Just Kids S H A R I N G O U R PA S S I O N F O R C H I L D R E N A N D FA M I L I E S
Mind Your Mouth
Practicing good dental health as a child can help prevent problems down the road
INSIDE Bedwetting Solutions Children’s Weight Management Program Five Indoor Ways to Stay Active CHILDRENSOMAHA.ORG SPRING 2017
CMH_KIDS_03ƒ.indd 1
3/1/17 4:17 PM
ONLINE RESOURCES
welcome A NEW ERA
3
For the latest information and news, support, events, patient stories, recipes and perspectives from our physicians, check out our online resources.
Facebook “f ” Logo
CMYK / .eps
Facebook “f ” Logo
Contents TRENDING What’s a lactation consultant? New Center for Children
CMYK / .eps
Help for bedwetting Award-winning care
Facebook.com/ ChildrensOmaha
Addressing obesity
6
YouTube.com/ ChildrensOmaha
Twitter.com/ ChildrensOmaha
Pinterest.com/ ChildrensOmaha
ChildrensOmaha.org
RICHARD G. AZIZKHAN, M.D.
President & CEO
MARTIN W. BEERMAN, MHA, APR
Vice President, Marketing & Community Relations CELIA FERREL, MHA, APR
Director, Marketing & Public Relations
DAVID G.J. KAUFMAN, M.D.
Medical Adviser
DANNEE SCHROEDER
Senior Editor
Just Kids is published by Children’s Hospital & Medical Center to provide general health information. It is not intended to provide personal medical advice, which should be obtained directly from a physician. © 2017. All rights reserved. Printed in U.S.A.
2
Modernizing Our Mission and Vision
COVER STORY Fostering good dental health habits Q and A: Why should my adolescent continue to see her pediatrician?
New statements reflect 21st-century goals Children’s founding mission— So that all children may have a better chance to live—has rooted the organization and reflected its heart for almost 70 years. The statement was forged in the 1940s when a polio epidemic gripped both the nation and the Midwest, heightening the community’s need for expert pediatric care. Now, as Children’s embarks on a new era of growth and transformation, we find ourselves at a reflection point. The timing is right to modernize our mission and vision as we embrace who we are today and what we aspire to be. We have expanded in recognition, size, outreach, service, expertise, collaboration and reputation. We are a healthy organization that has a powerful mandate to provide routine to complex care for all children, and our focus now extends well beyond their survival to their quality of life. Our new mission, To improve the life of every child—through dedication to exceptional clinical care, research, education and advocacy, better
reflects that. Given all that we are today, it is a more apt promise to our patients and their families. Our new vision—To be a global leader for children’s health—is equally inspiring. Incredibly bold? Yes, but only because we care. We commit to this bold, bright future with resolve, optimism and a strong sense of responsibility— because the children and families we serve deserve nothing less.
8
SPECIALTY CARE Strategies for weight loss PLUS: How to eat better
10
PREVENTION Indoor fun—and ways to treat spring allergies Turkey meatloaf recipe Children’s has modified its mission statement to meet a new period of growth. The former statement was forged in the 1940s—the era during which this photo of the original hospital was taken.
12
LAST WORD Visit the patient portal
JUST KIDS SPRING 2017
CMH_KIDS_03ƒ.indd 2
3/1/17 4:17 PM
Trending IN THE NEWS
HOW LOUD IS IT? Here are some common sounds and their decibel levels. The higher the level of sound (see top of arrow), the less we can tolerate. For example, one minute of jet aircraft noise and 15 to 30 minutes at a rock concert can permanently damage our hearing.
Children’s Physicians offers certified lactation consultants at its pediatrician offices—a win for both baby and mom.
Lactation consultants are a key resource as finding the right breastfeeding position, latching on, engorgement and sore nipples, in a private setting. Each visit with a Children’s Physicians certified lactation consultant typically lasts one hour, beginning with a conversation about how the baby is doing, what the mother is struggling with and what is going well, and the mother’s history and goals. The lactation consultant will then assess feeding, weigh the baby and help mom create a plan to achieve her goal. And the consultant is happy to
JET AIRCRAFT TAKEOFF
85 db STREET TRAFFIC
Breast-feeding Basics When it comes to breastfeeding, experiences run the gamut. For some, breast-feeding goes smoothly. For others, it can be challenging. Each new mother will have different needs, questions and concerns. Enter Children’s Physicians, which now offers certified lactation consultants for newborns and moms. These registered nurses are certified by the International Board of Certified Lactation Consultants—the highest certification available for lactation consultants. They instill confidence in new mothers and help them feel more relaxed with the breast-feeding process. They also offer assistance with issues, such
150 db
provide additional phone calls or visits, if the mother needs it. “This is a unique service in our community because most lactation services are based out of area hospitals through the maternity departments,” states Megan Connelly, DNP, vice president of Children’s Physicians operations. “We are offering the service to moms and babies in our pediatrician offices, which provide easier access, convenient locations and friendly, familiar staff. It’s a win for both baby and mom.”
LEARN MORE If you are a Children’s Physicians family, your office
can help you set up a one-on-one appointment with a lactation consultant. Visit ChildrensPhysiciansOmaha.org to learn more and meet the team of certified lactation consultants.
50 db TALKING AT HOME
MORE DAMAGE
120 db ROCK CONCERT
60 db
TALKING IN RESTAURANT
LESS DAMAGE
growth
Children’s to Expand Main Campus Children’s is launching a critical expansion project on the main campus at 84th and Dodge. The Hubbard Center for Children will be built on the current green space between the hospital and the Specialty Pediatric Center. Once open, the Hubbard Center for Children will house the region’s only Level IV Neonatal Intensive Care Unit, as well as a Pediatric Intensive Care Unit, Fetal Care Center, Short-Stay Observation Unit and new Cardiac Care Center. The addition will allow Children’s to double its surgical services capacity and offer a larger, more modern Emergency Department. Space also will be provided for research, education and training. Construction is set to begin this spring. SPRING 2017 CHILDRENSOMAHA.ORG
CMH_KIDS_03ƒ.indd 3
3
3/1/17 4:17 PM
4%-6%
of children in the United States are believed to have a food allergy, according to the U.S. Centers for Disease Control and Prevention.
FOUR TIPS TO PREVENT A WET BED While not uncommon, bedwetting can lead to frustration, embarrassment and sleepless nights for both children and parents. Here are some tips that may come in handy: SCHEDULE BATHROOM BREAKS.
Have your child urinate every two to three hours during the day. Also, encourage your child to urinate at the beginning of the bedtime routine and again at the end of the routine. ELIMINATE BLADDER IRRITANTS.
At night, eliminate caffeine; citrus juices; and artificial flavorings, dyes and sweeteners, which all can irritate a child’s bladder.
Have Good Mornings Again Children’s Bladder Dysfunction Clinic can help A bladder dysfunction, such as daytime or nighttime wetting, overactive or underactive bladder, or pain or strain with urination, is common in children. However, it can still leave them feeling embarrassed or even emotionally devastated if the problem interferes with their daily lives. The Bladder Dysfunction Clinic at Children’s offers answers. It is the only clinic of its kind in the region for helping children and their families identify and treat the causes of bladder dysfunction.
4
Children who struggle with bladder dysfunctions are often anatomically and neurologically normal. A delay in maturation or some acquired behavior pattern, such as holding the bowel or bladder, could be the cause of accidents. Initial clinic visits generally involve a complete history and exam. Initial treatment includes urotherapy (such as timed bathroom visits and urinating twice in a short period of time), along with bowel management and education, including
PROMOTE EARLY HYDRATION.
behavior modification. If problems persist, the clinic team will decide the next step in investigation and treatment, as well as educate parents about how they can support their children. “It’s explaining to children that we know it’s not because they’re lazy and it’s not because they don’t care. We know they want to be dry and we can help them accomplish that,” explains Tara Goesch, DNP, APRN-NP, who runs the clinic in Omaha and Lincoln. “We teach the child, not just their parents, how they can make daily changes that will increase their chances for success.”
Give your child a water bottle to drink from steadily throughout the day to avoid excessive thirst at night. Decrease fluid intake several hours before bedtime. ASK ABOUT OTHER HEALTH ISSUES.
Your child may be experiencing other health-related problems he or she is embarrassed to talk about, such as constipation, which can present itself as a bladder problem. Talk to him or her to learn more.
HELP AVAILABLE The Bladder Dysfunction Clinic is located in Omaha and Lincoln. For more information, visit ChildrensOmaha.org/Bladder or call 1.800.833.3100 (TDD).
JUST KIDS SPRING 2017
CMH_KIDS_03ƒ.indd 4
3/1/17 4:17 PM
recognition
“There are a lot of positive efforts happening, but there hasn’t been a hub of coordination to ensure the biggest impact,” explains Dr. Lester. “Children’s is a highlevel partner that has the expertise and infrastructure to offer communities the support they need. Children’s brings the vision and the resources to move the needle.”
Two Best Hospital Honors for Children’s Children’s and its programs have been honored by two key organizations. One of them, U.S. News & World Report, has included Children’s in the new 2016–17 Best Children’s Hospitals rankings for three pediatric specialties: Cardiology & Heart Surgery, Gastroenterology & GI Surgery and Orthopedics. The Best Children’s Hospitals rankings highlight the top 50 U.S. pediatric facilities in 10 specialties chosen by U.S. News. Of the 183 pediatric centers surveyed last year, 78 were ranked in at least one specialty, based on a combination of clinical data and reputation with pediatric specialists. WOMEN’S CHOICE .
Children’s also has been named a Best Children’s Hospital by the Women’s Choice Award®, America’s trusted referral source for the best in health care. The designation of Best Children’s Hospital is based on a point system and self-reported data from almost 100 children’s hospitals in the nation. Hospitals are judged according to the availability of specific services and capabilities, including: family-centered care, family sleeping/ living accommodations, dedicated pediatric emergency department, pediatric ICU, neonatal ICU, Child Life specialists, use of telehealth technologies, participation in pediatric health research, accreditation by the Joint Commission and Pediatric Trauma Center accreditation. The list of 54 award winners, including Children’s Hospital & Medical Center in Omaha, represents hospitals that have met the highest standards for pediatric care. “This recognition reflects our commitment to providing the highest quality of care and best experience for the children and families we’re entrusted to serve,” says Richard G. Azizkhan, M.D., Children’s president and CEO.
DRIVING FORCES. The
Target: Obesity and Poverty New Children’s Center for the Child & Community to tackle major health issues In an effort to address health problems affecting children throughout the state of Nebraska, Children’s has launched the Center for the Child & Community on the Nebraska Innovation campus in Lincoln. Led by Medical Director Karla Lester, M.D., the center aims to integrate health care and public health efforts in order to improve the overall
health of children statewide. Efforts will focus on largescale children’s health issues, such as childhood obesity, poverty, injury prevention and insecurity regarding the next meal. In addition to building partnerships that improve the health of children, it will strengthen Children’s role in advocacy and health care policy.
need for the center is clear: Half of Nebraska children live in or near poverty, and nearly half qualify for free and reduced meals at school. Meanwhile, the obesity epidemic continues to rise, disproportionately affecting vulnerable children. Chronic, complex diseases also present complicated health challenges for young people and their families. “It is our vision for Nebraska to have the healthiest population of children in the Midwest and in the United States,” comments Richard G. Azizkhan, M.D., Children’s president and CEO. “The children and families we serve deserve nothing less; we owe it to them to think bigger, take action and work more collaboratively.”
2.6 million +
children ages 0–19 years old are treated in U.S. emergency departments each year for sports- and recreation-related injuries. SPRING 2017 CHILDRENSOMAHA.ORG
CMH_KIDS_03ƒ.indd 5
5
3/3/17 12:38 PM
cover story EVERYDAY HEALTH
MIND YOUR
M O U T H 6
Practicing good dental health as a child can help prevent problems down the road Cavities are unfortunately common in children, affecting about 1 in 5 children between the ages of 5 and 11, and about 1 in 7 children between the ages of 12 and 19. Beyond the sensitivity and pain that cavities can cause, poor dental health can cause gum disease, trap bacteria in the mouth and may even contribute to or worsen other conditions as children age, such as cardiovascular disease or diabetes. Fortunately, parents and children can avoid many of these issues by reinforcing good habits and getting regular dental cleanings and exams. “I recommend that children see a dentist by their first birthday or once they have their first tooth, whichever happens earlier,” says Jennifer Smith, M.D., a pediatrician with Children’s Physicians, Embassy Park. “From there, kids should get regular checkups every six months, just like adults.” In addition to helping children avoid tooth decay, these cleanings and visits are important because poor dental health can lead to a buildup of plaque, a sticky, colorless film that traps bacteria
tip
COMPREHENSIVE CARE To find a
pediatrician, family physician or pediatric specialist for your child, visit
ChildrensOmaha.org/FindAProvider or call 1.800.833.3100 (TDD).
in your child’s mouth. Plaque creates gum disease and other mouth infections due to this trapped bacteria. Gum disease can cause pain, discomfort and bleeding gums. Bleeding gums provide a way for bacteria to get into your child’s bloodstream and cause problems in other parts of the body. Research has found that plaque and poor dental health also can contribute to and worsen other conditions not originally caused by poor dental care. For example, gum disease may make diabetes more difficult to control, and inflammation of the gums can affect overall cardiovascular health. If you’re concerned about the state of your child’s dental health, don’t hesitate to talk to your doctor about it. It may help your child avoid more than just tooth pain or bad breath.
JUST KIDS SPRING 2017
CMH_KIDS_03ƒ.indd 6
3/1/17 4:17 PM
expert opinion CHILDREN’S CLINICIANS ANSWER YOUR HEALTH QUESTIONS
Make Dental Health a Habit Good dental health habits begin at home. While regular checkups and cleanings are very important, they don’t make up for poor dental hygiene. Here are some healthy hygiene tips for you and your children.
Q:
Why should my adolescent continue to see her pediatrician?
A:
Brush twice a day and spend at least two to three minutes brushing. Soft-bristled brushes are recommended.
Watch what your child eats and drinks. Sugar is one of the main culprits of tooth decay, so avoid sweets and sugary drinks like soda and juice.
Floss at least once a day. It actually doesn’t make much of a difference if it is before or after brushing, just as long as it’s done!
Consider fluoridated toothpaste. Fluoride helps protect teeth and fluoridated toothpaste is safe for children ages 2 and older.
Chomp on This: Common Concerns Here are some common questions and answers from the American Academy of Pediatric Dentistry:
chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt.
Q: What should I use to clean my
Q: What should I do if my child has
baby’s teeth? A: A toothbrush will remove plaque bacteria that can lead to decay. Any soft-bristled toothbrush with a small head, preferably one designed specifically for infants, should be used at least once a day at bedtime.
Q: When should I take my child to the dentist for the first checkup? A: In order to prevent dental problems, your child should see a pediatric dentist when the first tooth appears, or no later than his/her first birthday. Q: Are baby teeth really that important to my child? A: Primary, or “baby,” teeth are important for many reasons. Not only do they help children speak clearly and
a toothache?
A: First, rinse the irritated area with
warm salt water and place a cold compress on the face if it is swollen. Give the child acetaminophen for any pain. Finally, see a dentist as soon as possible.
Q: Are thumbsucking and pacifier habits harmful for a child’s teeth? A: Thumb and pacifier sucking habits will generally only become a problem if they go on for a very long period of time. Most children stop these habits on their own, but if they are still sucking their thumbs or fingers past the age of 3, a mouth appliance may be recommended. Some providers advise that children not use pacifiers beyond their first birthday.
Pediatricians are specially trained to treat patients from birth to age 21. Staying with a pediatrician from childhood to young adulthood allows an adolescent to develop a trusting relationship with that doctor. Such a relationship can be critical during the adolescent years—a time of major emotional and physical changes. Issues such as depression and sexual health may arise as your child grows. Having a provider your child can confide in regarding such topics without worrying about judgment may prove essential. Additionally, having one doctor care for your child throughout his or her development allows for a strong continuity of care. Not only is your pediatrician aware of your child’s medical history, but he or she also knows your child better than any other doctor and may be able to identify unusual symptoms that would otherwise go unnoticed. If you have a young adult who wants to start seeing an “adult” doctor, talk with him or her about the reasons. When it is time to move on, discuss it with your pediatrician and your child to help ease the transition. Your pediatrician can offer recommendations for a new provider.
SPRING 2017 CHILDRENSOMAHA.ORG
CMH_KIDS_03ƒ.indd 7
7
3/1/17 4:17 PM
specialty care WEIGHT LOSS
Success A RECIPE FOR
Children’s weight management program offers path to healthy lifestyle changes
Eat three to six small meals a day. Be physically active for at least 60 minutes a day. Use smaller plates, bowls and cups. Limit eating to the kitchen only. These are a few weight-loss strategies children are likely to learn about through the Healthy Eating with Resources, Options and Everyday Strategies (HEROES) weight management program. Children’s created HEROES in response to the growing childhood obesity epidemic. In Nebraska, 13.5 percent of children ages 2 to 5 years old and 31.5 percent of children ages 10 to 17 years old are overweight or obese. HEROES, which is available in Lincoln and Omaha, is the only multidisciplinary obesity treatment program in the region designed specifically for children. It combines medical management, nutrition, behavior modification, fitness and behavioral health therapy to provide immediate and long-term management of
childhood obesity. The program lasts six months and includes the following: • Initial screening visit to discuss program and determine qualification • Individualized treatment planning • Clinic visits to monitor progress • Weekly nutrition and behavior modification classes for the first three months • Fitness classes for the duration of the program • Monthly Goal Group • Referral to behavioral health experts as needed • Possible referral to specialists for health issues related to obesity • Close contact with your child’s primary care physician To qualify for the program, a child must have a body mass index (BMI) that exceeds the 95th percentile, or a BMI that exceeds the 85th percentile and a weight-related illness. Individual goals are established based on a patient’s individual needs.
tip
HEALTHY WEIGHT LOSS To find out more about the HEROES Program, call 1.800.833.3100 (TDD) or visit ChildrensOmaha.org/Weight.
THE SURGICAL OPTION Mackenzi’s success story Mackenzi weighed 362 pounds at her heaviest. The excessive weight ushered in a host of health problems, including type 2 diabetes, pulmonary hypertension, polycystic ovarian syndrome and fatty liver disease. Sleep apnea caused her to
8
have a tracheotomy tube and ventilator hook-ups at night. Despite working on her diet, undergoing exercise plans and using medication, nothing worked. Until, that is, she connected with Robert Cusick, M.D., a boardcertified pediatric surgeon at Children’s, and Carly Frost,
MSN-FNP-BC, of the HEROES program, who encouraged her to have surgery. Sometimes, weight loss is not achieved despite every effort to eat healthier, increase exercise and modify behaviors. While this may prove frustrating, there are still options, such as surgery.
Bariatric surgery involves surgically altering the digestive system to promote weight loss, either by restricting how much food the stomach can hold or reducing how many nutrients the body can absorb. There are several types of bariatric procedures available, but some are not
JUST KIDS SPRING 2017
CMH_KIDS_03ƒ.indd 8
3/1/17 4:17 PM
HOW TO CHANGE YOUR CHILD’S EATING HABITS It can be tough for you and your child to make changes to eating habits that have become familiar, but with some small steps, healthier habits are possible.
Work with your child to set a small goal each week, such as eating more fruits or vegetables, and think about how you are going to accomplish it. Will you try a new vegetable each day until you find a new favorite? Will you cook new recipes that incorporate more vegetables?
SET MINI GOALS.
Read labels before purchasing familiar food at the store, and find healthy alternatives if an item doesn’t make the cut. Your child might also benefit from keeping a food journal.
PAY ATTENTION.
BE REALISTIC. Don’t put too much pressure on yourself or your child at the beginning; changing habits takes time. Celebrate the small successes, which will eventually become long term.
recommended for teens or adolescents. Children’s performs the laparoscopic sleeve gastrectomy. During this procedure, the surgeon removes a large amount of the stomach and creates a smaller stomach pouch or sleeve, which cannot hold as much food or liquid. This results in the child consuming fewer total
calories compared to before surgery. Because of the small incisions, this type of procedure also promotes faster healing and fewer complications. While bariatric surgery is a helpful weight-loss tool, it isn’t meant to work alone. In order to see success, the child must follow the provided diet and continue to exercise
after recovery. Since her surgery, Mackenzi has lost almost 120 pounds, and her quality of life has improved dramatically. She walks a lot, plays volleyball and throws shotput for the track team. She is no longer on medication for pulmonary hypertension or type 2 diabetes, and other health
problems have improved. Her tracheotomy tube was removed after 11 years. Doctors have since traced her weight gain to a genetic anomaly that triggered a rare overgrowth syndrome. Mackenzi wanted her life to change. Thanks to surgery, it has. SPRING 2017 CHILDRENSOMAHA.ORG
CMH_KIDS_03ƒ.indd 9
9
3/1/17 4:17 PM
prevention IDEAS FOR HEALTHY LIVING
Families play with the Super Gravitron, a massive ball machine with pneumatic, hydraulic and mechanical sections.
Five ways to help keep kids active in any weather Rainy days or cold weather can be a drag, but that doesn’t mean your family needs to hibernate. It’s important for children to stay active year-round. Here are five easy tips to keep your kids moving:
1
PLAY GAMES: The
TV does not have to be your children’s sole source of entertainment. Being stuck inside is the perfect time for indoor games. Encourage them to play bean bag toss, build an obstacle course (in the basement, of course) or even invest in some interactive video games,
10
such as Xbox 360® Kinect, Playstation®Move and Nintendo Wii®.
2
may want to consider joining the local recreation center or YMCA. Most of these facilities have an indoor pool and basketball courts for kids to enjoy. Or, opt for a fun alternative indoor activity for the whole family, such as a skating rink, trampoline park or rock climbing wall.
3
STAY INDOORS: You
VISIT THE MUSEUM OR AQUARIUM:
Not only will these trips be fun and
educational, but all the required walking is a great way for children to burn off excess energy. Consider your local zoo, aquarium or children’s museum.
4
let the spring chill deter you from sending the children outdoors. Just be sure they are dressed appropriately for the weather.
5
GO OUTSIDE: Don’t
SET WEEKLY PLAY DATES OR SIGN UP
FOR CLASSES/TEAM ACTIVITIES: Sticking to a schedule and being active with others are two of the easiest ways to keep kids moving. Besides arranging playtime with others, consider signing your child up for a class or sports team that interests him or her. Routines can help instill good exercise habits.
PHOTO COURTESY OMAHA CHILDREN’S MUSEUM
All the Right Moves
JUST KIDS SPRING 2017
CMH_KIDS_03ƒ.indd 10
3/1/17 4:17 PM
Avoid the Achoos!
Comfort Food for Kids Prepare this hearty meal for your family
TURKEY MEATLOAF
Serves: 8 Ingredients 1 tsp olive oil 2 cups finely chopped onion 3 garlic cloves, minced fine 1 medium carrot, chopped fine 1 celery stalk, chopped fine 1½ tsp Worcestershire sauce ¹/³ cup finely chopped fresh parsley ¼ cup ketchup (divided) 1 cup whole-wheat bread crumbs (about 2 slices firm bread) ¹/³ cup skim milk 1 whole large egg, lightly beaten 1 large egg white, lightly beaten 1¼ lb ground turkey 1 tsp salt ½ tsp black pepper ¼ tsp paprika
The warmer weather that accompanies spring is a welcome sign for most. But for those suffering from allergies, this time of year may mean the beginning of sniffles and sneezes. If your child suffers from seasonal allergic rhinitis (also known as hay fever), here are some ways he or she can find relief:
PLAY INSIDE WHEN NECESSARY Seasonal allergies mean you likely need to pay attention to pollen counts and try to keep your child indoors when the levels are higher. (Take note: In the spring, during the grass pollen season, pollen levels are highest in the evening.) It may also help to keep windows closed in your house and car and run the air conditioner.
PHOTO COURTESY OMAHA CHILDREN’S MUSEUM
TRY AN ALLERGY MEDICATION
Along with avoiding the allergen, there are many over-the-counter allergy medications that your child can try. If your child’s symptoms persist, you may want to consult your pediatrician to see if a prescription medication may be the right course of action. Be sure to read the label to make sure the medicine is appropriate for your child’s age and symptoms.
CONSIDER ALLERGY SHOTS If your child does not respond to over-thecounter or prescription medications, he or she may be a candidate for allergen immunotherapy—commonly known as allergy shots. Talk to your pediatrician to find out more.
Children’s Hospital & Medical Center and Kohl’s Department Stores aim to educate children and families about proper nutrition and exercise through the Healthy Kohl’s Kids program. The program’s website, HealthyKohlsKids.com, offers an array of healthy recipes, nutrition and fitness posts, as well as instructional videos that the community can easily access to help live a healthier lifestyle. Nutrition Facts
8 servings SERVING SIZE: One 5-oz slice of meatloaf CALORIES: 148 FAT: 2g SATURATED FAT: 0 CHOLESTEROL: 67mg SODIUM: 533mg CARBOHYDRATES:12g FIBER: 0 PROTEIN: 20g YIELD:
Preparation
1. Preheat oven to 400° F. 2. In a large skillet, heat oil over medium heat until hot. Add onion and garlic and sauté until onion is softened, about 2 minutes. Add carrot and celery and cook for 3 minutes or until softened. Stir in Worcestershire sauce, parsley and 2 tablespoons of ketchup. Set aside. 3. In a large bowl, stir together bread crumbs and milk. Stir in egg and egg white. Add prepared vegetables and stir to combine. 4. Add turkey, salt, black pepper and paprika. Mix well with hands. 5. Lightly coat a 9- x 5-inch loaf pan with nonstick cooking spray. Form turkey into a loaf and place in loaf pan. Brush meatloaf evenly with remaining 2 tablespoons of ketchup. 6. Bake for 50 to 55 minutes, or until cooked through. Let stand for 5 minutes before serving.
SPRING 2017 CHILDRENSOMAHA.ORG
CMH_KIDS_03ƒ.indd 11
11
3/1/17 4:17 PM
Non-Profit Org. U.S. Postage
PAID
Children’s Hospital & Medical Center
8200 Dodge Street Omaha, NE 68114 402-955-5400
Orthopedics Gastroenterology & GI Surgery Cardiology & Heart Surgery CHM-001
last word
Keep in Touch
COMMUNITY CONNECTION
Children’s Connect allows you to manage your child’s health online • Pay your bill online. • Receive requested medical records online. • Access trusted health information resources. Thanks to your mobile devices, it is easier than ever to manage your child’s health care needs. GET STARTED
Children’s Connect is an online health tool that offers parents secure online access to portions of their child’s medical records. It enables you to securely use the internet to help manage your child’s health. And because it is available 24 hours, seven days a week, parents can use it anytime and anywhere. Here are some of the functions you can perform with Children’s Connect:
tip
CMH_KIDS_03ƒ.indd 12
• Request medical appointments. • Submit paperwork before appointments. • Upload photos and videos. • View your child’s health summary. • View certain test results. • View radiology test results. • Request prescription renewals. • Message your Children’s pediatrician or specialist’s office.
If you are an iPhone or Android user, download the Children’s Connect “MyChart” app from your app store. Here’s how: •V isit your app store and search for “Epic MyChart.” Download and install the app. •O nce downloaded, open the app and agree to the terms and conditions. • I t will then ask you where you see your current provider. You can search by state (NE) or by zip code. •S elect “Children’s Connect,” which will then take you to the log-in page. Enter your Children’s Connect ID and password, then accept the terms and conditions again. HAVING TROUBLE? If you are at home and have technical questions, you can access the Technical Support team by giving them a call at 402.955.7237, Monday through Friday during normal business hours.
FIND THE RIGHT PROVIDER Selecting a provider who’s a good fit for you and your family is important. You—and your
child—should feel comfortable with the provider. To find the right one for your family, call Children’s Find-A-Provider service at 1.800.833.3100 (TDD) or visit ChildrensOmaha.org/FindAProvider.
3/1/17 4:17 PM