergency room. See story, p. 5. Inside 2From the Chairman 3Vini Ogra, M.D. Distinguished Pediatric Lectureship 4Childrens Hospital Community Advisory Board 6Dept. News and Update 7New Alumni Association Officers 8Pfizer Visiting Professor Ann Gardner Arens presents her sculpture with UTMB President Thomas N. James M.D. , and B.J. Herz, Chair of the UTMB Childrens Hospital Community Advisory Board. 2 JANUARY 1997 From the Chairman Dr. Pearay L. Ogra It is my pleasure to dedicate this issue of The Growth Chart to the Childrens Hospital Community Advisory Board. Since 1992, this board has sponsored many improvements to Childrens Hospital and has initiated many projects to benefit the lives of children in our community. This year, their project has been the creation of the Childrens Garden, a special place for children to experience the healing power of nature. The garden is graced with a beautiful statue by Ann Gardner Arens. Childrens Hospital truly appreciates the tireless efforts of the board members, who are: Mr. Roland Bassett, Ms. Jan Coggeshall, Mr. Frank Crews, Mr. Scott Daniel, Ms. Trudy Davis, Ms. Susan Eckel, Ms. Raquel Gonzales, Mr. Josh Hernandez, Ms. B.J. Herz (Chair), Ms. Sally Isenberg, Ms. Connie Jackson, Dr. Grace Jameson, Ms. Tonka Lane, Ms. Vicki Lewis, Ms. Betty Massey, Mr. John McKenna, Mr. Clary Milburn, Ms. Ingrid Moody, Mr. Sterling Patrick, Jr., Dr. William Posnick, Dr. Sally Robinson, Mr. Bob Sonnen, Ms. Janice Stanton, Mr. Jack Stork, Ms. Susanne Sullivan, Mr. John Swartwout, Mr. Dolph Tillotson, Ms. Dancie Ware and Ms. Sheila J. Zwischenberger. Our grateful thanks to all of these hard-working advocates for children! This year we were fortunate to host Edward Zigler, Ph.D., for the first Vini Ogra, M.D., Distinguished Pediatric Lectureship. This lecture was endowed in memory of my late wife, an obstetrician who worked with underprivileged women and children. Dr. Zigler spoke on the child care crisis facing our country today. His presentation served as the basis for a panel discussion of local childrens issues. I am saddened to report the death on Aug. 18, 1996 of alumna Mary Cassandra Matustik, M.D. She was an assistant professor of pediatrics at UTMB from 1978 to 1982. Dr. Matustik graduated from UTMB with honors, and served her pediatric residency and fellowship in pediatric endocrinology. She was working in the endocrinology unit at Cook Childrens Medical Center in Fort Worth, Texas. She had fought a year-long battle with cancer. A number of faculty have left the department this year, and I wish them all the best in their future endeavors. Geraldine Powell, M.D., retired. She founded and ran the pediatric gastroentrology lab for 28 years. Susan Wildin, M.D., has moved into private practice in Dallas. Bob Wildin, M.D., has moved to the Department of Molecular and Medical Genetics at Oregon Health Sciences University in Portland, Ore. Shakila Khan, M.D., is working at Texas Childrens Hospital in Houston, pursuing her specialty of bone marrow transplantation. Mary Owen, M.D., is enjoying working in the Primary Care Outpatient Clinic group with Dr. Ben Raimer in Texas City. Department of Pediatrics faculty and house staff, 199697. New faculty who have joined our department include two new assistant professors in pediatric neurology who have joined Dr. Jay Cook. Strahil Atanasov, M.D., and William Zinser, M.D., both come from Baylor College of Medicine. Also joining us from Baylor is Judy Rowen, M.D. Dr. Rowen is an assistant professor in the Division of Infectious Diseases. Dr. James Lukefahr moved from the Driscoll Childrens Hospital in Corpus Christi, Texas, to become an associate professor and director of the ABC Clinic in the Division of Ambulatory Pediatrics. Rubin Matalon, M.D., has moved from the Miami area to fill a position in genetics. Former chief resident Laura McGuinn, M.D., has joined the faculty as an assistant professor in the Division of Pediatric Special Services. We are grateful to the following people for their contributions during the past year to the Childrens Research Fund and the Tonya Johnson Fund: C. Burrel Ashlry Sr., Edward G. Brooks, Annette Blanton Ingraham, Janet P. Lekan, Raymond and Linda Maciejewski, and Julia Jones North. A gift to these funds is an investment in the future. Your generous contributions (in the envelope provided) are much appreciated. Wishing you the best in 1997, Pearay L. Ogra, M.D. John Sealy Distinguished Chair and Professor Department of Pediatrics Pediatrician-in-Chief 3 JANUARY 1997 First Vini Ogra, M.D., Distinguished Pediatric Lectureship features Edward Zigler, Ph.D. The first Vini Ogra, M.D., Distinguished Pediatric Lectureship was presented by Edward Zigler, Ph.D., on Oct. 11, 1996. The lectureship was endowed by Dr. Ray Ogra, in memory of his late wife, Vini Ogra, M.D., an obstetrician who devoted her professional life to the needs of underserved women and children. Dr. Zigler, a founder of the Head Start program who has a long record of service to needy families, was a fitting recipient of this honorary lectureship. He is chair of the Psychology Section of the Child Study Center, and director of the Bush Center in Child Development and Social Policy at Yale University. The lecture, which attracted a standing room only audience, was followed by a community panel discussion of local childrens issues (see related story below). This half-day event was sponsored by the Vini Ogra, M.D., Distinguished Pediatric Lectureship; the UTMB Childrens Hospital Community Advisory Board; Children and Youth: 2001; and Ross Laboratories. Dr. Zigler spoke on Child Care, Preschool Education and School Readiness. According to Dr. Zigler, studies have shown that a third of American children begin school unready to learn. In the inner city, closer to half of the children of kindergarten age are unprepared to take advantage of school. Head Start alone cannot solve this problem. Head Start is serving only about 40 percent of the eligible children now. Thats not enough, says Dr. Zigler. Head Start and similar programs nationwide are limited because they serve only 4-year-olds, are limited to half-day schedules, and in many states (including Texas) have too many students assigned to a single teacher. As parents and members of the community, its up to us to bring healthy children into the 21st century, says Dr. Zigler. Parents need to equip children with the essential tools for learningnot just books and computers, but enriched life experiences. Data from Head Start evaluations show that children who receive these experiences begin school with better health, motivation, cognitive skills and learning capacity. However, according to Dr. Zigler, these learning experiences need to be more substantive and start earlier in life. Dr. Zigler recommends that we reform public education to include preschool and child care. Children start school at age 3 in Italy, France and Belgium, and 80 percent of children in Germany are in school by age three, says Dr. Zigler. Only half of the children in the United States have a preschool experience. In the United States, families that make more money are more likely to provide their children with a preschool experience. So the children who need the preschool experience the most are the least likely to get it. High-quality child care is difficult to find. According to Dr. Zigler, only 12 percent of regulated child care centers and 3 percent of unregulated centers meet standards for high quality. Furthermore, studies of day care by aunts, grandmothers or other relatives show that only 1 percent of these settings meet high quality standards. There are also problems for children with no supervision. Latch-key children are Panel discusses needs of local children A panel discussion followed Dr. Ziglers lecture. Panel members focused on the needs of children in Galveston County, current successful programs, and areas which can be improved to foster school readiness. Our goal was to explore avenues that can be taken to ensure healthy early development for every child, says Dr. Karen Smith, pediatric psychologist at UTMB and one of the organizers of the event. We must provide a solid foundation for our children before they even enter the school doors. The lectureship provided an excellent opportunity to focus on early intervention that has a long-lasting, positive impact on the future of our youth. twice as likely to use drugs and alcohol as non-latch-key children, says Dr. Zigler. We should have every child in a full day of school, and I mean a full day not ending at 2:30, but a day as long as a work day of the parents. Dr. Zigler recommends a model called Schools of the 21st Century, which provides day care before and after school, and summer day care for every child up to age 12 (see box). There are 450 of these model schools in the country today, and some are proving cost-effective. In Milford CT, for example, costs of government-subsidized preschools are offset by saving close to $3 million per year that were previously spent on special education, holding children back and sending them out of state for special care. The model schools advocated by Dr. Zigler would include home visitor programs to provide parenting education, and early identification of developmental problems. They could also serve as the hub of a network of day care centers, serving to train, support and monitor the centers. Schools of the 21st Century provide pre and after school care for all children to match the school day to the parents work day provide universal access to preschool education for 3 and 4year-olds maintain a home visitor program to provide parenting education and faciliate child development serve as the hub of a network of registered daycare homes to train, support and monitor the quality of child care in these settings The panel included Shirley Harrison, Bonnie English, Rabbi Kessler, Edward Zigler, Ph.D., Armond Goldman, M.D., Thomas Randle, Ph.D., Craig Eiland, Harold Fattig, and Josh Hernandez. 4 JANUARY 1997 Childrens Hospital Community Advisory Board stays busy with projects; Softball Tournament and Silent Auction score a home run More than 250 people from the community participated in this years silent auction, which preceded the softball tournament. The auction packages included trips to Dallas, San Antonio and Austin, a hunting and fishing trip, tickets to performances at the Galveston 1894 Opera House, a night at the Tremont House, a harbor cruise for six, and much more. The tournament had 18 teams representing various UTMB and community groups. They vied for the championship trophy in the double-elimination event. UTMBs Home Health team battled fiercely to take first place. Completing the ranks were Boss Bingo, second place; Shriners Burns Institute, third place; and UTMBs Physical Plant, fourth place. The pediatric resident team called the Biaxin Bears, took second in the consolation bracket. The combined income from the Softball Tournament and Silent Auction exceeded the $30,000 goal. Proceeds from the events funded construction of the Childrens Garden, which will provide a therapeutic natural environment where children and their families can interact during their stay at UTMB. The department wishes to thank Christy Mays, Administrative Fellow in Pediatrics, for organizing these events. Roger Quiroga, Dr. Ray Ogra and Mike Christiansen at the silent auction. The Biaxin Bears in action. Carnival a big success The carnival was enjoyed by many children. The calf-roping booth, above, had the longest line; the bean bag toss, above right, was visited by many smaller attendees. The bowling booth, right, was manned by the Seaborne Conservation Corps. The Childrens Hospital Fall Carnival was a great success this year, with almost 40 booths of exhibits, face painting, games and a petting zoo. Attendance was estimated at more than 1,000. About 40 children were immunized, and many others had their records checked. The Neonatal Ambulance (Flipper) was open for children and grown-ups alike to explore. Many people also took tours of the new Childrens Emergency Room given by Drs. Susan Keeney and C. Joan Richardson. The carnival relies heavily on volunteer help. About 10 people from the Childrens Hospital Community Advisory Board lent their time. The show could not have gone on without the help of the Seaborne Conservation Corps, which had close to 50 workers at the carnival. They helped with everything from running booths to serving drinks. The carnival is sponsored by the Community Advisory Board as one of its many projects to support Childrens Hospital. 5 JANUARY 1997 New Childrens Emergency Room a big project for little patients Located on the second floor of the Emergency Department, the new Childrens Emergency Room offers a pleasant atmosphere for children in need of prompt medical care. The warmly painted waiting room features a chalkboard, playhouse, various games and a television airing childrens movies. Behind the registration area are eight patient care rooms, which are decorated more like playrooms than operating rooms. But dont CHCAB Chair B.J. Herz opens the new Childrens Emergency Room. let the colorful boats on the walls and teddy bears on the counters fool you. A children will come through the Childrens ER childs medical needs are the top priority at in the next year. Keeping this in mind, it was the Childrens Emergency Room. From crash evident that UTMB needed a special place for carts and ventilators to bandaids and pacifi- these patients, says Susan Keeney, M.D., ers, each room is equipped to handle any kind medical director of the Childrens Emergency of emergency. There are two crash rooms Room. for children who are critically ill. We have the same tools any other emerAfter four years of planning, the Chil- gency room has; however, our instruments are drens Emergency Room opened its doors last smaller to accommodate our patients, says June. Since then, more than 3,000 patients Dr. Keeney. But there are some tools in this from 1-day-old to 17-years-old have been facility you wont find in a regular emergency treated in this high-tech facility. Half of the room. If you look in certain cabinets and patients are treated for injuries; other visits drawers, chances are you will find some graare illness-related. Approximately 15,000 ham crackers, the fixings for peanut butter and CHCAB projects: Flipper and Butterfly Room The advisory board previously sponsored the Butterfly Room (top right) and the neonatal ambulance. The Butterfly Room allows families to stay with their terminally ill child in the hospital in a comfortable, home-like setting. The neonatal ambulance is used to transport low-birth-weight babies, who require immediate medical attention. The ambulance can save up to three hours of critical transport time. A young patient relaxes in one of the freshly decorated treatment rooms. jelly sandwiches, and stuffed animals. You would never find a pacifier out in the adult emergency room, says Dr. Keeney with a chuckle. These things often help ease a frightened child. The entire staff is specially trained in pediatrics and critical care. Its nice because our unit is better prepared to care for pediatric patients specifically, and this is not only reassuring to the family members, but also provides a greater quality of care to children in our community, says Dr. Keeney. The Childrens Emergency Room offers the best of both worlds: a home-like environment and a specialized medical team, says Dr. Keeney. We truly believe that this is an ideal environment for kids. The grand opening was celebrated with a ribbon-cutting ceremony on Oct. 25, and an open house on Saturday, Oct. 26, during the Childrens Hospital Carnival. For more information about the Community Advisory Board, meetings or upcoming projects, please contact: B.J. Herz, Chair at (409) 744-6566. 6 JANUARY 1997 Biaxin Bears join softball tournament Players pictured here are: (front) Keith Bly, M.D., John Mitchell, Steve Diven, M.D., Julie Huerta and Mike Binder, M.D., (standing) Dianne Cross from Office of University Relations, Mike Christiansen from Moody National Bank, Bobbye Berg, Matthew Hay, M.D., Suzanne LaForte, M.D., Ed Brooks, M.D., Mark Barett, M.D., Sandip Patel, M.D., Damon Welsh from Coca-Cola, and Christy Mays from Hospital Administration. The Pediatrics softball team, the Biaxin Bears, took second place in the consolation bracket of the Third Annual UTMB Softball Tournament Benefiting Childrens Hospital. The team included: Steve Diven, M.D., Ed Brooks, M.D., Robert Wildin, M.D., Matthew Hay, M.D., Chad Davis, M.D., Mark Barrett, M.D., John Mitchell, Bobbye Berg, Kaylene Griffin, Dan Griffin, Mike Binder, M.D., Julie Bear, Steven Connally, Robert Huerta, Julie Huerta, Kelly Huddlerton, Jerome Gerik, Sandip Patel, M.D., Angie Farella, M.D., Keith Bly, M.D., Suzanne LaForte, M.D., and Lisa Fullenwider, Ross Laboratories Academic Specialist. The Biaxin Bears send thanks to sponsor, Ross Laboratories, and their representative, Lisa Fullenwider. Luther B. Travis, M.D., presented Kaliski Award by Texas Pediatric Society Luther B. Travis, M.D., received the Kaliski Award at the last meeting of the Texas Pediatric Society. This award is given to individuals with a history of outstanding clinical service in behalf of Texas children. Dr. Travis estimates that he has treated around 2,000 diabetic children in his lifetime. Dr. Travis was also inducted into the Texas Affiliate of the American Diabetes Association Hall of Fame earlier this year. He is best known for his highly respected and widely used book, An Instructional Aid on Insulin-Dependent Diabetes Mellitus. It was first published in 1968 and has been translated into 14 languages. In the course of its 10 printings, it is estimated to have affected as many as 8 million lives worldwide. Pediatric telemedicine clinics up and running After three years of talking, planning, experimenting and developing funding, the Pediatric Telemedicine Clinic is finally seeing patients. The multidisciplinary team at UTMB consists of a social worker, a speech pathologist, physical and occupational therapists, and Dr. Sally Robinson. At Lamar University, there is a nurse practitioner working with the patient and parents, a case worker, and the primary care provider, if available. So far the response has been overwhelmingly positive. These children would have to spend at least five hours on the 155mile round trip to get to the clinic at UTMB. Another advantage of the teleclinic is that all members of the health care team can be present at one time. At UTMB, the team rotates through the patient care room one at a time. At the teleclinic, everyone is together, and a deeper understanding of the patients condition is gained by all team members. It is also designed to support the primary care provider and other health care providers, who are encouraged to participate in the clinic. For referral for an in-depth evaluation using this clinic, please call (409) 772-2331. The Texas Pediatric Societys annual award of merit is named after Dr. Sidney R. Kaliski, who was a pediatrician with many interests outside medicine. He was one of the first formally trained pediatricians in South Texas, and he helped form the Texas Pediatric Society. This annual award of merit has been given since 1940. Dr. Travis is the 34th recipient. Patti Patterson, M.D. named interim state health commissioner Our 1996 co-recipient of the Distinguished Alumnus Award, Patti Patterson, M.D., has been named interim state health commissioner by the Texas Board of Health. Dr. Patterson replaces Dr. David Smith, who announced his resignation to become president of Texas Tech University Health Sciences Center. Dr. Patterson completed medical school at UTMB, went to Texas Tech School of Medicine for a family medicine residency, then came back to UTMB for her pediatric residency, where she was named chief resident for the 198687 academic year. Dr. Patterson moved to Austin in 1987 to work with alumnus P. Cliff Price in the Texas Department of Healths Bureau of Child Health. She later served as head of the departments Bureau of Women and Childrens Health. While working at TDH, she earned her master of public health degree from the University of Texas Health Science Center at Houston, School of Public Health at the San Antonio campus. 7 JANUARY 1997 Susie Gerik, M.D., named Intern of the Year At the presentation were (from left to right): Dr. Susan Keeney, pediatric residency program director; Ron Jackson, Upjohn hospital representative; Dr. Susie Gerik, 1996 Outstanding First-year Resident; Dr. Al LeBlanc, associate dean for graduate medical education; and Dr. Ray Ogra, chairman of pediatrics. For the second time in four years, an intern in pediatrics has earned the honor of UTMB Outstanding First-year Resident. Dr. Susie Gerik received this award for 1996. The Upjohn Company presented her with a plaque and a cash award; the UTMB medical staff also presented her with a cash prize. Dr. Gerik, her husband, Jerome, and their two children, Joseph and Katie, plan to stay in the Galveston area when she has completed her residency. Texas Pediatric Society publishes history book The Texas Pediatric Society has published a book covering its history and the history of pediatrics in Texas. This book is full of fascinating stories of the early pioneers in Texas medicine and the innovators who established pediatrics as an independent discipline. The book may be ordered from: Mary Greene Texas Pediatric Society 401 West 15th Suite 682 Austin, Texas 78701. For more information please call (512) 370-1506. Greetings from Kenneth Matthews, M.D., new alumni association president As I sat down at my desk to write this note, I realized, like many of you, how important UTMB Pediatrics is to me. Each of us has been guided by special faculty and staff so that we can provide for the needs of our patients and families. Over the years I have always known that these supportive mentors were there for consultation and support. Several months ago I was honored to be elected your alumni president. Now, with your support, we, the UTMB pediatrics alumni, have the opportunity to support and sustain the department which guided us into the practice of pediatrics. I would invite you to renew, or intensify, your support to this vital Texas institution. Please join me as I renew my relationship with the Pediatrics Department at UTMB. Together we can be advocates for the needs of the program and continue to be strong advocates for the children of Texas. The new officers of the Pediatric Alumni Association are: Kenneth Matthews, M.D., FAAP President Alma L. Golden, M.D., FAAP Vice President Ralph W. Noble III, M.D., FAAP Secretary-Treasurer In addition to the officers, we have established a council. We plan to meet several times in the next six months to set the goals and direction for the organization. We would appreciate any suggestions you may have. One of the activities that has been done annually is the selection of distinguished alumni. On this page is a call for nominations. Please make your nomination and return it to the address provided. Nominations from the membership are appreciated and will be forwarded to me for consideration by the council. UTMB Pediatrics has nurtured pediatricians as medical students, residents and fellows so that they may be leaders locally, statewide and nationally as providers of care and as advocates for their patients. Please join me and your colleagues from UTMB in a rejuvenated alumni association. Kenneth Matthews, M.D. Alumni Association President Call for Distinguished Alumni Nominations Please help us select the 1997 Distinguished Alumni by sending your nomination to the following address: The Growth Chart Pediatrics, UTMB Childrens Hospital 301 University Blvd. Galveston, TX 77555-0354 This award will be presented during a luncheon at the CME conference in June. 8 JANUARY 1997 CH LDRHOSPITAL EN’S THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON THE GROWTH C HART Editorial Board Constance D. Baldwin, Ph.D. Cameron Bragg, B.A., B.J. Armond S. Goldman, M.D. David K. Rassin, Ph.D. Luther B. Travis, M.D. THE GROWTH C HART is produced by the Division of Medical Education and Research Facilitation Department of Pediatrics UTMB Childrens Hospital 301 University Boulevard Galveston, Texas 77555-0354 (409) 772-1139 The University of Texas Medical Branch at Galveston UTMB is an equal opportunityaffirmative action university. m/f/d/v Russell Chesney, M.D., to be Pfizer Visiting Professor in May We are pleased to announce that Russell Chesney, M.D., will be coming to UTMB as the Pfizer Visiting Professor in Pediatrics. Dr. Chesney is the LeBonheur Professor and Chair of the Department of Pediatrics at the University of Tennessee in Memphis. He will be at UTMB from May 2023, 1997. Dr. Chesney was nominated for the visiting professorship because of his expertise in clinical nephrology, mineral metabolism, sulfur-containing amino acids, and the effects of renal failure upon growth and development. Dr. Chesneys expertise will mesh well with the activities of many members of the pediatric department, especially in the areas of calcium and bone metabolism, renal development and disease, sulfur-amino acids, and taurine. He will also be participating in our annual House Staff Research Forum. For more information on attending Dr. Chesneys lecture, please call (409) 772-1139. The 46th Annual Pediatric Review and Update will be held June 19-21, 1997 at The San Luis Resort and Conference Center. Please see the enclosed flyer for more information. Department of Pediatrics UTMB Childrens Hospital 301 University Boulevard Galveston, Texas 77555-0351 PLEASE FORWARD IF NECESSARY Non-profit Organization U.S. Postage Paid Permit #5 Galveston, Texas 77555 ADDRESS CORRECTION REQUESTED