Building Bridges - Hong Kong by Baptist Health

The pediatric

Building Bridges l 1

Building Bridges history between Jacksonville, Florida, USA, and Hong Kong, China

The pediatric

Building Bridges l 1

Cover: The Acosta Bridge, Jacksonville, Florida, and Tsing Ma Bridge, Hong Kong ©2022 Dr. Thomas Chiu All Rights Reserved No part of this book or any of its contents may be reproduced, copied, modified or adapted without the prior written consent of the Publishedauthor.by: The Hartley Press, Inc. Jacksonville, Florida, U.S. For the “Bridges” books, Dr. Chiu is thankful for the financial support and resources of Baptist Health, and for his publication team—longtime assistant Laurel Conderman with whom he spent months gathering photos, communicating with exchange participants and determining content; graphic designer Cynthia Klusmeyer, Creative Services Manager, Public Relations, Baptist Health; and writer and editor Lorrie DeFrank.

Table of Contents Preface 5 Memories 43 Introduction ............................................... 9 Important Accomplishments ............. 57 Conferences and Exchanges 11 Past and Present 31 Special Contributors 75 Side Trips 97 01 05 02 06 0403 0807 Building Bridges l 3

“Nobody can go back and start a new beginning, but anyone can start today and make a new ending.” ~Maria Robinson Pagoda of Nan lian garden in Hong Kong city

Preface 01 Building Bridges l 5

Tom Chiu believes we have been building a bridge between Jacksonville and Hong Kong. But to me, it is more like a window, for me and other health care professionals in Hong Kong to look outside our city to the world. Tom graduated from The University of Hong Kong in 1970. I am his alumni, graduating in 1983. He moved to Florida; I stayed in Hong Kong. We had no connection until June 24, 1991, when he gave a lecture titled “Controversies in New Modalities in Neonatal Medicine” at The University of Hong Kong. I was in the audience and remembered only that he mentioned the opening of a new NICU in Jacksonville, Florida. I wrote to him shortly afterward to ask if I could visit him and this new facility. I was about to go to Stanford as a visiting scholar in neonatal medicine for six months. Early the following year, I met Tom and Anna in Jacksonville. I was amazed to learn that he was a neonatologist with an MBA degree. We traveled to Orlando to join a conference, “Small Bundles: Nutritional Support for the High-Risk Infant.” The rest is 1997, Hong Kong was a British Colony. Our doctors and nurses went to the U.K. for professional examinations and specialty training. I believe I was the first pediatrician to have training in the U.S. Without connections and knowledge of the American health care system, it was difficult to get a training opportunity. With subsequent help from Tom and his colleagues, many of my colleagues from various specialties visited Jacksonville. We also welcomed our Floridian friends to Hong Kong, to interact with us through hospital visits and conferences. Many of us developed lasting friendships. The pediatric specialties covered include neonatology, community pediatrics, infectious diseases, child protection, clinical pharmacy, palliative care, care of the children with medical complexities, and pediatric intensive care. The development of clinical pharmacy in Hong Kong started in neonatology, precisely because Tom arranged for pharmacists from Princess Margaret Hospital to visit his NICU. From this, the service was rolled out to other pediatric departments and later to adult specialties. This has had a tremendous impact on health care systems in Hong Kong. Besides the doctors and nurses, our medical social workers also visited Jacksonville. Thanks to the late Dr. Jay Whitworth, we have gained many insights and wider perspectives in child protection and the management of child abuse. I remember consulting him about a case of Shaken Baby Syndrome when I was on call. Dr. Jeff Goldhagen helped us develop our pediatric palliative care and the care of children with medical complexities. Through a donor from Hong Kong, Dana Chan Dan-nar, and the matched funding of Wolfson Children’s Hospital, we hope these two “new” areas of our pediatrics will continue to develop. These are but a few examples of the impact of the “bridge” between Hong Kong and Jacksonville onto pediatrics in Hong Kong. I am sure the interaction among our colleagues and our Floridian friends are making continued and profound influences on the way we care for our children and their families. Thank you, Tom. Only by the window you opened for us could Hong Kong and Jacksonville build this Pediatric Bridge together. We have inspired generations of pediatric doctors and nurses to have a better and bigger vision of our worlds. Dr. Bill Chan Consultant Pediatrician, Hong Kong Children’s Hospital

Beforehistory...July

Preface01 6 l Preface

As stated by Confucius: “If you think in terms of a year, plant a seed; if in terms of ten years, plant trees; if in terms of hundreds of years, teach the people.”

I would like to thank all the hard-working staff and institutions for making these exchanges a most pleasant experience.

Dr. Tom and Anna Chiu

After my pediatric internship in Hong Kong in 1971, I came to the United States. This year is the Golden Anniversary of my tenure with the Jacksonville community, as well as my marriage to Anna who has been instrumental to the success of the academic exchanges between Jacksonville and Hong Kong since they started in 1991. They began with Dr. Bill Chan from Princess Margaret Hospital in Hong Kong who spent time with us in our newly opened neonatal intensive care unit. He came on the advice of Dr. Leung Nai Kwong who was Bill’s senior consultant and also my senior resident (M.O.) while I was an intern at Queen Mary Hospital with University of Hong Kong. At that time, there was no internet or email. All communications were done by written letter or phone call. When Bill completed his sabbatical at Stanford University and went back to Hong Kong, the academic exchanges started to occur. More than 90 academic staff and students were involved in the exchanges and over 30 academic meetings were arranged mainly through the help and organization of Bill Chan in those 30 years. Bill later became the Consultant of United Christian Hospital/Hong Kong Hospital Authority and then the new Hong Kong Children’s Hospital. The benefits of these interchanges are evident in the development of two programs that were enhanced in Hong Kong as the result of their team members being sent to Jacksonville for training with our Child Protection Team in the area of child abuse and with the Pediatric Palliative Care Team. Both the United States and Hong Kong teams have gained tremendously in their academic endeavors in these exchanges. Each side has learned mutually and beneficially with this global health exchange. Both sites have also been able to recruit visiting scholars and students as the result of these international exchanges. I sincerely hope these exchanges will continue despite my pending retirement at the end of 2021. Working on this book truly brought back a lot of good memories. We met many new friends and established long-standing relationships (many remembered the good Chinese banquet meals.) It has been a rewarding experience.

“Do the difficult things while they are easy and do the great things while they are small. A journey of a thousand miles must begin with a single step.” ~Lao Tze

Michael Aubin, president of Wolfson Children’s Hospital, has been an enthusiastic supporter of these exchanges, personally working to develop partnerships with the hospitals in China/Hong Kong. During the visits participants learned from each other, went on rounds together, compared research, gave presentations and, in many cases, became lifelong friends. This book—focusing on the Hong Kong/Jacksonville exchanges—is one of four that documents the people, hospitals, education, experiences and cherished memories of the program’s first 30 years.

02 Building Bridges l 9

Since 1991, physicians and others at hospitals in Northeast Florida and four cities in China have been bridging cultural, medical and geographic divides to enhance children’s health care. Over the past three decades nearly 100 staff and students were invited to participate in these innovative academic exchanges, sharing knowledge, procedures and research in areas such as neonatology, child abuse and obstetrics, as well as pediatric neurosurgery, critical care, hematology and endocrinology. And much more. Dr. Thomas Chiu of Jacksonville and Dr. Bill Chan of Hong Kong started the exchanges after Dr. Chan visited the new neonatal intensive care unit at the University of Florida College of Medicine – Jacksonville, now called UF Health. The program expanded to include hospitals in Beijing, Chengdu and Shanghai, and others in Jacksonville.

Introduction

“Know more than others; work more than others; expect less than others.” ~William Shakespeare Victoria Harbour, Hong Kong

ConferencesExchangesand 03 Building Bridges l 11

Exchange lecturers/educators from Jacksonville to Hong Kong/China

Dr. Niranjan “Tex” Kissoon Dr. Lucian DeNicola Community Pediatrics and Transition Dr. David Wood Dr. Jeff Goldhagen Dr. Leslie Ravago Dr. Elisa Zenni Developmental Pediatrics

Dr. Louise Spierre Obstetrics and Gynecology (OB/GYN)

Dr. Steve Commins Pediatric Endocrinology Dr. Nelly Mauras Dr. Jose Canas Pediatric Gastroenterology Dr. Don George Pediatric Hematology/Oncology

Dr. George Schwarz Pediatric Critical Care

Dr. Danny Indelicato Dr. Nancy Mendenhall Pediatric Rehabilitation

Conferences and Exchanges

Dr. David Childers Dr. Paul Wharton Dr. William Williams Pediatric Infectious Diseases Dr. Elia Ayoub (Gainesville) Dr. Mobeen Rathore Dr. Ayesha Mirza Neonatology Dr. Josef Neu (Gainesville) Dr. Mark Hudak Dr. Don Garrison Dr. Felix Banadera Dr. N. Joe Alviedo Dr. Mary Lim Dr. Danny Cuevas Dr. Lily Cuevas Dr. Arthur Vaughn Dr. Ron Carzoli Lana Brennan, Neonatal nurse practitioner Laurie Ott, Neonatal nurse practitioner Pat Deyo, Neonatal nurse practitioner Pediatric Nephrology and Rheumatology Dr. Asad Tolaymat Dr. Mohammad Ilyas Pediatric Neurosurgery Dr. Philipp Aldana Pediatric Palliative Care Dr. Kelly Komatz Connie Bergh, Master of Social Work Carissa Heck, Master of Social Work Danielle Hernandez, Child Life Specialist

Dr. Eric Burnett Lisa Peak, OB/GYN Practice Administrator Angela Elliott, Midwife Cindy Ginn, Nurse Genetic Counselor Laura Barber, Midwife NEMOURS CHILDREN’S HEALTH Developmental Pediatrics

Dr. Eric Sandler Pediatric Neurology Dr. Harry Abram Pediatric Otolaryngology Dr. Angela Black

UNIVERSITY OF FLORIDA Pediatric Cardiology Dr. Robert Miller Dr. Gerold Schiebler Dr. Jose Ettedgui Dr. Robert English Dr. Randy Bryant Dr. Edward Bayne Child Abuse Dr. Jay Whitworth Dr. Randy Alexander Child Psychiatry

12 l Conferences

Pediatric Radiation and Proton Therapy

Dr. Chetan Shah Pediatric Urology

Dr. Alka Patel Dr. Kelly Ferrigno Dr. Ngozi Ogbuehi Dr. Carol Wilson Dr. Susan Sobczak Dr. Alicia Estillore Dr. Kimberly Meles Dr. Linda Collier Dr. Christina Estrada Dr. Amy Armada Dr. Megan Brown Dr. Marcia Antigua Dr. B.B. Khan Dr. Tiffany Lee Building Bridges l 13

WOLFSON CHILDREN’S HOSPITAL Hospital President Michael Aubin Hospital Administration

Pediatric Pulmonology

Nicole Lanier, Master of Health Science Administration, Certified Neonatal Pediatric Transport Pediatric Neurosurgery Dr. Ricardo Hanel Respiratory Therapy

Dr. Ian Nathanson Pediatric Radiology

Obstetrics and Gynecology

Sabrie Edmonston Robyn Stemmer, Master of Science of Nursing

Chris Taylor, Certified Respiratory Therapist

OTHER CONTRIBUTORS

Community Pediatrics Dr. Myrna Ginter Dr. Ken Horn Dr. C.B. McIntosh Dr. Enrique Silva Pediatric Critical Care Dr. Joseph Chiaro Neonatology Dr. David Durand Obstetrics/Gynecology Dr. Michelle Ozcan UF PEDIATRIC RESIDENTS

Dr. Michael Erhard Director of Nursing

Laura Goldstein, Master of Science of Nursing

Dr. Catherine McIntyre Pediatric Critical Care

Conferences and Exchanges – Jacksonville with Hong Kong Hong Kong 1991 Visit to Queen Elizabeth Hospital

University of Florida College of Medicine – Jacksonville – Dr. Thomas Chiu

Arthur J. Vaughn, MD – Associate Professor, Division of Neonatology, UFHSC, Jacksonville;

1. Visit to ElizabethQueenHospital –Dr. Alice Chau, Dr. Chiu and Dr. Leung.

4. Anna Chiu, Lana Brennan, Dr. Tom Chiu, Dr. Mary Lim 5. Program cover –June 1993

Dr. Alice Chau, Dr. Leung Nai Kwong, Dr. Thomas Chiu 1993 June 21 – 25 Conference Theme: Clinical Topics in Neonatology and Newborn Transport Program Organizers: Hong Kong Paediatric Society President – Dr. Chun Bong Chow

University of Florida College of Medicine – Jacksonville speakers: Thomas Chiu, MD, MBA – Professor and Associate Chairman, UFHSC, Jacksonville, Chief, Division of Neonatology

Conferences and Exchanges 2 3 4

2. Dr. Don Garrison

Dr. Robert Donald Garrison – Associate Professor, Division of Neonatology, UFHSC, Jacksonville; Medical Director, Neonatal Transport, Regional Neonatal ICU

3. Dr. Art Vaughn, Dr. Ron Carzoli, Dr. Asad Tolaymat

Ronald P. Carzoli, Jr., MD – Associate Professor, Division of Neonatology, UFHSC, Jacksonville, Medical Director, Infant Hearing Impairment Program

Prince of Wales Hospital Dr. Kam-Lau Cheung Princess Margaret Hospital Dr. Bill Chan Dr. Ngai-Shan Kwong Queen Elizabeth Hospital Dr. Wai-Hong Lee Dr. Betty Young Queen Mary Hospital Dr. Barbara Lam Dr. Nai-Shun Tsoi Practicing Pediatrician Dr. Vincent Leung Faculty

Clinical Issues in the Diagnosis of Child Sexual Abuse

Cystic Fibrosis from the Laboratory to the Bedside Sleep disorders in children

Dr. Edward Bayne, Pediatric Cardiology Basic Pediatric Echocardiography for the Primary Physician

The Non-invasive natural history of intracardiac shunts Dr. Jay Whitworth, Pediatric Nephrology and Child Abuse

Lana Edelen Brennan, ARNP, MS – Director, Neonatal Critical Care Practitioner Program Administrator Director, Newborn Services Product Line, University Hospital Pat Deyo, ARNP in Neonatology University of Florida Health Science Center – Jacksonville Hong Kong’s Local Speakers: Dr. Maurice P. Leung – Reader, Department of Paediatrics, University of Hong Kong Dr. Nai-Shun Tsoi – Consultant, University Department of Paediatrics, Queen Mary Hospital 1995 Residents, Dr. Susan Sobczak and Dr. Carol Wilson April 18 – 22 Neonatal Nursing Update – Princess Margaret Hospital, Hong Kong Laurie Ott, ARNP in Neonatology

Effective Multidisciplinary Co-operation in Child Protection Work

1. Neonatal Nursing program – 1995 2. Dr. Ed and Claire Bayne, Dr. duringhisNathansonIanandwifewithteamvisitinChina.

One Day Seminar on Neonatal Resuscitation – Laurie Ott, RNC, MSN, ARNP and Thomas T. Chiu, MD, MBA Dr. Bill Chan, MBBS, MRCP, DCH, FHKAM and Dr. Chun Bong Chow, MBBS, FRCP, DCH, FHKAM Pediatric Update Dr. Ian Nathanson, Pediatric Pulmonology

Director, Outside Nurseries – Citywide Neonatal Program, Division of Neonatology

Care of the Extremely Low Birth Weight Infant Developmental and Environmental Aspects of Neonatology Discharge Preparation for the NICU Infant and Family Family Centered Neonatology

3. Dr. Qian, Claire Bayne, Dr. Steve Commins, Diane Commins, Dr. Jay Whitworth, Aggie Whitworth and Anna Chiu 4. Resident Dr. Susan Sobczak with Dr. Chiu 5. Pediatric Update program, 1995 2 3 1 5

03 1996 Laura Barber – Midwife Postgraduate Education Program: Dr. Elia Ayoub, Dr. Stephen Commins, Dr. Mobeen Rathore 1998 March 19 Hong Kong Society of Neonatal Medicine with University of Florida Dr. Mobeen Rathore, Pediatric Infectious Diseases and Immunology Perinatal Infections Dr. Don George, Pediatric Gastroenterology Biliary Atresia Residents – Dr. Kelly Hort and Dr. Alicia Estillore March – Reunion in Hong Kong Conferences and Exchanges 1. Inaugural meeting of the Hong Kong Neonatal Society 2. Dr. Lily Cuevas and Dr. Danny Cuevas 3. Linda George, Dr. Tom Chiu and Dr. Don George 4. Dr. Mobeen Rathore 5. Dr. Kelly Hort and Dr. Alicia Estillore 6. Dr. Chiu, Dr. Bill Chan and Dr. Myrna Ginter 7. Reunion events in Hong Kong with Hong Kong team that visited Jacksonville 8. Dr. Alicia Estillore, Dr. Y.C. Ho and Dr. Kelly Hort 1 2 3 4 5 6 7 8 7 7 16 l Conferences

l 17

Dr. Josef Neu, Neonatology Amino Acid Nutrition in Very Low Birth Weight Infants.

1. Seated, Dr. Qian, Dr. Tom Chiu, Dr. Eric Sandler, Dr. Megan Brown, Dr. Harry Abram

2000 Resident – Dr. Megan Brown

4. UF team at this conference – Dr. and Mrs. Silva, Dr. Mark and Michael Hudak, Dr. Josef Neu, Dr. George and Eva Marie Schwarz, Dr. Bill Williams, Dr. Susan Sobczak, Dr. Robert and Judy Miller, Dr. Lou and Joanne DeNicola. Dr. Tom and Anna Chiu

Hong Kong Society of Neonatal Medicine

7. Dr. Fok, Dr. Hudak, Dr. Gorman 2 3 5 7 Bridges

5. Dr. Mark Hudak and Dr. Bill Chan

Dr. Thomas Chiu, Neonatology Conference Moderator with Dr. Wai Hong Lee, Vice President of Hong Kong Society of Neonatal Medicine

3. Standing: Dr. B.B. Chan and Dr. Alka Patel; Seated: Dr. Tom Chiu, Dr. Mao, Dr. Qian

2. Dr. Harry Abram, Dr. Mao, Dr. Tom Chiu, Dr. Qian, Dr. Sandler and Dr. Megan Brown with China team members.

Dr. Mark Hudak, Neonatology Update on Neonatology Cardiopulmonary Therapies

6. 2001 Invitation to the Neonatal Seminar

2001 Residents – Dr. Alka Patel and Dr. B.B. Khan

6 Building

Residents – Dr. Amy Armada and Dr. Christina Estrada

12.

2007 Hong Kong Annual Meeting of Neonatal Society

New Developments

Conferences and Exchanges 1.

Dr. David Durand, Neonatology in the Treatment of Respiratory Distress Syndrome 2004 Program 2007 Program 2004 Residents – Dr. Amy Armada and Dr. Christina Estrada Anna Chiu, Dr. Marion Goh Tsao, Dr. Jose Ettedgui and Dr. Y.C. Tsao Dr. Jose Ettedgui with U.S. and Hong Kong teams at conference Hong Kong Annual Meeting of Neonatal Society meeting Dr. Bill Chan, Anita Liu, Dr. Tom and Anna Chiu Dr. Mark Hudak, Dr. Bill Chan, Dr. David Durand, Dr. Tom Chiu Dr. Mark Hudak and Dr. David Durand Dr. Joe Chiaro, Dr. Gerold Schiebler, Dr. Tom Chiu Dr. David Durand Dr. David Childers, Dr. David and Mrs. Durand, Hilda and Dr. Jose Ettedgui, Donna and Dr. Joe Chiaro 4 5 1 2 6 7 8 11 12 9

11.

Dr. Jose Ettedgui, Pediatric Cardiology of Newborns and Infants with Single Ventricle Physiology

Dr. Mark Hudak, Neonatology Hypothermia in the Treatment of Neonatal Asphyxia

Management

10.

2006 March – Dr. Thomas Chiu as External Examiner for licensing exam

2004 Hong Kong Annual Meeting of Neonatal Society

2009 October 20 – 25 Prematurity International Neonatology Developments Conference in Shenzhen Dr. Josef Neu, Neonatology The Developing Intestinal Microbiome: What does it mean for health? Dr. Thomas Chiu, Neonatology Bronchopulmonary Dysplasia, 2009 Dr. P.C. Ng, Pediatric Infectious Diseases Diagnostic Markers of infection in the neonate 2010 The University of Hong Kong Students 2012 Annie Smith – Medical Student Residents – Dr. Ngozi Ogbuehi and Dr. Kimberly Meles Pediatric Infectious Diseases and Immunology Course – Dr. Mobeen Rathore with Dr. David Goldblatt, University College London; Dr. Michael Levin, Imperial College London – Course Director – Dr. Leung Chi Wai 1 2 3 1. Dr. Josef Neu, UF neonatologist 2. Dr. Tom Chiu, Dr. Josef Neu in Shenzhen 3. Staff at conference 4. Staff at conference 5. Dr. Tom Chiu, Reczi Chen, Anna Chiu, Tina Han, Figo Chan and his wife 6. Dinner following the conference 7. Seated: Dr. C.B. Chow, Dr. Mobeen Rathore, Dr. Michael Levin from Imperial College of London, Dr. David Goldblatt from Great Ormond Street Hospital in London, Dr. Leung Nai Kwong 8. Conference participants 9. 2009 Conference program 9 4 5 6 7 8 Building Bridges l 19

03 2013 Dr. P.C. Ng to Jacksonville, Pediatric Grand Rounds 2015 May Hong19Kong Neonatal Society Annual Meeting Dr. Mobeen Rathore, Pediatric Infectious Diseases and Immunology New Treatments and Management of Neonatal Herpes Dr. Mark Hudak, Neonatology New treatments in Neonatal Pulmonary Hypertension Webinar conference from United Christian Hospital

Hospital President Dr.

Mr. Michael Aubin, Angela Black,

Pediatric Otolaryngology

Dr. Asad Tolaymat, Erhard,

Pediatric Nephrology and Rheumatology Dr. Michael

Pediatric Urology Conferences and Exchanges 1. Dr. Angela Black and Dr. Michael Erhard 2. Dr. Erhard, Dr. Tolaymat, Dr. Chan, Rabia Tolaymat 3. Dr. Michael Erhard 4. Dr. Angela Black 5. Michael Aubin and Dr. Victor Chiu 6. Conference attendees 7. Michael Aubin 8. Dr. Mark Hudak 9. Dr. Mobeen Rathore 10. 2015 Program 11. Dr. Victor Abdallah, ENT physician from United Christian Hospital, with Dr. Angela Black 12. Dr. Victor Chiu with Dr. Rathore and Dr. Eligina Poon 1 2 3 4 5 6 7 8 9 11 12 10

Neonatology Presentation at Hong Kong Annual Neonatal Society dinner Building an Academic Children’s Hospital Partnership – Jacksonville Experience Global Health Summit Dr. Randy Alexander – ACE Study 1 2 3 4 5 6 9 7 8 10 1.

2016 May 29 – 31

Pediatric and Adult Neurosurgery Pediatric Stroke Modern Treatment of Cerebrovascular Disease

Authority,

Dr. Philipp Aldana, Thomas Chiu, Dr. Tom Chiu Dr. Ricardo Hanel, Dr. Bill Chan, Dr. Philipp Aldana Dr. Aldana at Dr. Chiu, Dr. Aldana and Dr. Hanel Dr. Hanel and Dr. Aldana Kong. Dr. C.B. Chow, Dr. Bill Chan staff Dr. Fok, left, Hong Kong Dr. Tom Chiu with Dr. Su Vui Lo, Chief Executive Hospital and Dr. Bill Chan

Pediatric Neurosurgery State of the art treatment of pediatric brain tumors Management of mild head injury and concussions Dr. Yam Selective dorsal rhizotomy Dr. Wong Spinal dysraphism Dr. Chak Pediatric epilepsy surgery Hong Kong Neonatal Society Annual Meeting Dr.

podium 4.

at United Christian Hospital 9.

10.

Cluster

met

7. Participants dining following the Global Health Summit in Hong

Mun Hospital Webcast on Pediatric Neurosurgical Hot Topics Pediatric Neurosurgical Conference Dr.

5. United Christian Hospital staff 6. United Christian Hospital staff with neurosurgeons,

with nursing

with nursing leaders in

Drs. Chiu, Hanel and Philipp Aldana with Dr. Dawson Fong Tuen Ricardo Hanel,

2017 Dr. Tiffany Lee (Resident) – Neonatology Global Health Summit – Dr. Randy Alexander June 12 – 14 Hong Kong Palliative Care Week Dr. Jeff Goldhagen, Dr. Kelly Komatz, Connie Bergh, Social Worker 03 Conferences and Exchanges 1. Dana Chan Dan-nar presenting donation to Wolfson Children’s Hospital for Palliative Care. 2. 2017 Global Health Summit participants 3. Dr. Jeff presentingGoldhagenatJune 12 webcast. 4. UF and Hong Kong Palliative Care teams 5. U.S. and Hong Kong teams at Palliative Care Week 1 2 3 4 5 22 l Conferences

4. Dr. Chiu, Michael Aubin, Sabrie Edmonston at Hong Kong Children’s Hospital

2. Palliative care team from U.S. visiting Hong Kong

3. Victoria Peak night view with Dr. Kelly Komatz, Carissa Heck, Dr. Jeff Goldhagen and palliative care team from Hong Kong

Participants: Dr. Jeff Goldhagen, Dr. Kelly Komatz, and Carissa Heck, Licensed Clinical Social Worker – Hosted by Dr. Bill Chan Workshop

Introduction: The intent of this workshop is to train a critical mass of multidisciplinary professionals to translate the principles of pediatric palliative care into practice. Simulation workshops on giving bad news, withdrawal of life sustaining support, child parent relationships

1 2 3 4 Building Bridges l 23

1. Hong Kong Children’s Hospital staff with Michael Aubin, Wolfson Children’s Hospital President

Sabrie Edmonston, Wolfson Children’s Hospital Administrator; Dr. Thomas Chiu, Neonatology; Michael Aubin, Wolfson Children’s Hospital President, with Dr. Bill Chan: Toured new Hong Kong Children’s Hospital Met with Dr. T. L. Lee, Hospital Chief Executive of Hong Kong New Children’s Hospital with Dr. Bill Chan Dinner with Dana Chan Dan-nar – donor to the UF Wolfson Children’s Hospital Palliative Care Program. Dana Chan Dan-nar serves as one of the 10 members of the Board of Directors of the Hong Kong Children’s Hospital

2018 November 11 – 14

December 6 – 10

Conference on Translating the Principles of Pediatric Palliative Care into Practice – Simulation Training in Pediatric Palliative Care – Hong Kong New Children’s Hospital

2. Michael

5. Dr.

2019 November 13

Success Toured

16 New

Utilization of Neuro-endoscopy in the treatment of brain tumors

Proton Therapy for Pediatric Brain Tumors – Rationale and Current Evidence

The Essential

Mr. Michael Aubin, Hospital President, Wolfson Children’s Hospital Need for Philanthropy to Assure a World Class Children’s Hospital’s the site of the Future Proton Center – HKSH Cancer Center

2018 Dr. Bill Chan – retirement from United Christian –Hong Kong Children’s Hospital conference

Dr. Chetan Shah, Pediatric Neurology Pediatric Brain Tumors and Neuroradiology

U.S. delegation had dinner with Dr. Lau Chor Chiu of Hong Kong Sanatorium & Hospital Cancer Center of Hong Kong Sanatorium & Hospital Aubin Dr. Chetan Shah Dr. Bill Chan at his retirement party from United Christian Hospital to become Consultant Pediatrician at the new Hong Kong Children’s Hospital. Chan’s

retirement poster 1 2 3 4 5

03 Conferences and Exchanges

Dr. Eric Sandler, Pediatric Hematology/Oncology

Dr. Philipp Aldana, Pediatric Neurosurgery

Dr. Danny Indelicato, Pediatric Radiation and Proton Therapy

Genomics – Changing Landscape of Neuro-oncology

3 4 5 6

9 10 11 Building Bridges l

IN JACKSONVILLE – Exchange Scholars from Hong Kong to Jacksonville 1991 Dr. Bill Chan, Neonatology 1994 Harry Chiu, Pharmacy 1995 Annie Lee, Pharmacy Liu Han Ling, Nurse Dr. Fong Nai Chung, Pediatric Cardiology Darren Phan, Pharmacy Sarah Fung, Physiotherapy and Early Steps 1996 Dr. Shiu Yiu Keung, Neonatology Anna Choy, Pharmacy

7. Anna Chiu, Dr. Steve Commins and his wife, Dr. Ian Nathanson, Diane Nathanson, Dr. Ed Bayne, Claire Bayne, Dr. Mao from Chengdu with Anna Choy UF Shands pharmacist with Anna Choy Annie Lee, Charles Lo, Anny Choy, Dr. Y.C. Ho and Kitty Cheng Dr. Jen Lung Sun and Dr. Leung Chi Wai’s family with the Chiu family in Jacksonville Standing: Darren Phan, Dr. Chiu, Dr. Tan; Anna Chiu, Helen Tan, Sara Fung 1 2 7 8 25

10.

6. Dr. Leung Chi Wai with Dr. Mobeen Rathore

Dr. Leung Chi Wai, Pediatric Infectious Diseases Met with members of Division of Infectious Diseases at University of Florida in Jacksonville and Gainesville

Dr. Jen Lung Sun, Pediatric Neurology

2. Dr. Bill Chan – 1991 visit to Jacksonville Dr. Bill Chan, Rosa Yao, Darren Phan, Harry Chiu and Dr. Shiu Dr. Fong Nai Chung, Pediatric Cardiology

1. Dr. Bill Chan with Dr. Tom and Anna Chiu, Christine and Charmaine Chiu

5. Sarah Fung, Anna Chiu, Elaine Chiu

11.

Dr. Joyce Mok, Clinical Psychologist – child abuse training Dr. Y.C. Ho with Anna Chiu and Dr. Tom Chiu Dr. Anselm Lee, Child Protection Team Ingrid Chen, Pharmacy and Dr. Tom Chiu Charles Lo, Pharmacy with Dr. Tom Chiu Anna Chiu, Dr. Tom Chiu, Dr. Monica Chen, Charles Lo, Dr. Angela Black Dr. Linda Ho, Pediatrician Kitty Cheng, Social Worker Anna and Dr. Tom Chiu with Dr. Victor Chiu Dr. Joyce Mok, Clinical Psychologist – child abuse training 1 2 3 4 5 6 7 8 9

1997 Dr. Ho Yok Chiu, Pediatric Cardiology and Neonatology

Dr. Victor Chiu Wa Keung, Pediatric Intensive Care

1998 Dr. Anselm Lee, Child Protection Team Ingrid Chen, Pharmacy Esther Wong Yin Ling, Nurse of Neonatology

03 Conferences and Exchanges

Dr. Linda Ho, Pediatrician and Kitty Cheng, Medical Social Worker

1999 Charles Lo, Pharmacy Dr. Chow Pok Yu, Neonatology

2000 Dr. Wilfred C.W. Leung, Neonatology 2001 Dr. Monica Chan, Neonatology Bonnie Lam, Bessie Ho, Pharmacy Dr. Louis Ma Che Kwan, Neonatology 2002 Elton Yip, Pharmacy Yung Kwee, Pediatric Intensive Care Unit 2006 Dr. P.C. Ng, Neonatology Pediatric Grand Rounds: Topic: Severe Acute Respiratory Syndrome and Asian Flu 2010 Figo Chan Lapwing, Reczi Chen Ren, T ina Han Xiaoyu, Cherry Yung Shun Ling – City University of Hong Kong students – Rotations in hospitals and various divisions 1. Dr. Wilfred C.W. Leung with his wife, Joanna 2. Charmaine Chiu, Bessie Ho, Dr. Chiu, Anna Chiu, Bonnie Lam 3. Dr. Monica Chen, Neonatology 4. Elton Yip, Pharmacy 5. Dr. P.C. Ng, Neonatology 6. T ina Han Xiaoyu, Reczi Chen Ren, Cherry Yung Shun Ling and Figo Chan Lapwing 7. Dr. Montgomery, Dr. R. Harmon, Dr. Yank Coble, Dr. Ng, Dr. Chiu 8. Dr. Chiu, K.F. Liu, Laurel Conderman, Anna Chiu, Tina Han Xiaoyu, Reczi Chen Ren, Sandy Barata, Cherry Yung Shun Ling and Figo Chan Lapwing 1 2 3 4 5 6 8 7 Building Bridges l 27

2. Michael Aubin with Dr. Yang Fan and Dr. Lilian Lee

03 Conferences and Exchanges

7. Dr. Jeff Goldhagen with Dr. Teresa Lai 2 3 4 5 7 6

3. Dr. Lilian Lee, Dr. Michael Erhard, Dr. Yang Fan

6. Front: Molin, Phoebe, Dr. Yang Fan; Yam, Dr. Chiu, Anna Chiu, Dr. Lee

28 l Conferences

2017 Dr. Gary Wong Hung, Neonatology

2021 Dr. Teresa Lai, Palliative Care Program

1. Drs. Robin and David Steinhorn, Dr. Tom Chiu, Dr. P.C. Ng

4. Hong Kong Palliative Care Team meeting with Veronica ScottFulton, Vice President of Patient Care

2016 May 30 Tuen Mun Hospital representatives September – December Dr. Lilian Lee and nurses Young Mei Wan, Yam Wai Lin (Shirley), Lin Kwok Yin (Molin) – Palliative Care Program

2013 Dr. P.C. Ng to Jacksonville, Pediatric Grand Rounds

5. Dr. Gary Wong and family with Dr. Tom and Anna Chiu

Building Bridges l 29

“One moment can change a day, one day can change a life and one life can change the world.” ~Buddha Kowloon, Clock Tower, Hong Kong

Past and Present 04 Building Bridges l 31

3. Topping out of one of the campus buildings in 1985.

6. The Wolfson family during the dedication of the new Wolfson Children’s Hospital in 1993 by the late First Lady Barbara Bush.

In 2012 the new J. Wayne and Delores Barr Weaver Tower was added to the campus.

Wolfson Children’s Hospital – Past Jacksonville, Florida, USA Wolfson Children’s Hospital was opened in 1955 on the Baptist Health campus. In 1993 a new Wolfson Children’s Hospital opened.

4. Red brick building in the background is the old Children’s Hospital in 1992.

2. Nurse Ursula Pringle caring for the newborns in the 1970s.

Past and Present04

1. The old children’s hospital is on the left with the view onto the traffic circle in front of the hospital.

5. Interstate 95 in front of the hospital in 1993.

1 2 32 l Past and Present

3 4 5 6

Past and Present04 1 12 34 l Past and Present

3. Anna and Dr. Thomas Chiu on floor named in their honor 4. Baptist MD Anderson Cancer Center

5. The new Borowy Family Children’s Critical Care Tower under construction 4 5 3

The seven-story Borowy Family Children’s Critical Care Tower, opening in early 2022, serves as the new entryway to Wolfson Children’s Hospital and Baptist Medical Center Jacksonville. It includes a three-floor, state-of-the-art Neonatal Intensive Care Center. It is among the first in the country to have a dedicated neonatal MRI system. One of the NICU floors is named the Dr. Thomas T. W. Chiu and Anna Shi Chiu Neonatal Intensive Care Unit. Baptist MD Anderson Cancer Center’s nine-story building that opened in 2018 offers the same high-level technology and services as its world-renowned flagship center in Houston, Texas.

The Baptist Health campus in downtown Jacksonville includes Wolfson Children’s Hospital, ranked one of the top in the U.S.; Baptist Medical Center Jacksonville; Baptist MD Anderson Cancer Center; and Baptist Heart Hospital. The system has four other hospitals throughout Northeast Florida.

Wolfson Children’s Hospital – Present Jacksonville, Florida, USA

1. Kids Kare Mobile Unit at Wolfson Children’s Emergency Room at Baptist South 2. Wolfson Children’s Hospital is joined with Baptist Medical Center Jacksonville.

New

The

36 l Past and Present

Hong Kong Children’s Hospital – Past Hong Kong building of the Hong Kong Children’s Hospital was announced in 2007 in the Policy Address of the Chief Executive of Hong Kong. site of the new 486-bed hospital was later decided at the south apron of the former Kai Tak Airport. Old site of the Kai Tak Airport Construction site of new Hong Kong Children’s Hospital Kai Tak Airport Hong Kong Children’s Hospital overlooking the old Kai Tak Airport Runway Construction at new Hong Kong Children’s Hospital site. cruise ship terminal is in the background.

1 1.

The

Past and Present04

2 3 45

Hong Kong Children’s Hospital –Hong Kong Hong Kong Children’s Hospital children’s hospital in Hong Kong’s health care the leadership of Dr. Lee Tsz-leung, Hospital Chief Executive, and Dr. Bill Chan, Consultant.

Present

1 2 3 38 l Past and Present

Past and Present04

public

is the first

system. Construction began in 2013 and the hospital opened in 2018. It is under

1. Model of the new Hong Kong Children’s Hospital in the lobby 2. Sabrie Edmonston, Dr. Chiu, Dr. Chan and Michael Aubin at CT suite in new Hong Kong Children’s Hospital 3. Welcoming atmosphere of new Hong Kong Children’s Hospital 4. Connecting buildings of areas of new Hong Kong Children’s Hospital 5. Neonatal Intensive Care Unit at the new Children’s Hospital 6. Financial and registration area 7. New Hong Kong Children’s Hospital exterior 8. Outside of new Hong Kong Children’s Hospital 4 5 7 6 8

The

2 3 1. Li Shu Pui Block – 1993 2. Establishment – 1922 3. 1931 4. Central Block – 1932 5. View from Hong Kong Sanatorium & Hospital showing Happy Valley Race Course.4 5 1 40 l Past and Present

Past and Present04

Hong Kong Sanatorium Hospital – Past Hong Kong Hong Kong Sanatorium as Yeung Wo Home, Valley Hong Kong.

was established in 1922. It was overlooking the race course in Happy

& Hospital, formerly known

The

Nursing

1 2 3 Building Bridges l 41

Hong Kong Sanatorium & Hospital – Present Hong Kong Hong Kong Sanatorium & Hospital, one of the leading private hospitals in Hong Kong, is known for its highquality patient care, expertise and technology. It is celebrating its centennial in 2022. The hospital has grown from 28 to about 500 beds and has more than 30 specialty centers. Its new Cancer and Proton Center is in the Eastern District of Hong Kong. The hospital’s experienced medical staff provides diagnostic and therapeutic services with state-of-the-art equipment.

1. Li Shu Pui Block, Phase III – 2008 2. Proton Centre 3. Eastern Medical Centre & Cancer Centre – 2019

“The best and most beautiful things in the world cannot be seen or even touched. They must be felt with the heart.”

~Helen Keller Atlantic Ocean in Big Talbot Island State Park, Jacksonville, Florida

Memories 05 Building Bridges l 43

Dr. Gerold SchieblerProf. Fok Tai Fai

What a special opportunity and, indeed, privilege to be included in the recent China trip! The scientific talks were outstanding – and all were very well prepared and pre sented. The faculty on the panels from Hong Kong were most impressive. It was captivating to learn that the Hong Kong neonatal faculty obtained outstanding results with out access to ECMO. I have discussed with Dr. Tom Chiu enlisting the support of Dr. Bob Nuss in making an overall University of Florida arrangement with the Beijing and Hong Kong medical schools –leading to a university-to-university type arrangement – involving all segments.

1. Dr. Chiu with Dr. Fok holding the Reflections book 1 44 l Memories

1. Dr. Gerold and Audrey Schiebler, front right, with group at dinner.

Gerold L. Schiebler, MD Professor Emeritus and Distinguished Service Professor Department of Pediatrics, University of Florida Children’s Medical Services Statewide Consultant

I should have known Dr. Thomas Chiu earlier than I did. He was only five years my senior in the same medical school, University of Hong Kong. We both looked after newborn babies and he was a renowned neonatologist and chairman of the prestigious Department of Pediatrics at the University of Florida College of Medicine – Jacksonville.

Inexplicably, I got to know Tom as late as a quarter of a century after he moved to the U.S. We met in an academic meeting in Hong Kong, probably in late 1994 or 1995. I was working in Canada from early 1991 to mid-1994. How I would not know someone like Tom, a fellow alumnus with an outstanding career in the U.S., has long perplexed me. I speculated that the reason was the remoteness of North America from Hong Kong – not in distance but because of the dominance of British influence in Hong Kong, especially in the medical field. Only a handful of medical graduates would go to North America. Unlike those who went to the U.K. to do a finite period of training, they usually left Hong Kong and settled in North America for good, just like Tom.

2. Audrey Lincourt Schiebler with Dr. Gerold Schiebler outside Beijing. 1 2

Congratulations to Dr. Mark Hudak and Dr. Tom Chiu on organizing these scientific sessions in China – a most impressive achievement!

It was Tom who brought about a paradigm shift regarding overseas training in Hong Kong, at least in the field of pediatrics. His first encounter with Bill Chan has resulted in a series of exchange programs between Hong Kong and Jacksonville. Trainees from

Professor Fok Tai Fai Previous Pro-Vice Chancellor and Dean of Medicine, The Chinese University of Hong Kong Building Bridges l 45

Tom, what a wonderful idea to prepare a book of memories for each host city! I traveled with you to Hong Kong and Chengdu in 1996. I have many impactful memories. One quick memory is purchasing (with your help) a beautiful wall hanging of children laying in a field, while I was browsing in a street market in Chengdu. I particularly remember you negotiating the price for me! It has been hanging in my office since I returned from the trip, and I have had many students, residents and colleagues ask me about it. Now in this virtual age of Zoom meetings, many colleagues from around the U.S. have commented through the camera about the beautiful piece of art and asked about where I got it. It is so fitting for a pediatrician and always makes me think back to the special trip.

Dr. Elisa A. Zenni

Elisa A. Zenni, MD Associate Dean for Educational Affairs Professor, Department of Pediatrics University of Florida College of Medicine – Jacksonville primarily the Princess Margaret Hospital in Hong Kong had a chance to learn and experience state-of-the-art practices in hospitals affiliated with the University of Florida College of Medicine. As chairman of the Department of Pediatrics, Tom was able to extend the exchange beyond neonatology to cover many other specialties. Our young colleagues taking part in the exchange are not restricted to doctors but also include nurses, pharmacists and medical social workers. The exchange programs have had long-lasting effects in upgrading the standards of pediatric care in Hong Kong. They have introduced diversity to our pediatric practice and the dominance of British influence has come to an end. I understand that Tom is retiring after 50 years of untiring work serving his patients and the medical communities in the U.S., Hong Kong and other parts of the world. “Thank you, Tom, for making the change (or exchange). Happy retirement!”

When Dr. Thomas Chiu and his faculty associates visited Hong Kong in spring 1996, I seized the opportunity to express my wish to receive further training in pediatric infectious diseases in the United States. They were supportive and quickly organized clinical attachment for me at the University of Florida and Stanford University so I could gain experience from both east and west coast centers. In the summer of 1996 I headed for Florida with my family to begin further training.

After more than 20 hours we landed in Jacksonville and were thrilled to find Tom greeting us at the airport, even though it was almost midnight. Tom quickly settled us in cozy accommodations at the Baptist Hospital and helped me rent a car for commuting to work. He was like a big brother to me and nice uncle to my two kids, making every effort to make us comfortable. The next day Tom‘s wife Anna showed us around the area and pointed out essential places like supermarkets, bakeries and laundries. She advised us to stock supplies in preparation for floods and hurricanes, not uncommon in summer. That was our first warning of the risks living in Florida. I began my training at Wolfson Children’s Hospital under Dr. Mobeen Rathore, chief of pediatric infectious diseases and immunology. He was very knowledgeable and welcoming. There was an international faculty at the hospital for me to interact with. Their love of sick children and accommodating attitude toward foreigners were impressive and influenced my work ethos a lot in my professional life. Through Mobeen I learned to be kind and generous to patients and colleagues, and inquisitive and diligent. I came to realize that a sound foundation of general pediatrics was critical for practicing the cognitive subspecialty of pediatric infectious diseases which cuts across all organ systems and respects no geographic boundaries. I benefitted from observing and participating in the running of the well-organized Northeast Florida Pediatric AIDS Program. On weekends my family drove around Florida to enjoy the best the sunny state offered. We had been to Walt Disney World, SeaWorld, Universal Studios and Kennedy Space Center to name a few. We went as far as Atlanta to watch the Olympic games and treasured every moment of life in America. This experience of living in a foreign country prepared my kids well for their boarding school life in England. I moved on to Gainesville and received further training at the Shands Hospital under the guidance of Dr. Elia Ayoub, a world authority on streptococcal diseases. Elia was an affectionate grandfatherly figure of great stature and a distinguished professor who happened to know all about pediatrics. Through him I learned about not only infectious diseases but also immunological and rheumatological diseases

Dr. Leung Chi Wai

Bridging east and west – my ties with the University of Florida

1 46 l Memories

Pediatric infectious disease was in its infancy when I started my training in this subspecialty in England in 1988. I was attached to the Great Ormond Street Hospital for Sick Children and mentored by Dr. Michael Levin, an expert on the study and management of Kawasaki disease and life-threatening infections such as meningococcemia, septic shock and toxic shock syndromes. My first glimpse of pediatric infectious diseases was eye-opening. I learned about serious infections in both immunocompetent and immunocompromised children but found it necessary to better equip myself by seeking further training in American centers where the subspecialty was well developed.

associated with streptococcal infection. He liked to take his fellows to lunch and we had a good time trying out Middle East cuisines. My kids best remember the chicken wings and barbecued pork («char siu») that Anna cooked for them. The training I was fortunate to obtain in Florida was phenomenal, exceeding what I later experienced at the Lucile Packard Children’s Hospital in California under the guidance of Dr. Ann Arvin and Dr. Charles Prober who were also great teachers. I was blessed to have been trained by an international faculty of teachers and researchers comprising a South African in London, Pakistani in Jacksonville, Palestinian in Gainesville, and American and Canadian in Palo Alto. I have had the best of both worlds having trained in the United Kingdom and both coasts of the United States. For this I am forever grateful. Leung Chi Wai (Chris), MD Former Consultant in Pediatric Infectious Diseases at Princess Margaret Hospital, Hospital Authority Infectious Disease Center and Hong Kong Children’s Hospital.

1. Dr. Chris Leung with his wife, Vivian, and sons – Brian and Julian – 1996 2. Dr. Chiu, Dr. Leung and Dr. Rathore 2

Building Bridges l 47

Assanasen Drs. Felix Banadera and Joe Alviedo

Chatchawin Assanasen, MD Distinguished Chair in Pediatric Oncology

Children’s Cancer Research Institute Medical Director, UHS/University of Texas KIDS Center for Blood and Cancer Disorders You’ve really never had spicy till you’ve eaten in Chengdu. The numbedup lips, the flashed face and the teary eyes were a mere sacrifice to the delectable flavor of the local cuisine and our unforgettable once-ina-lifetime experience in the land of the dragon. But Chengdu was more than just the exotic food, the adorable panda and the bustling high-rise skyline of the city; it was the hospitality and welcoming smiles of the people we met and how they made us feel far from being strangers. We met a lot of doctors who at a very young age were already accomplished professionals with publications and with well-respected ranks. Their humility was palpable from the genuine enthusiasm and unpretentious interaction they displayed during the lectures and conferences. The exchanges of ideas and opinions were enthralling and very educational. They opened our eyes to a whole different world of managing the sick neonate. Thank you for inviting us. Dr. Felix Banadera and Dr. Joe Alviedo Assistant UniversityProfessorsofFlorida College of Medicine – Jacksonville

1. Dr. Banadera, left, and Dr. Alviedo in Beijing. 1

Dr. Chatchawin

I have been lucky enough to work with Dr. Chiu outside of Jacksonville. Sharing an interest in global medicine, I have traveled to many areas of the world with him. During a time when global medicine was thought only to be approached through the fields of infection control and surgical interventions, Dr. Chiu broadened my view of what was possible on a global level. His educational program for pediatric residents (and my first exposure to international medicine) is at the root of what I continue to do today.

48 l Memories

I had the opportunity to go to China in May 2015. It was such a wonderful experience. One of my favorite memories was from Beijing. I was nervous being the only female physician in the group. I had no idea what to expect when we met the otolaryngologists in China. I was pleasantly surprised to discover that the majority of the department is female physicians. It immediately made me feel more welcome and comfortable. Luckily this was the first stop in a long journey and a good way to start. I had such a wonderful time visiting hospitals in different cities and exchanging ideas. My other favorite memory is from Chengdu. My husband Ty was hanging out with the spouses going shopping during the time we were lecturing at the hospital. He became quick friends with the tour guide Anita. After a few days of touring he discovered she would love to move to America and loves kids. We were in need of a nanny. It was a perfect match. Within a few weeks of coming home from China we were able to hire her as an au pair. She lived with us for three years until she married and moved in with her husband. She is like a daughter to me and she has made a huge impact in our lives. My kids adore her and we still keep in close contact. Thanks for giving me all these great memories!

2. Dr. Black, front row third from left, with Beijing ENT team. 1 2 1. Dr. David Schaefer, and guest from Chengdu with Dr. Burnett

2. PediatricsGynecologyonU.S.-ChinaofAnnouncementTheSecondForumObstetrics-&

3. MD LIFE magazine cover featuring Dr. Ayesha Mirza and Dr. Erin Burnett 1 2 3

Dr. Angela BlackDr. Erin Burnett

Dr. Angela Black Pediatric Otolaryngologist, Nemours Children’s Health What an amazing trip and experience! Wouldn’t change it for the world. This was a great experience to exchange ideas and hear what China is doing. We learned tons from the presentation and tons about their health care system. Dr. Erin Burnett Assistant UniversityProfessorofFlorida College of Medicine – Jacksonville 1. Dr. Black and her family on the wedding day of Anita, their nanny.

Dear ThanksTom,for the inspirational lecture and your “Reflections 40 Years” book. I greatly admire how you have integrated your family and family life with your career and building of a great pediatric department that really promoted health of children rather than just curing diseases. With great humility, through the lines in the book I can appreciate how your aspiration, value and vision through your integrity, honesty, friendship, leadership and wisdom have been achieved in 40 years—which would usually take hundreds of years to accomplish. The wisdom transpired is really powerful, especially the quotes. Words cannot describe the pictures.

Honorary Professor, Hong Kong University

Dr. David O. Childers, Jr. Associate Professor University of Florida College of Medicine – Jacksonville

The support from your family—especially your wonderful wife Anna, two beautiful daughters and now five grandsons—and the heritage and legacy from your parents and in-laws are just wonderful.

Best regards, Dr. Chow Chun Bong Founding President, Hong Kong Society of Neonatal Medicine

Dr. David ChildersDr. Chow Chun Bong

50 l Memories

One of the strengths of my presentations is I can usually get everyone to laugh throughout the talk. During my talk in Beijing, the translator was translating sentence by sentence. No one cracked as much as a smile. When I finished, Dr. Chiu allowed that the stories were really funny—in English—but didn’t translate very well, especially with the timing thrown off by the lineby-line translation. I was surprised by the lack of interest in premature follow-up until I saw the size of the Level 3 NICU. During one of our last evenings, we went to dinner at a five-story Peking Duck House restaurant. Dessert was fried scorpions. I don’t think a single male member of the party touched them. But the women did, led by Hilda Ettedgui. I was in awe!

After an exhausting 21-hour flight from Jacksonville, Joanne and I arrived in Beijing on 10-7-01. The first day we visited Tiananmen Square, Forbidden City, museum, palace and temple. The next day we were bused to the Beijing entrance to the Great Wall. On 10-10 we toured by rickshaw through Hutong, narrow alleys with courtyard homes. That night we went to an enormous restaurant for a many-course Peking Duck dinner. On 10-11 we flew to the ancient capital city of Xian, site of the 2,200-year-old terra cotta soldiers and bronze Nextchariot.stop was Guilin, famous for its scenery and rice noodles. The boater in me got excited for a cruise down the Li River, famous for incredible landscapes and pointy mountains that you see through the mist. From there we flew to amazing Hong Kong, a most modern and stylish city. The juxtaposition of floating markets and “junk” houseboats against the skyscraper skyline was fantastic. There were shops that sold living animals to slaughter and the famous tailors who could make a handmade suit in 24 hours. (I got two and still wear them.)

Dr. Robert EnglishDr. Lou and Joanne DeNicola

Dr. Lou DeNicola Professor (retired) University of Florida College of Medicine – Jacksonville One thing I remember was how incredibly friendly and gracious our hosts were. I really enjoyed meeting all of the wonderful people who showed us their amazing city, hospital and culture.

Dr. Robert English Associate Professor University of Florida College of Medicine –Jacksonville Building Bridges l 51

Charles Lo

Charles Lo, Hong Kong Clinical Pharmacist 52 l

Back in 1999 when I visited the University Medical Center in Jacksonville, clinical pharmacy development was in its infancy in Hong Kong. With the help from Dr. Chiu, and Dr. Chan’s introduction, of course, a score of pharmacists from Princess Margaret and United Christian Hospitals were able to spend valuable time there to learn from the most advanced practices in pediatric pharmacy, nutrition support and other specialties. I also remember fondly when Dr. Chiu and Anna welcomed us to their house and showed us around town, to make us feel at home away from home. Fast forwarding to 2021, many of us have since moved on to positions where we continue to apply what we learned from Jacksonville to lead the development of clinical pharmacy services. And I am glad to report that most pharmacists in our hospitals now have specialized near-patient care duties on the ward or at the ambulatory care level, and not only in pediatrics, in addition to their general dispensing responsibilities. Dr. Chiu has indeed inspired a generation of clinical pharmacists and catalyzed the development of clinical pharmacy services in Hong Kong.

Memories

Reflection of my exchange experience, Department of Pediatrics, University of Florida (Condensed from 2015 report.)

Ying Liang

I had the great honor to participate in the exchange program of Wolfson Children’s Hospital. This was the first time for me to go abroad and I learned a lot about culture and medicine in the U.S.

The thing that impressed me most was the environment of the hospital … cute drawings, cartoons, all things to provide children with relaxed instead of nervous emotions. These are quite different from Beijing Children’s Hospital, which is always so crowded with patients and parents from the whole country. Unlike China, they don’t have so many patients there. So doctors have more time to spend studying papers. We treat patients by our experience, but they use more evidence-based medicine. This is also a big difference.

Dr. Chiu was totally in charge of our daily life and study. He drove us to the hospital and back home almost every day, just like our fathers would do. He took every tiny thing into consideration to make us feel like we were at home instead of abroad. He arranged everything, including our accommodations and study plans. Without his thoughtful arrangements, we couldn’t have had such a wonderful time in the U.S. When we learned that he used to be chairman of the pediatrics department, we were shocked because we could not believe a respectful man like him would do lots of things for us by himself. I was lucky enough to stay in Dr. Beverly’s house. Through talks with her, I had the chance to know the true side of America. Dr. Chiu’s family also helped us a lot. They planned a wonderful meal for us. We sang together, and celebrated my birthday. We had an unforgettable time in the U.S.

Ying Liang Beijing Children’s Hospital 1. Guan Zhenfang, Linlin Liu, Dr. Tom Chiu, Michael Aubin, Ying Liang, Lulu Xia 1 Building Bridges l 53

Above all, we were treated the best by all the people we met in the U.S. We could feel the deep friendship between us. This was the best experience, for we did not only experience the hospital things, but also cultural things. We hope more people can benefit from this exchange program. I want to thank all the people who contributed to this program and made the dream a reality.

FORMER STUDENTS

54 l Memories

I had home stay with Dr. Beverly, a kind-hearted general pediatrician who helps poor sick children. She taught us about American culture and showed us around on weekends. Dr. Robie and his wife Rose prepared tasty Italian and Spanish food for us at their house. We exchanged Chinese and American culture. Thanks a lot to University of Florida for providing us such a valuable opportunity and Dr. Chiu for his great efforts to make everything possible. He and his secretary Laurel Conderman not only arranged for us to study in the hospital but also provided unlimited help in our daily life, including accommodations and transportation. Anna Chiu also gave us a lot of care and Thesehelp.activities planted seeds for future development of the exchanges. I hope they continue, develop and expand.

Linlin Liu Beijing Children’s Hospital 1. Guan birthday.Dr.celebratingChiu,Dr.Liang,CherryZhenfang,Liu,YingLinlinLiu,Chiu,AnnaLuluXiaChiu’s1

It’s my great honor to have this exchange, my first visit to a foreign country. I appreciate this rare Sino-U.S. exchange program between Beijing Children’s Hospital and University of Florida. We are fortunate to follow doctors from special departments and see how they work in hospitals and clinics. You never know how on the same planet people are living and working in very different ways. My major is pediatric infectious diseases, which I studied at Wolfson Children’s Hospital. Dr. Rathore, the chief, explained the schedule and asked about my interests. He is passionate and open-minded. You can never get sleepy in his lectures. On my first day Dr. Mirza told me how she felt when she came to the United States and told me not to be shy and to ask speakers to slow down if I don’t understand. She taught me that once I find the differences in ID departments in the U.S. and China, I will make progress. She let me study the Red Book, which I recommended to my ID department when I came back to China. Now everyone has one. After two weeks I worked with Dr. Alvarez, a TB expert who taught me a lot. I will always remember her big smile. The last week I worked with Dr. Maraqa, who is humorous and helpful. I am thankful for everyone’s help and sincerity. I made friends with residents. They taught me American slang and in the Chinese New Year I told them about the traditional Spring Festival. Thanks to Dr. Thomas Chiu, we visited proton therapy, medical simulation and the child protection program. American hospitals and clinics are beautiful and interesting. Management is orderly. Children have regular times to see a doctor.

Linlin Liu

Planted the Seed, Long Time Ahead: Reflection on the exchange to the Department of Pediatrics, University of Florida (Condensed from 2015 report.)

Guan Zhenfang Beijing Children’s Hospital Building Bridges l 55

Reflection of the study in the Department of Pediatrics, University of Florida (Condensed from 2015 report.)

I want to thank Capital Medical University and University of Florida for this chance to visit beautiful Jacksonville as an exchange student. Most of the month was at Nemours Children’s Clinic and Wolfson Children’s Hospital in general surgery and neurosurgery—a short but rich experience. I thank Dr. Thomas Chiu and the other doctors for helping me in the study and daily life and I credit them for accelerating medical study between China and America. My first station was Nemours near the St. Johns River, where you can see dolphins. The second was children’s neurosurgery, where I met Dr. Aldana, Dr. Ranalli and Dr. Beier. During those few weeks in America I experienced different medicine—humanity, information and technology. All in all, I think the program is successful, although I wish it could be longer. It expanded my horizon and knowledge. I sincerely hope it continues forever.

It was my great honor to have the opportunity to visit the labs in the University of Florida. This exchange program was organized by Capital Medical University, Beijing Children’s Hospital and the Department of Pediatrics, University of Florida, USA. I received warm hospitality from the project organizers, who made a deep impression on me with their rigorous attitude toward work and life, and strong sense of responsibility to promote medical exchanges between the U.S. and China.

Lulu Xia Beijing Children’s Hospital

Cytogenetics, Gainesville: Lab director was Dr. Roberto Zori. I could see their earnest, careful and patient attitude toward work. Florida Department of Health clinical medical laboratory—state newborn screening lab, Jacksonville: Lab director Dr. Ming Chan warmly received me and explained the content, aim and testing method of the newborn screening. Dr. Chan and others made a deep impression on me. Visit and learn, Jacksonville: When we finished the formal learning, Dr. Chiu arranged for us to interview with Dr. Hudak and President Aubin, exchanging opinions of the life here and receiving edification. I was inspired by their talk.

Reflections on the exchange program to the labs of the Department of Pediatrics, University of Florida (Condensed from 2015 report.)

Cancer and Genetics Complex, Gainesville: Dr. Thomas Chiu arranged for someone to drive me to Gainesville, where I met Dr. Chen Ling to study for 10 days.

Conclusion: Everybody’s warmth and consideration impressed me deeply. I am grateful to the many excellent tutors who have made thoughtful and thorough arrangements so this exchange program could be perfectly carried out. I hope it will keep on and can benefit more Chinese students.

Lulu Xia Guan Zhenfang

“Successful people always have two things on their lips: 1. Silence and 2. Smile” ~Buddha Hong Kong

AccomplishmentsImportant 06 Building Bridges l 57

2 3 58 l Important Accomplishments

2. Dr. Tolaymat, Dr. Whitworth, Sandy Barata 3. Lee Johnson, Florida HRS District 4 Administrator, Dr. Whitworth with wife, Aggie, and Dr. Chiu standing 1

Dr. Whitworth passed away while he was in London serving as a speaker on child abuse in 2006.

Child Abuse Program

1. Dr. BIll Chan, Dr. Jay Whitworth, wife Aggie, Dr. Ed and Claire Bayne

Dr. Jay Whitworth was a Professor of Pediatrics with the University of Florida Jacksonville. He was an internationally known expert in child abuse. After he visited Hong Kong as a visiting scholar, he was asked to write a white paper with recommendations for Hong Kong. The Hong Kong government later sent two teams to Jacksonville to learn how to set up a child abuse program for Hong Kong. Each team had physician, nurse and social worker representatives. After the teams returned to Hong Kong, they worked to set up the official child abuse program for the Hospital Authority Hospitals. Dr. Bill Chan also has been instrumental in acting as a liaison to help the team go to the U.S. for Unfortunately,training.

2. Dr. Whitworth prepared this report for the Hong Kong Hospital Authority on services for abused children in Hong Kong. 2 Building Bridges l 59

Bridges are usually designed and built on purpose to cross divides. Serendipity had it that my connection with Jacksonville half way ‘round the globe from Hong Kong came about in a circuitous route with expected and unexpected gains. When I joined United Christian Hospital (UCH) in 1979, awareness of child abuse was only beginning in Hong Kong. Through Russell Clark, head of the Medical Unit at UCH who was once a registrar in the hospital where I trained in Sydney, I met his classmate Kim Oates from Camperdown Children’s Hospital. Kim, who had been doing important work in Australia to protect children, became my resource person. He introduced me to the Center for Child Protection in San Diego. For some years the center had been organizing an annual multidisciplinary conference on responding to child maltreatment with a large faculty of experienced professionals. There I met the late Prof. Jay Whitworth from Jacksonville and was duly impressed by his teaching and his work. In the mid-‘90s, due to a failed conviction of the sexual abuse of a mentally challenged woman, Hong Kong amended ordinances on criminal procedures and the collection of evidence. The police, government social workers and clinical psychologists were receiving training on the gathering of evidence for court purposes. Yet there was much more to the management of child sexual abuse beyond the preparation for court hearings. Prof. Whitworth kindly came all the way from Florida on the invitation of our Hospital Authority to conduct training on the management of child sexual abuse. After that we had colleagues going to Jacksonville to learn first-hand from his assessment team, which later extended to other areas of pediatric care. Personally, I learned more than child protection from Prof. Whitworth. I had asked how he avoided burnout having to manage child sexual abuse day in, day out and also provide advice to authorities investigating pedophiliac activities. He said that was why he did a well-baby clinic each week. That gave me full justification to develop a parallel interest in promoting breastfeeding. Dr. Patricia Ip Chief of Service, Paediatrics, United Christian Hospital 1

Rosa W.Y. Yao BSC, MPA, M Clin Pharm Clinical Stream Coordinator (Pharmacy), Kowloon West Cluster, Department Manager (Pharmacy) of Princess Margaret Hospital and North Lantau Hospital, 1991 – 2015 1. Anna Chiu, Rosa Yao, Dr. Bill Chan 2. Dr. Tom Chiu, Dr. C.B. Chow, Rosa Yao, Anna Chiu 1 2

Since 1994, the Pharmacy Department of Princess Margaret Hospital (PMH), a 1700-bed acute hospital under Hospital Authority (HA) in Hong Kong, had sent 10 pharmacists to clinically attach at the Pharmacy Department of Shands Jacksonville, University of Florida. Through the exposure to a well-established diverse scope of pharmaceutical care services at Shands, our pharmacists were able to spearhead the implementation of clinical pharmacy service on wards and clinics in PMH. In 1994, through the participation of our pharmacist Harry Chiu in NICU and SBCU, there was significant reduction in medication errors and near misses, resulting in enhancement of medication safety in these high-risk patient groups. The clinical pharmacist service in NICU and pediatric wards was successfully rolled out to 16 hospitals in Hong Kong in 2013 – 2014. In 2008, our pharmacist Elton Yip pioneered the oncology clinical pharmacy service at PMH which was rolled out to all cancer centers in HA in 2012. Another excellent project was the pharmacist-led Warfarin Clinic where pharmacists worked alongside the clinicians with protocols for pharmacists to prescribe a pre-defined list of medications. Only through the vision and commitment of Professor Tom Chiu, and Dr. Bill Chan, we could have reached such an important milestone in development of clinical pharmacy in HA. We hope this strong bridge that we built, for which we are extremely grateful, will last forever.

Clinical Pharmacy Program

60 l Important Accomplishments

Building Bridges l 61

Dr. Kelly Komatz Program Director, Hospice & Palliative Medicine Fellowship

Dr. Thomas Chiu Emeritus Professor, University of Florida Dr. Jeff Goldhagen, Constance Bergh, BSN MS, and I went to Hong Kong in June of 2017. We spent a week traveling throughout the country and had numerous meetings with key groups for the announcement of Hong Kong’s Society of Pediatric Palliative Care. Dr. Goldhagen gave the inaugural lecture to the Hong Kong Society of Children’s Palliative Care on “The Child’s Right to Palliative Care: The Next Horizon for Pediatrics.” The team received a generous donation from a Hong Kong donor, Dana Chan Dan-nar. The three of us from the U.S. were humbled by the outpouring of enthusiasm from the multitudes of people we met in our short week. I feel we learned more from our Hong Kong hosts than they learned from our team. Dr. Goldhagen, Carissa Heck, MSW LCSW, and I returned to Hong Kong in December of 2018 as guests of Hospital Authority to conduct workshops on developing simulation trainings for staff regarding the delivery of bad news. Dr. Bill Chan was instrumental in having a stateof-the-art simulation center built inside the new Hong Kong Children’s Hospital and welcomed our team to partner with key personnel from Hong Kong to practice simulations. Once again, our hosts did not disappoint with their hospitality and gratitude. The U.S. team took away more than we left.

In 2017, a small group of us were invited to work with Bill Chan and his colleagues to help build a system of care to advance the health and well-being of children with complex medical conditions. The seeds of this collaboration were nurtured by a group of health professionals from Hong Kong who spent months as our guests in Jacksonville—hosted by UF, Wolfson Children’s Hospital and Community PedsCare (our region’s hospice and palliative care program.)

From the moment we arrived in Hong Kong, it was clear their mission was to “steal” every bit of knowledge, experience, insight and perspective from us as quickly as they could. They were shameless in the approaches they took to accomplish their mission. Like spies, they seduced us with their hospitality, reduced our guard with wine and food, and wore us down with hours of relentless work. And then, to clinch their success—they kept us out late to ensure we were sleep deprived.

62 l Important Accomplishments

I remember clearly the palliative care program was brought up in a casual dinner outing while I was in Hong Kong in 2017. Dr. Bill Chan and his wife, Mei, invited my wife, Anna, and me out for dinner. Bill played host to us every time we were in Hong Kong. During the dinner discussion, I brought up the excellent program in palliative care at UF under the leadership of Dr. Jeff Goldhagen and Dr. Kelly Komatz. Bill was very excited when he heard this information. He contacted Jeff and Kelly when I went back to the U.S. and I acted as a liaison for the two teams. The event finally consisted of a team being sent from Hong Kong to be educated in our Jacksonville program in palliative care. Jeff’s team was invited in 2018 and again in 2019 to Hong Kong to start training the Hospital Authority hospitals in building a children’s palliative care program. Jeff also gave the inaugural lecture to Hong Kong Society of Children’s Palliative Care on “The Child’s Right to Palliative Care: The Next Horizon for Pediatrics.” The team also received a generous donation from a Hong Kong donor, Dana Chan Dan-nar.

Palliative Care Program

1. Dr. Leung Pak Yin, Chief Executive, Hong Kong Hospital Authority, with Dr. Goldhagen

At no time in my professional life have I had the privilege of working and learning from colleagues as selflessly committed to the care of children—as eager to learn and equally as eager to implement—as our colleagues in Hong Kong. Their commitment was genuine and inspiring.

2. Dr. Jeff Goldhagen, Dr. Kelly Komatz and Connie Bergh at Victoria Peak with their hosts in Hong Kong, Janice Ma, Dr. Bill Chan, Dr. Lilian Lee, Shirley Yam and Alice Ho

3. Children’s Palliative Care Week, June 2017, United Christian Hospital, Hong Kong 1 2 3 Building Bridges l

Also, I’ve never met a person with the tenacity, energy,

And, they succeeded. With great passion and commitment to improve the care of medically fragile children, they convened key leaders, front-line health professionals, parents and other stakeholders in the system to create an environment in which we all learned from one another. The visit established the foundation and framework for building a palliative system of care that included community-based care, inpatient services and outpatient care of children with complex medical Andproblems.then, in December 2018, we came back and did it again—this time to engage participants in the system in simulation exercises as a prelude to launching the system of care. The superb venue and resources of the new Children’s Hospital provided us the opportunity to train and be trained in simulation and its application to advancing the practice of palliative care.

2. Palliative care team in front of the soon to be completed Hong Kong Children’s Hospital.

4. Dr. Bill Chan, Dr. T.L. Lee, Dr. Godfrey Chan, Professor C.K. Li, Dr. Jeff Goldhagen, Dr. Leung Pak Yin, Connie Bergh, Dr. Kelly Komatz, Dana Chan Dan-nar

1. The Hong Kong and U.S. Palliative care (PedsCare) teams

The bombardment of questions from Dr. Jeff Goldhagen upon our first encounter remains vivid in my mind. Thank you, Dr Tom Chiu, for bridging our small group of a pediatrician and two pediatric nurses halfway around the world to Jacksonville to learn about community care of medically complex children. From the Community PedsCare model and Bowen’s medically complex children’s clinic we learned that the focus is not on cure but on care coordination in the medical system and individual case management. Community care was an entirely different concept from our Hong Kong practice of dealing with a variety of issues in an acute hospital setting. This sabbatical opened our eyes and marked the formation of a brand new inter-disciplinary team in the Pediatric Department of United Christian Moreover,Hospital.wehave become advocates of the Children’s Rights. We have been infiltrating its essence to fellow pediatricians and pediatric nurses. We base every decision on the children’s best interest. We have culminated a new culture of sublimating services from a task-oriented approach to a holistic people-oriented direction. Coming back from Jacksonville, our practice and mindset have undergone radical changes.

3. Palliative Care Symposium in Hong Kong

“How much do you understand about children’s equity?” “What is health related quality of life?” “What is your concept on care for medically complex children?” “Ummm,” I stuttered!

Palliative Care Program

Now I will no longer twist my tongue when answering those questions I once didn’t know. I am now confident to take up the challenges ahead to practice and preach what enlightened us in Jacksonville.

64 l Important Accomplishments

intellect, charm and political acumen as Bill Chan. He is a force for good, and we learned much from him. Without Tom Chiu, none of this would have been possible. Without Bill Chan, none of this would have been possible. Similarly, without the visit from our Hong Kong colleagues, none of this would have been possible.

A sincere gratitude from my heart, Dr Chiu.

And without the commitment and exuberance of the innumerable stakeholders we met, none of this would be possible. It takes a global village to care for our most vulnerable children. Thank you to all who made this all possible. Dr. Jeff Goldhagen Community Hospice of Northeast Florida/Neviaser Family Professor in Pediatric Palliative Care “Have you heard of the United Nations of Children’s Rights?”

Dr. Lilian Lee Po Yee Associate Consultant, Department of Pediatrics, United Christian Hospital

1 3 2 4 Building Bridges l 65

1. Dr. Victor Yu, Dr. Liz Brown with Dr. Tom and Anna Chiu

3. Seated: Dr. C.Y. Yeung, Dr. Richard Cooke, Dr. Victor Yu, Dr. Mary Ellen Avery, Dr. John Sinclair, Dr. Liz Brown, Dr. Y.C. Tsao

Tom Chiu and friends from Jacksonville witnessed the inauguration of our Neonatal Society in 1997. Pediatricians and pediatric nurses in Hong Kong developed close relationships and friendships with their counterparts from Florida ever since. Over the past twenty years, the HKNS has been privileged to work together with many important medical events with Jacksonville. All were achieved with great successes. Notable ones consist of the evening lectures and hospital visits. Every year renowned speakers from Jacksonville came to Hong Kong and shared their expertise and experience. Attendees are key members of the HKNS, who treasure the opportunity to interact with overseas neonatologists and pediatricians in one place. The lectures typically attracted over 200 pediatricians, pediatric nurses and allied health professionals. I am honored to have been involved in most if not all of them, taking care of member engagement, courtesy logistics and catering arrangement. We treasure our ties and partnership with HKNS and friends from Jacksonville. We look forward to working more closely together in the future. Special thanks to Dr. Thomas Chiu and Dr. Bill Chan for the guidance and opportunities you have given me. I cherish the valuable experience. It’s been a great time working with you all. It is indeed my pleasure to be part of the growth and progress of the medical exchanges between Jacksonville and Hong Kong. Anita K.F. Liu Representative, Mead Johnson Nutrition, Hong Kong INAUGURAL MEETING OF THE

1 2 66 l Important Accomplishments

2. Dr. Chiu with Dr. Mary Ellen Avery

Hong Kong Neonatal Society

3 Building Bridges l 67

The economy of Hong Kong following the devastation of the SARS epidemic in 2003 had rebounded very quickly and was boosted by China opening her doors for a flow of visitors and trade. Our public health care system, which had been providing high standards of free service for the population, was overwhelmed by the months of the epidemic and the increasing patient needs and demands. With improvements of the local economy and the development of the private health insurance industry, more patients could opt for care in the private sector, helping to ease the overload of the public health care sector. There was also an increasing flow of mainland Chinese patients crossing the border for private medical care in Hong Kong. Growth in patient demand allowed for the rapid development of private health services. In order to meet the surging demands, Hong Kong Sanatorium & Hospital (HKSH) rapidly expanded our patient service capacity and capability. Oncology service was one of the medical disciplines in greatest demand. In radiotherapy, treatment sessions had to be extended despite acquisition of additional units with varying advance treatment capabilities. The 2008 Economic Tsunami made a great impact globally, but after a transient period of uncertainty, cancer patients’ demands continued to grow. A project was initiated by HKSH to introduce proton therapy to Hong Kong to add an extra dimension to our cancer treatment capability. The clinical oncologist in charge of the project development was Dr. Daniel Chua. Through his international scientific interactions, he and Dr. William Mendenhall from UF had become good friends. Dr. Nancy Mendenhall had been in charge of developing the UF Proton Therapy Center and its operation, establishing it as a premier proton therapy center in the world. They were very helpful in providing information and advice to Daniel for his project planning.

In 2011, I was diagnosed with prostate cancer and decided on proton therapy as my treatment of choice. Daniel naturally made arrangements with Bill and Nancy for me to cross the bridge to Florida.

Crossing the Bridge: Diagnosed as having cancer is a life-changing event. As I made my trip halfway around the world to Florida, I had this dark cloud hanging over me, wondering if I would wake up every morning worrying about my cancer for the rest of my life, no longer in control of my own destiny. UF Proton Center and the Doctors—First Light: In meeting with Bill and Nancy, being shown around the facility brought me a sense of assurance and relief. Being able to place my trust in the care of professional experts in a treatment center housing the most advanced technology with proven clinical records for many patients who had taken the same journey I was about to embark on, helped much to alleviate anxiety. Patient Journey in Florida: As a physician, I fully appreciate the importance of the doctor-patient relationship. Bill and Nancy will always have a special place in my heart. I was pleasantly surprised when Dr. Thomas Chiu contacted me out of the blue after he read my media interview in the local newspaper in support of the UF PTC. It turned out that my uncle, Dr. YC Tsao, was one of his mentors when he was training in Hong Kong, and his wife Anna was a distant relative. We had a lot of mutual friends and I was impressed Thomas had kept up with his bridges in Hong Kong. By reaching out to me, he provided a soothing touch of home. It meant a lot to me then and we kept connected. “Worst of Times and Best of Times:” Physicians advise cancer patients

68 l Important Accomplishments

Hong Kong Sanatorium & Hospital

I spent in Florida, my wife created a new home and a steady stream of family members, colleagues and friends flew over to visit and give support, providing a very special and meaningful bonding

Inappreciation.themonths

1. Mr. Wyman Li, Professor William Mendenhall, Dr. Daniel Chua, Professor Nancy P. Fukumitsu,ProfessorProfessorMendenhall,JoeY.Chang,NobuyoshiDr.Zuofeng Li, Professor Thomas F. DeLaney, Dr. Walton Li 1 Building Bridges l 69

The First Light: Being under the care of a personal physician and team of dedicated professionals in a treatment facility with advanced technology gave me the first light and glimmer of hope in easing my Ourdespair.HKSH proton therapy project modeled after the UF-PTC was to establish a dedicated cancer treatment center so that local patients could undergo treatment along with the service environment that I had experienced, without having to travel far away as I had to do.

The HKSH Eastern Medical Center housing our Cancer Center was completed and started operation in July 2019, catering to ambulatory patient care complementing the full oncology service in our mother ship hospital a short distance away. An adjoining building housing Hong Kong’s first proton therapy unit is under construction and anticipated to be commissioned in 2022.

and those facing serious illnesses to first try to accept the reality and to seek the treatment option that can offer the best possible clinical outcome. The dark mindset with a constant sense of doom and gloom adversely affects the quality of life of cancer patients. That period was indeed my worst of times.

The Best of Times: After many years of study, training, exams and long hours in private practice, life was being taken for granted. Having cancer served as a wake-up call. By getting through the initial dark period of dread and uncertainty, I am able to go forward in life with gratitude and

Hong Kong Sanatorium & Hospital of love and camaraderie.

I had never dreamed that it was possible to emerge from dark times and be able look forward to and to enjoy each new day, in work and with family and friends. Having gone through the first battle and being a cancer veteran gives a confidence and mental preparation to face possible future battles. This appreciation of a new lease on life enjoyed together with enhanced bonding with family, friends and colleagues I regard as my “best of times.”

Revelations: My journey in crossing the Bridge to Florida and returning home to continue on the journey showed me the importance of having a dedicated cancer treatment center equipped with advanced technology and staffed with a dedicated team of professionals who can take charge and relate personally to the patient. A service environment for support that can encompass the elements of hope, love and faith enable the patient to develop a positive mindset to continue the journey with an enlightened quality of life. As we look forward to the commissioning of our proton therapy center, Nancy and Bill will play an important role in advising us with their expertise and wealth of experience. And Thomas will always be our special friend from Hong Kong in Florida. Dr. Walton Li 1 1. Dr. Walton Li and Dr. Nancy Mendenhall 70 l

The positive experiences of going through cancer mean it is possible for other cancer patients to emerge through the initial dark phase that comes with the diagnosis. Physicians are familiar with the phase of anguish that one has to overcome before being able to progress to the next emotional and acceptance phases; others may need professional guidance and counseling, and to rally support for the patient and family members.

Important Accomplishments

Chief Chap-YungReginaldVictorZe-kangEditors:FengY.H.YuC.TsangYeung

Building Bridges l 71

Textbook of Neonatology

Janice P. K. MA Department Operations Manager (Paed) of United Christian Hospital President of Hong Kong College of Paediatric Nursing, 2021 – present

Soon after our nurses received training in Jacksonville, we couldn’t wait to start training courses for our nurses and looked forward to making changes in Hong Kong as far as we could. We organized big workshops in 2017 and 2019, raising awareness and having a great impact on the pediatric health care system in Hong Kong. Without Dr Tom’s inspiration and help, we would not have been able to make significant progress in such a short period of time.

Thank you again, Dr. Tom. You have been my role model. Your dedication and passion at work, as well as your enthusiasm in bridging pediatric doctors and nurses together, have given me the impetus to make more progress in improving the professional nursing service. Being the president of Hong Kong College of Paediatric Nursing, I will continue to be committed to upholding our nursing standard and giving bigger visions of the world to our nurses.

1. Shirley Yam Wai KaandJaniceLin,MaNgSze

Nursing

2. Dr. Lilian Lee, Janice Ma, Tom, Anna and Shirley Yam 1 2

72 l Important Accomplishments

Thank you, Dr. Tom Chiu, for bridging our nurses to Jacksonville for clinical attachment in 2016. I was the department operations manager responsible for nurse training and quality of care at that time, and with your kind assistance, we had the opportunity for our nurses to receive training there and learn about pediatric palliative care. Prior to this, there was no obvious service model and connection between pediatric units in Hong Kong and overseas. Many of our doctors, nurses, patients, relatives and carers did not recognize the importance of pediatric palliative care for patients and their families.

Colin: First patient in the exchange

1. Eileen Kay, Harold and Colin Lam 1 Colin Lam was 6 years old when he came from Hong Kong to Jacksonville in late 2013 to receive an immunotherapy treatment and protocol only available through clinical trials in the U.S. Colin was treated for Stage 4 neuroblastoma, a rare childhood cancer that affects the nervous system. He was the first child from another country to receive the treatment at Wolfson Children’s Hospital and the first patient from Hong Kong for any type of treatment at Wolfson, according to Dr. Eric Sandler, his primary oncologist. Colin’s parents, Harold Lam and Eileen Kay, learned about Wolfson through a family connection with Dr. Tom Chiu and his wife Anna. The family still lives in Hong Kong, where Colin receives treatments for a recurrence of his disease.

“Only when all contribute their firewood can they build up a strong fire.” ~Chinese Proverb 74 l Special Contributors Po Lin Monastery Temple – Lantau Island, Hong Kong

ContributorsSpecial 07 Building Bridges l 75

Dr. Phil Aldana Professor of Neurosurgery of University of Florida, Chief of Pediatric Neurosurgery at UF and Wolfson Children’s Hospital. One of the major members of the neurooncology team involved in the China exchanges. Trained a number of neurosurgeons from China/Hong Kong in the Jacksonville program. Works closely with Dr. Ricardo Hanel of Baptist Health.

1. Laurel Conderman and Nancy Koob 1 2 1 76 l Special Contributors

Special Contributors

1. Dr. Louise Spierre with Dr. Aldana in Beijing meeting 2. Dr. Aldana and Dr. Hanel JACKSONVILLE, FLORIDA Nancy Koob and Laurel Conderman Executive administrative assistants to President Michael Aubin of Wolfson Children’s Hospital and Dr. Thomas Chiu, respectively. Arranged all the trips to China and Hong Kong with program planning and schedules. Assisted in collecting necessary paperwork, lodging, transportation and daily needs for scholars and guests visiting from China and Hong Kong. This was a big task considering there were 200 involved in the exchanges and 30 programs over the years, and times that required several institutions’ administrations.

1. President Aubin with President Liu, Sichuan West China University President Aubin with President Wang of Beijing Children’s Hospital President Aubin with President Mu, former president of Sichuan West China University President Ni Xin of Beijing Children’s Hospital President Lee of Hong Kong Children’s Hospital with President Aubin President Aubin with President Liu, Sichuan West China University

9. Dr. Jerry Bridgham, representing Michael Aubin, Wolfson Children’s Hospital receiving award for Wolfson Children’s Hospital with President Ni Xin of Beijing’s Children’s Hospital in Washington, D.C., at 2018 China-U.S. Hospital 77

President Forum 2 5 1 4 6 7 8 3 9 Building Bridges l

Michael D. Aubin President of Wolfson Children’s Hospital since 2011, he provides great leadership to the children’s health care program and continues the strong collaborative relationship with the University of Florida. Great supporter of the international exchange with China and Hong Kong. Established strong relationships with the presidents of children’s hospitals in China/Hong Kong including Beijing Children’s Hospital, Hong Kong Children’s Hospital, Shanghai Children’s Hospital, Fudan Children’s Hospital and Sichuan West China Children’s Hospital. Under his leadership an official agreement with Sichuan University, GlobalMD on proton therapy exchange in Beijing, was signed. Received special acknowledgment by the American Hospital Association at the International Hospital Presidents’ meeting in Washington, D.C., on Wolfson Children’s Hospital’s efforts and contributions.

7. Michael Aubin and President Liu signing collaborative agreement with Sichuan West China University President Huang of Shanghai Fudan’s Children’s Hospital with President Aubin

approach, has for decades been the the resources of many different another, to overall child health an alchemist, turning many developed an extraordinary relationship Health Department - adroitly Department of Health - resulting entire Departmentstate. ofPediatrics’ faculty and Jacksonville, through a cohort of garnered about 70% of all such monies Jacksonville - a truly remarkable feat in the educational fabric of UF pediatric clinical rotations. This sterling have given the “Golden Apple” Award truly spectacular effort by the combined Department of Pediatrics at the commitment to a panorama of child health Medical Director, External Affairs – a resources in Northeast Florida, being a lead cobeing the Regional Medical Director for the encompassing 23 counties in North Central relationships with various pediatric faculty in a number has had to deal on a continuing basis with operational and financial resources. His elegant and nonconfrontational style – recognizing eventually translates into giant strides. Gerold L. Schiebler, M.D. Distinguished Service Emeritus Professor College of Medicine, University of Florida

1. Laurel Conderman, Dr. Thomas Chiu, Cynthia Klusmeyer and Lorrie DeFrank. OF PEDIATRICS AND FAMILY

Dr. Thomas Chiu enlisted the same team for his “Bridges” books about the ChinaU.S. exchanges that produced his “Reflections” book—Laurel Conderman, Cynthia Klusmeyer and Lorrie DeFrank. He and his longtime assistant Laurel worked side-byside for countless hours to research exchange history and mementoes, and determine content. Cynthia, Creative Services Manager, Public Relations, Baptist Health, created the beautiful design. Lorrie, a writer and editor, shared her expertise with wording and review of consistency.

Reflectionsyears40 DEPARTMENTOFPEDIATRICSANDFAMILY DR.THOMASCHIU

Reflectionsyears DEPARTMENT

When Dr. Thomas Chiu stepped down as chair of the Department of Pediatrics at the University of Florida College of Medicine - Jacksonville, in 2012, he began to earnestly write this book that had been formulating in his mind and heart for at least a decade. This heartfelt history of his two great passions—the department and his family—spans the 40 years he served the department, 20 as its chair. A professor of pediatrics, he continues to work at the university as a neonatologist and as medical director, external affairs. Over the past two years, Dr. Chiu and his longtime assistant, Laurel Conderman, have scoured UF, personal and media archives to collect hundreds of photographs and documents for this publication. Written from his perspective up to the time of his professional transition—such as references to Shands Jacksonville, now called UF Health, and to colleagues’ positions as they were in 2012—this presentation of treasured memories has been a true labor of love and dedication. Recognized worldwide for his contributions to the health and well-being of children, Dr. Chiu also is universally regarded for his gentle leadership and genuine concern for patients, faculty and staff. This is evident from the thousands of names of people in this book, most pulled from his keen memory. Although in his disclaimer in the preface on Page 3 Dr. Chiu apologizes for “different recollections from individuals,” based on his extensive research his book can be accepted as an accurate account of the exceptional progress of the Department of Pediatrics and of the people responsible for those achievements over the past four decades. This eye-catching publication is attributed to graphic designer Cynthia Klusmeyer, who worked closely with Dr. Chiu through many rewrites andContinuedredesignsonback flap

Special Contributors07

The Building Bridges Book Team

1 78 l Special Contributors

40 Years of Memories

1 2 3 4 1. Dr. Tom and Anna Chiu 2. Ernest Koe and Charmaine with sons, Declan and Beckett 3. Billy and Christine Geers, Garrett, Gus and Grant 4. In Shanghai with visiting group.

Anna Shi Chiu Anna Chiu has been a great ambassador and help to the exchange program and vital to its success. In to “godmother” and chef to many students, her roles have included shopping leader, fluent translator and moderator between the Jacksonville/China/ Hong Kong teams.

addition

Family Building Bridges l 79

Dr. Thomas Chiu,s

Dr. Erin Burnett and Dr. Robert English Dr. Burnett is Assistant Professor, Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, University of Florida –Jacksonville. Dr. English is Associate Professor of Pediatrics at University of Florida in the Division of Pediatric Cardiology. Helped organize several international symposia of Pediatrics/OB-GYN with Sichuan University/Chengdu with great success.

Dr. Michael Erhard Physician-in-Chief for Nemours Children’s Health. Well known in the field of pediatric urology and has won Best Program in USA in pediatric urology in the U.S. News & World Report. Participated in signing an agreement with Sichuan University and Beijing’s GlobalMD program for educational exchanges.

3. Sichuan University Vice President Niu with Dr. Michelle Ozcan, Dr. Erin Burnett 1 2 3

1. Dr. Niu, Vice President of Sichuan University with Dr. Erhard

2. Dr. Lilian Lee and Dr. Yang Fan from Hong Kong/China with Dr. Erhard at Wolfson Children’s Hospital

3. Dr. Erhard at Forbidden Palace in Beijing 4. President Wang at Beijing Children’s Hospital, with Dr. Erhard 5. Dr. Erhard fielding a question 1 2 3 5 4

Special Contributors

1. Dr. Indelicato with Dr. English 2. C.C. Brooks, Dr. English, Dr. Aldana at dinner with visiting Sichuan team

80 l Special Contributors

Dr. Jeff Goldhagen Professor of Pediatrics at University of Florida and Medical Director of Partnership for Child Health. Previously directed the Duval County Health Department. Received funding from multiple national and state sources for children’s behavioral health, transition and palliative care programs. Helped to establish and enhance the palliative care program for the Hong Kong government. Trained teams from Hong Kong with a physician, nurses and social workers in the palliative care program in Jacksonville. Invited to give inaugural lecture for the Hong Kong Society of Children’s Palliative Care in 2019.

l 81

Dr. Jose Ettedgui Pediatric cardiologist at Wolfson Children’s Hospital. Renowned in non-invasive cardiology and nonoperative intervention procedures. Participated multiple times in the China exchange. Trained Hong Kong Dr. Yen Chow Tsao’s daughter in cardiology while in Pittsburgh. Dr. Tsao (a special contributor) is Dr. Thomas Chiu’s mentor – professor while at University of Hong Kong Queen Mary Hospital and Dr. Chiu was his intern.

3. Dr. Jeff Goldhagen at ChildSim, Hong Kong Children’sBuildingHospitalBridges

1. Dr. Jose and Hilda Ettedgui 2. Pediatric Cardiology Division – Dr. George Armstrong, Dr. Randy Bryant, Dr. Bill Marvin, Dr. Jose Ettedgui, Dr. Don Marangi

1. Dr. Leung Pak Yin, Hong Kong Hospital Authority CEO, with Dr. Goldhagen 2. Lin Molin, Yam Wai Lin, Dr. Goldhagen, Dr. Lee Po Yee – Lilian

3. Dr. Christina Estrada, Dr. Amy Armada, Dr. Jose Ettedgui

1 21 2 3 3

Dr. Ricardo Hanel Co-Medical Director of Baptist Health Stroke and Neurovascular Center. Internationally known for his skill in treating acute stroke and cerebrovascular conditions with groundbreaking endovascular therapy. Works closely with Dr. Phil Aldana. Developed excellent relationships with Beijing and Shanghai Children’s Hospitals’ neurosurgeons.

2 1.

4 07 82 l Special Contributors

Dr. Mark Hudak Chair of the University of Florida Department of Pediatrics – Jacksonville and Associate Dean of UF Health Managed Care. Helped organize the First International Symposium on Child Development with Beijing Children’s Hospital with more than 1,500 attending. Frequent invited speaker to China’s children’s hospitals. Dr. Hanel at Beijing duck restaurant Dr. Hanel, Dr. Bill Chan, Dr. Aldana 1 Dr. Mark Hudak, Michael, Sara and Dr. Bonnie Hudak Dr. George Schwarz, Carl Ravago, Michael Hudak, Dr. Leslie Ravago, Eva Marie Schwarz, Dr. Mark Hudak At Yangtze River Cruise Hudak family – Sara, Michael, Dr. Bonnie and Dr. Mark Hudak Dr. Hudak with Dr. Bill Chan 2 3 5

Special Contributors

1 2 Building

Dr. Kelly Komatz Associate Professor of Pediatrics at University of Florida. Great leader in medically complex programs and palliative care for children at Wolfson Children’s Hospital and Jacksonville. Helped to train the Hong Kong team in palliative care. Dr. Indelicato with President Mu of Sichuan University Dr. Indelicato with Dr. Bill Chan 2 Dinner group.HongwithJacksonvilleinvisitingKong Nurse Yam Wai Lin, from United Hospital,Christian with Dr. Komatz and Dr. Chiu Bridges

Dr. Danny Indelicato Professor and Associate Vice Chair of University of Florida Department of Radiology Oncology. Also, he is the current William and Joan Mendenhall Endowed Professor of Pediatric Radiotherapy. Specializes in caring for children with brain tumors and sarcomas. Took care of many children from China receiving proton therapy in Jacksonville. One of the major members of the neuro-oncology team who frequently lectures in China’s major hospitals.

l 83

1. Dr. Alviedo, Dr. Mirza’s daughter – Noha, Dr. Mirza 1. Dr. Rathore with Dr. Victor Chiu and Dr. Elgina Poon 2. Drs. Mobeen and Sumra Rathore 3. Dr. Hudak and Drs. Mobeen and Sumra Rathore at a Chinese dinner 2 3

1 1

84 l Special Contributors

Dr. Ayesha Mirza Professor of Pediatric Infectious Diseases at University of Florida – Jacksonville. Director of UF Pediatric Residency Program in Jacksonville. Established teleconference lecture series with Beijing Children’s Hospital Infectious Diseases Division during COVID-19 pandemic. Supported more than a dozen residents going to China/Hong Kong for their elective rotations. Dr. Mobeen Rathore Associate Chair of the Department of Pediatrics at University of Florida – Jacksonville. Has been instrumental in guiding the department through difficult times. Elected President of Duval County Medical Society and was President of the Florida Chapter of the American Academy of Pediatrics. He and his Division of Pediatric Infectious Diseases and Immunology have brought the most research funding for the department. Trained many staff and students from China/Hong Kong.

Special Contributors

Dr. Bill Renfro and Dr. Paul Tan Both are from University of Florida Health Pharmacy Department. They trained Hong Kong pharmacists from various government hospitals including Princess Margaret, Queen Elizabeth and United Christian. After the pharmacists returned to Hong Kong, the hospitals started clinical pharmacy programs that were a major development in the children’s health care system for the city.

Dr. Eric Sandler Professor of Pediatrics at Mayo School of Medicine, Chair of Pediatrics for Nemours Children’s Health in Jacksonville. Well known hematologist/oncologist and considered one of the best in his field in the U.S. He is a key member of the neuro-oncology program team that travels to China/Hong Kong. He is a prime leader for a medical team to Mongolia every year.

Building

1. Dr. Bill Renfro, Dr. Joe Tepas, Dr. Paul Tan 2. Dr. Paul and Helen Tan with group 3. Charles Lo, visiting pharmacist, with Dr. Bill Renfro 4. Visiting pharmacist with Helen and Paul Tan

3. Dr. Sandler with President Liu of Sichuan University 1 2 3 4 1 2 3 Bridges l 85

1. Dr. Sandler with President Liu, Vice President Niu signing agreement at Sichuan University 2. President Michael Aubin with Dr. Sandler at Victoria’s Peak in Hong Kong

Special Contributors07 1.

Staff from University of Florida Education office assisted in enabling 13 pediatric residents for a rotation in Hong Kong and China. Miguel offered support throughout the technology challenges of collecting the information for these books.

2. Dr. Jay Whitworth with Dr. TolaymatAsad

3. Dr. Tolaymat with wife, Rabia 1 2 3 86

Staff – Laura Lowry, Dawn DeSantis, Miguel Perez, Tara McCormack

Dr. Asad Tolaymat Professor of Pediatrics (retired) of the Department of Pediatrics, Division of Nephrology. Well loved by his staff and patients. Served the University of Florida for almost half a century. Lectured in Hong Kong, Beijing and Chengdu. Dr. Dr.Dr.Rathore,withTolaymatDr.MobeenAngelaBlack,MichaelErhard

l Special Contributors

1. Dr. Whitworth with wife, Aggie Dr. Richard Skinner and Dr. David Wood Standing: Julia Wood, Dr. Randy Bryant, Dr. Wood, Dr. Chiu; seated: Dr. Siu, Dr. Qian, Dr. Yao, Anna Chiu 3. Dr. Wood and Dr. Tex Kissoon 4. Dr. Wood with staff at Beijing Children’s Hospital 1 2 3 4 Building Bridges l 87

Dr. Jay Whitworth Professor of Pediatrics at the University of Florida – Jacksonville, Dr. Whitworth inspired physicians, nurses and social workers who started the child abuse program for the Hong Kong government based on his training and guidance. He died while in London at a child abuse conference in 2006. Dr. David Wood Was Director of International Affairs at UF –Jacksonville. Participated in many trips to China to establish and enhance the relationships with China institutions. Expert in transition of care from child to adult. Left University of Florida to become Professor and Chair of Pediatrics at East Tennessee State University.

1 1.

1 2 4 5 3

Chonghua Zhang Retired Director of International Affairs at Beijing for University of Florida. Arranged students and faculty exchanges from different University of Florida colleges to China. Made frequent visits to Gainesville and Jacksonville, and accompanied the U.S. team to various cities in China for exchange programs. HONG KONG Dr. Bill Chan Dr. Bill Chan has been a true friend who has always assisted with the exchanges with warmth and kindness. His commitment to children and his leadership have created impetus for Hong Kong to achieve great things for their children. Giant pillar for the exchange program. Dr. ChonghuaChiu, Zhang, Dean Dan Wilson, Dr. David Wood Chonghua Zhang with Dr. Chiu Dr. Chiu, Dr. Wood, Chonghua Zhang in Beijing 3 Dr. Chiu and Dr. Chan Dr. Chan and Dr. Chiu Dr. Bill and Mei Chan Dinner party for Dr. Chan’s retirement from United Christian Hospital Dr. Chan cutting his retirement cake

Special Contributors07 1.

1 2

Dana Chan Dan-nar Introduced to Jacksonville team through Dr. Bill Chan. Interested in children’s programs and made a generous donation to the Wolfson Children’s Hospital palliative care program. Sits on the Hospital Governing Committee of Hong Kong Children’s Hospital.

Dr. Alice Chau Poon Shun-hann Senior faculty and lecturer, University of Hong Kong (retired). One of Dr. Thomas Chiu’s faculty mentors while at Queen Mary Hospital, Dr. Chau established the first clinical genetics program with counseling services for Hong Kong together with prenatal diagnostic lab introducing DNA technology for thalassemia. One of the first meetings, with Dr. Chau’s assistance, was at Queen Elizabeth Hospital with Dr. Chiu’s visiting medical team.

1. Janice Ma, Dana Chan Dan-nar, Dr. Tom Chiu, Dr. Bill Chan. Presentation of Dana Chan Dan-nar’s donation to Wolfson’s palliative care program in Jacksonville 2. Dr. Bill Chan, Michael Aubin, Dana Chan Dan-nar, Janice Ma 3. Dana Chan Dan-nar with Hillary and Michael Aubin 4. Dana Chan Dan-nar meeting the faculties from Florida with Dr. Bill Chan 1 2 4 3 2 1 1. Dr. Chau at Dr. Tom and Anna Chiu’s wedding 2. Dr. C.M. Chung, Dr. Y.B. Au Yeung, Dr. Tom Chiu, Dr. Alice Chau Building Bridges l 89

Professor Fok Tai Fai Professor of Pediatrics at Chinese University of Hong Kong and Dean of Medicine beginning in 2004 until his recent retirement. Worked in neonatal units at John Radcliffe Hospital in the University of Oxford, United Kingdom and the McMaster University Medical Centre, Canada. He is an internationally renowned pediatrician serving on a large number of committees and advisory boards. He is immediate Past President of the Hong Kong College of Pediatricians, receiving many honors and awards throughout his career including the Outstanding Asian Pediatrician Award in 2003.

Dr. Chow Chun Bong Honorary Clinical Professor, Department of Pediatric and Adolescent Medicine, Department of Community Pediatrics, The School of Public Health, Hong Kong University. Founding President of Hong Kong Society of Neonatal Medicine and inborn error of metabolism program. Chairman of Hong Kong Committee on Children’s Rights. Great friend and host to the Jacksonville teams.

Special Dr. C.B. Chow at child HongconferenceabuseinKong Dr. C.B. Chow, right, at child abuse meeting

1 2

Always helpful in assisting Dr. Bill Chan in organizing the meetings held in Hong Kong.

Contributors07 1.

1. Dr. Bill Chan, Dr. Tom Chiu, Anna Chiu, Professor Fok Professor Fok SocietypediatriciansneonatologistswithandinNeonatalAnnualMeeting.

1 2 90 l Special Contributors

1. Dr. Eileen Au, Dr. Lee Sum Ping, Dr. Tom Chiu 2. Dr. Lee Sum Ping speaking 3. Farewell lecture at Hong Kong University – Dr. Lee Sum Ping shaking hands with Vice Chancellor and President of Chinese University of Hong Kong – Professor Joseph J.Y. Sung1 2 3 Building Bridges l 91

lectureDinner with U.S. group

Dr. Patricia Ip Consultant of Pediatrics at United Christian Hospital (retired). Sent the first team from the hospital to Jacksonville for child abuse training. Dr. Lee Sum Ping Previous Dean of College of Medicine in Hong Kong and classmate of Dr. Thomas Chiu. Well known gastroenterologist and Cyrus E. Rubin Endowed Chair of University of Washington. Assisted in the exchange with Hong Kong University and Jacksonville program. His wife, Dr. Mary Tsang, interned with Dr. Chiu at the University of Hong Kong in pediatrics at Queen Mary Hospital.

1. Dr. Li at Cancer Symposium

Dr. Lee Wai Hong Consultant at Queen Elizabeth Hospital. Neonatologist who worked with Dr. Bill Chan in organizing a number of the exchange conferences. Dr. Walton Li Wai Tat Chairman of Board of Directors at Hong Kong Sanatorium & Hospital. Trained as an ophthalmologist at the University of California, Los Angeles, and worked closely with Dr. Nancy Mendenhall of UF Health Proton Therapy Institute to establish a proton center in Hong Kong at their hospital with plans to open in 2022. In 2009, appointed Honorary Professor in the Li Ka Shing Faculty of Medicine of Hong Kong University.

2. Gathering for the Hong Kong Sanatorium & Hospital 90th Anniversary celebration in 2012: Wyman Li, Manager, Hong Kong Sanatorium & Hospital; Professor Fok, Dean, Chinese University of Hong Kong; Dr. York Chow, Secretary of Food and Health; Dr. Walton Li; Dr. Gene Block, UCLA Chancellor; Dr. Lee Sum Ping, 1 2 3 1 2 1

92 l Special Contributors

1. Dr. Lee Wai Hong at Annual Hong Kong SocietyNeonatalMeeting

Special Contributors07

2. Dr. Bill Chan with Dr. Lee Wai Hong (middle) 3. Dr. Lee Wai Hong Dr.MarkKonggroupneonatologistwithinHongwithDr.HudakandJosefNeu

Anita Liu, Mead Johnson Representative Anita Liu has helped and sponsored a number of Hong Kong Neonatal Society Annual Meetings for the Florida group. Dr. Ng Pak Cheung Professor of Pediatrics at Chinese University of Hong Kong. Accepted the U.S. faculty and residents in rotations in his department. Participated several times with the U.S. team in international conferences.

1. Anita Liu with Dr. Tom Chiu, Anna Chiu, Dr. Bill Chan

3 1 Building

1. Dr. Ng, Dr. Hudak, Dr. Suyan Qian 2. Drs. Robin and David Steinhorn, Dr. Tom Chiu, Dr. P.C. Ng 3. Dr. Mark Hudak with Dr. P.C. Ng 2 Bridges 93

Special Contributors07

Dr. Tsao Yen Chow Deputy Medical Superintendent and Head of Department of Pediatrics at Hong Kong Sanatorium & Hospital. Had served as Senior Faculty of Pediatrics, Department of Pediatrics at Hong Kong University and trained as a nephrologist. Dr. Thomas Chiu was his intern at Queen Mary Hospital. Dr. Tsao was extremely helpful in assisting with the Hong Kong – Jacksonville exchange. His wife, Dr. Marion Goh Tsao, is a medical consultant of the Hong Kong Sanatorium & Hospital.

The trained pharmacists then started the clinical pharmacy program in Hong Kong for the government hospitals.

1. Rosa Yao, Pharmacist with colleague 2. Rosa Yao, Anny Choy, Vivien Ng, Fung Ying Chun, Senior Pharmacist (retired)

Rosa Yao Rosa Yao was the clinical manager of the Pharmacy Department at Hong Kong Princess Margaret Hospital. She and Dr. Bill Chan initiated the training program for Hong Kong hospitals’ pharmacists to be trained at University of Florida starting in the 1990s.

1. Dr. Tsao with his wife, Dr. Marion Goh Tsao, with Dr. Jose Ettedgui 2. Anna Chiu, Dr. Marion Tsao, Dr. Jose Ettedgui, Dr. Y.C. Tsao, Dr. Bill Chan, Dr. Tom Chiu 3. Dr. Tsao endowing a professorship at Hong Kong University

1 2 94 l Special Contributors

1 2 3

Building Bridges l 95

“Life is like riding a bicycle. To help your balance, you must keep moving.” ~Albert Einstein Crown Cave Guilin, Guangxi Province, China

Side Trips 08 Building Bridges l 97

1 3 Beijing

5. Robyn Stemmer, Laura Goldstein, Nicole Lanier at the Great Wall of China Marble Boat, the Boat of Purity & Ease on grounds of Summer Palace of Beijing The Forbidden City Beijing Daxing New International Airport 2

Side Trips08 1. Temple of Heaven 2. Beckett Koe – awaiting flight arrivals 3. Dr. Chiu, Charmaine Chiu and Beckett Koe, Dr. Michael Erhard, Dr. Asad Tolaymat, Rabia Tolaymat, Michael and Hillary Aubin, Dr. Angela and Ty Black

98 l Side Trips

4. Donna Chiaro, Dr. Gerold Schiebler, Dr. Joe Chiaro, Mary David, Audrey Schiebler, Dr. David Durand, Anna Chiu, Dr. Tom Chiu

7 456 8

08 Side Trips 3 12 4Beijing 100 l Side Trips

1. Alice Chen, Dr. Ying Liang, Dr. Chiu, Dr. Linlin Liu, President Hwang, Dr. Shi 2. China Central television building 3. The Forbidden City 4. Hillary and Michael Aubin in Tiananmen Square 5. Great Wall of China 6. Dr. Felix Banadera, Dr. Ayesha Mirza, Dr. Joe Alviedo, Noha Mirza 7. Mrs. Durand, Dr. Bonnie Hudak and Dr. Mark Hudak at the Great Wall of China 8. Danielle Hernandez and Dr. Catherine McIntyre inside the Forbidden Palace 9. T iananmen Square 5 7 8 9 6 Building Bridges l 101

Side Trips08 23 1 4 5Shanghai 102 l Side Trips

6 7 8 9 10 11 12 Building

l 103

7. Anna Chiu, Dr. Amy Armada, Dr. Christina Estrada and her husband, Dr. Jose Ettedgui Tongli Water Town Dr. Sandler and C.C. Hao Shanghai dinner at Fudan University with President Hwang and Dr. Ling Chen and staff Dr. Hanel, Dr. Aldana, Dr. Chiu, Anna Chiu at city center in Shanghai Shanghai’s architectural lighting Bridges

10.

1. Chinese Water Town, Jiangsu Province 2. Shanghai modern skyline 3. Hot pot in Shanghai with Dr. Philipp Aldana, Dr. Tom Chiu and Professor Ma 4. Dr. Gerold and Audrey Schiebler 5. Yu Garden 6. Sabrie Edmonston, Dr. Sandler, Dr. Chen, Dr. Chiu, Michael Aubin and C.C. Hao at high speed train station

11.

12.

Side Trips08 3 12 4 5 6 7 8Chengdu 104 l Side Trips

1. Panda enjoying the ice. 2. Display at Sanxingdui Museum of recent discovery 3. Asian mask 4. Dr. Tom Chiu, Anna Chiu, Dr. Qian and President Liu 5. Dr. Ayesha Mirza, Dr. Jose Canas, Dr. Joe Alviedo, Dr. Felix Banadera at the Bell Tower of Sichuan University in Chengdu 6. Dr. Don and Linda George at hotel in Chengdu. 7. U.S. pediatrics and obstetrics group at dinner in Chengdu 8. Beckett Koe in Chengdu after seeing the pandas. 9. U.S. team at Chengdu dinner function with Professor Deng Hong 10. Red panda 11. Anna Chiu at Sanxingdui Museum 12. U.S. team at Chengdu dinner function 13. Lokshan Buddha 14. Past President’s #8 House for VIP visitors 15. Noha Mirza and Dr. Ayesha Mirza 16. Shopping in Chengdu 9 10 11 12 13 14 15 16

Guilin Side Trips08 1 2 3 4 106 l Side Trips

1. Reed Flute Cave, Guilin, Guanxi Province 2. Sightseeing boat on the Li River 3. Li River in Guilin 4. Barbara and Dr. Henry Silva with Anna Chiu 5. Dawn at Xianggang Hill 6. Xianggang Hill, Karst mountain range 7. Li River cruise with team from Jacksonville. 8. Li River cruise 5 7 6 8 Building Bridges l 107

Side Trips08 Xian 1. Xian Goose Pagoda 2. Dr. Erhard by the terracotta soldiers. 3. Xian Bell Tower 4. Xian City 5. Terracotta soldier in Xian museum 6. Anna Chiu, Hillary and Michael Aubin at Xian terracotta soldiers 7. Drum Tower, Shanxi Province 8. Anna Chiu at dinner show in Xian 9. Ancient China circumvallation or line of fortifications 10. Dr. Asad Tolaymat with Rabia Tolaymat at the terracotta soldiers in Xian 11. Xian fortification walls and modern city 12. Learning calligraphy in Xian 13. Hillary and Michael Aubin with Dr. Michael Erhard at a fort in Xian 3 4 5 1 2 108 l Side Trips

9 8 10 11 6 7 12 13 Building Bridges l 109

Side Trips08 1. Yurt in Mongolia 2. Dr. Sandler and his Mongolian team 3. Mongolian dinner – Dr. Sandler, Dr. Sumra Rathore, Dr. Kelly Komatz with hosts 4. Dr. Sandler in Mongolian warrior attire 5. Dinner with the team in Mongolia – Dr. Kelly Komatz, Dr. Sumra Rathore, Dr. Mobeen Rathore 6. Dr. Sandler in MongoliaMongolia1 2 110 l Side Trips

3 4 5 6

GouZhaiJiu Side Trips08 1 2 3 112 l Side Trips

1. Jiuzhaigou, Yading, Shangrila, China 2. Lake in Jiuzhaigou National Park, Sichuan Province, China 3. Lake in Jiuzhaigou National Park, Sichuan Province, China 4. Pearl Shoal Waterfall 5. Dzitsa Degu in T ibetan, Jiuzhai Valley 6. Jiuzhaigou National Park, Sichuan Province, China 7. Anna and Dr. Tom Chiu in Jiuzhaigou in Sichuan Province 4 5 6 7

ZhangjiajieSide Trips08 1. Zhangjiajie National Forest Park –site of filming of Avatar movie 2. Mountain road in Tianmen Mountain National Park, 3. Mountains in Zhangjiajie National Park 4. Phoenix Ancient Town, Fenghuang, Zhangjiajie, Hunan, China 5. T ianmen Mountain skywalk in China 6. Pine trees in forest 7. Sunset scenery of Zhangjiajie, Hunan, China 8. Glass bridge of Zhangjiajie China 1 2 3 4 114 l Side Trips

5 6 7 8 Building Bridges l 115

HuangshanSide Trips08 1 3 2 4 116 l Side Trips

1. Welcoming Pine li Huangshan 2. Tree silhouetted against sun on Yellow Mountain 3. Huangshan with sea of clouds – Anhui Province 4. Anna and Dr. Tom Chiu at Huangshan 5. Anna and Dr. Tom Chiu at Huangshan Hotel 6. Huangshan Mountain 7. View of HuangshanMountinwinter 8. Old village in Hongcun Anhui – site of Couching Tiger movie 7 8 5 6 Building Bridges l 117

RiverYangtze Side Trips Bridge at the entrance of Wu Gorge In the lock on the Yangtze River Cruise – David Ravago, Dr. Leslie Ravago and Anna Chiu Sampan boats on the Yangtze River On the Yangtzke River cruise ship – the Hudaks and Gormans Scenery of the three gorges on the Yangtze River cruise Cruise ship on the Yangtze River Sarah Hudak, Anna Chiu, Michael Hudak and Dr. Bonnie Hudak awaiting the Yangtze River Cruise. Anna and Dr. Tom Chiu at the entrance to the Wu Gorge on the Yangtze River Cruise Ship lock at Three Gorges Dam, raising the Yangtze River cruise boat.

08 1.

1 2 3 4 118 l Side Trips

56 8 79

KongHongSide Trips08 1 2 3 120 l Side Trips

1. Dr. Aldana shopping 2. Buddha statue 3. Hillary Aubin at Victoria Peak 4. Dr. Aldana and Dr. Hanel taking a helicopter tour of Hong Kong 5. Big Buddha 6. Dr. and Mrs. Durand, Dr. David Childers, Dr. Joe Chiaro and Donna Chiaro, with Hilda Ettedgui and Dr. Jose Ettedgui 7. Jumbo floating restaurant in Hong Kong 6 4 5 7 Building Bridges l 121

Give the best you have, and it will never be enough. Give your best anyway. In the final analysis, it is between you and God. It was never between you and them anyway. Florida

If you are kind, people may accuse you of selfish, ulterior motives. Be kind anyway.

Anyway from Mother Teresa “

If you are honest and sincere people may deceive you. Be honest and sincere anyway. What you spend years creating, others could destroy overnight. Create anyway.

Jacksonville,

If you are successful, you will win some unfaithful friends and some genuine enemies. Succeed anyway.

If you find serenity and happiness, some may be jealous. Be happy anyway. The good you do today, will often be forgotten. Do good anyway.

People are often unreasonable, irrational, and self-centered. Forgive them anyway.

Building Bridges l 123

The collaboration with the top children’s health care leaders, faculty and staff in China and Hong Kong has been superb. I have been privileged to travel as part of the faculty and leadership to our program numerous times during my tenure. I can say without hesitation that our exchanges have always been bi-directional; we learned as much from our hosts as they have from us. None of this would have been possible without Tom Chiu. He is the glue, the visionary, the dynamo that keeps the connections going and that is what has truly made the program successful.

One should usually avoid singling out any one person, but I must thank Dr. Bill Chan. He has been a true friend who has always assisted in any way he could with such warmth and kindness. His commitment to children and his leadership has created impetus for Hong Kong and China to achieve great things for their children.

Working with Dr. Tom Chiu, many of our faculty, and our China and Hong Kong colleagues, we strived not only to continue but enhance our relationships. Wolfson has long been a destination for sick children from more than 70 countries. Through these exchanges, our work expanded from caring for patients to educating physicians in the best techniques and emerging treatments—to bring those learnings to China and Hong Kong and for us to learn from them during their trips to Wolfson Children’s.

Success requires strong leadership at the highest level and I am appreciative of the support of the presidents of all the hospitals involved. Likewise, I appreciate the faculty from Nemours, UF Health and the other hospitals who participated in the exchanges over the years. Care for children in Jacksonville, China and Hong Kong has improved because of these exceptional relationships.

Michael D. Aubin President, Wolfson Children’s Hospital, Jacksonville, Florida Senior Vice President, Baptist Health, Jacksonville Michael D. Aubin, FACHE

Throughout my career, I have been fortunate to be involved with international groups working to improve health care for children. When I arrived at Wolfson Children’s Hospital in 2011, it was incredibly exciting to find longstanding relationships with providers around the world, particularly the strong exchanges with educational and hospital centers in China and Hong Kong.

Thomas Chiu, MD Emeritus Professor, University of Florida

Building Bridges - Hong Kong

Articles inside

Preface.........................................................5 Memories