Focus on Pediatrics, Summer/Fall 2020

FOCUS Vol. 32.2 Summer/Fall 2020

On the road again INSIDE

‘Tis the season for virtual interviews Meet our new residents and fellows Congratulations, graduates!

on Pediatrics

Focus on Pediatrics is published by Prisma Health Children’s Hospital.

Medical Editors Joseph L. Maurer, MD James Stallworth, MD

FROM THE MEDICAL DIRECTORS

Managing Editor Jeanine Halva-Neubauer Photographer AV Services Art Director Creative Services Editorial Board Nichole Bryant, MD Carl Cromer, MSN, FNP-BC Carley Howard Draddy, MD Ann Faulks Jennifer Hudson, MD Robin LaCroix, MD Jonathan Markowitz, MD, MSCE Brenda Rankin, MHA, BSN, RN, NEA-BC Janine Sally, MS, CCC-SLP Robert Saul, MD Kerry Sease, MD, MPH R. Caughman Taylor, MD If you would like your name added to or removed from our mailing list or have any comments, questions or suggestions, please send the appropriate information to: Marketing Services Prisma Health–Upstate 300 E. McBee Ave. Suite 200 Greenville, SC 29601 864-797-7538 The information contained in the Focus is for educational purposes only – it should not take the place of medical advice or diagnoses made by healthcare professionals.

All facilities and grounds of Prisma Health are tobacco free.

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

© 2020 Prisma Health 20-3025

Children’s Hospital service line is ‘birthed’ Our Children’s Hospital service line has moved from concept to reality. While we have always collaborated closely, once we became Prisma Health that partnership opened new doors and opportunities for our common vision of improving the lives of the children and communities we serve.

Plus, our new service line will help elevate our research and clinical trials programs, educational missions at every level, and make us an even better community partner.

• We have created the first virtual shared care model in our Rheumatology division between physicians in both regions providing those services.

• With the SC Children’s Hospital Collaborative, we successfully garnered extra telehealth funding to support each of our pediatric programs, which will improve access and overall care.

• We are working with marketing and philanthropy to enhance the supports to our programs.

Here is a sample of what we have accomplished thus far: • We have administrative structures in place that will better involve our physicians in the direction we are taking and bring closer partnership with administrative leaders.

• We have identified early initiatives under eight system domains to improve family-centered care, achieve smart growth by expanding our Hemophilia Treatment Center across our two children’s hospitals, align quality efforts to achieve better results by process and information sharing, and reduce “process speedbumps” to improve work flows and decrease workloads.

• We are integrating best practices across the care continuum by using Epic order sets, implementing support to our organization’s community hospitals via telehealth, developing guidelines, and ensuring pediatric and service line input into organization policies. Together we worked on our COVID-19 response, addressed DJJ and SC Hospital Association requests for help, advised school districts on reopening, and provided guidance around MIS-C and long-term cardiac follow-up.

COVID-19 has affected us all – and sometimes delayed plans – but it has also united us and showed the outstanding resilience, dedication, caring and commitment of our physicians, nurses, allied and ancillary care providers, and all team members in our service line.

The team have been heroes in their work and on the frontlines, which has been inspiring, but not surprising. Having met the challenges of a 100-year pandemic, we are confident we will meet future challenges and provide the best care to our communities.

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

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

CONTENTS

Inspire health. Serve with compassion. Be the difference.

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COVID-19 responses bring our purpose to life.

Virtual interview season begins!

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Welcome to a recruitment season like no other.

Learn about our new and graduating residents and fellows.

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Congratulations, one and all!

2 Departments Medical Staff spotlight

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Meet our new physicians

Clinical case report

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Are you burning to solve this mystery?

What’s new?

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First “one team care division,” pediatric unit, Nov. 6 seminar

Celebrations

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14

Philanthropic news

In the community

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Speaking out about a unique case

Bulletin from the Bradshaw Institute

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Updates in the time of COVID-19

Phone directory

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A handy guide for both Children’s Hospitals

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Note: This publication was created while COVID-19 precautions remain in effect.

19 On the cover: As a result of the pandemic, the Pediatric Pulmonology team has made house calls to continue providing patients with safe, necessary medical care. Pictured is Heather Staples, MD, a pediatric pulmonologist at Children’s Hospital–Midlands.

LEAD STORY

Living our purpose:

Inspire health. Serve with compassion.

Be the difference.

Here are some of the many ways that Prisma Health Children’s Hospitals have been responding to the COVID-19 pandemic: • Physicians from Children’s Hospital–Midlands conduct echo and pulmonary function testing via a mobile unit to make these services available for families at their home.

• Mobile care vans provide sick care and immunizations to children.

• Facility dogs from Children’s Hospital–Upstate support staff members by visiting Prisma Health providers.

• Child Life team members have interacted with hundreds of children in drive-thru testing lines to help these youngsters cope with the swabbing process.

Pediatric pulmonologist Heather Staples, MD, took to the streets – courtesy of a mobile unit – to conduct pulmonary function tests for Midlands patients.

• Team members have donated bubbles, Play-Doh and playing cards to help children in drive-thru lines have a better experience while being swabbed.

“Our goal is to normalize the testing environment and make it as positive as possible,” said Katelyn Leitner, a child life specialist at Prisma Health–Upstate.

Leitner added that the most important task at drive-thru testing sites is “to prepare the child for what is about to take place.

We provide support to parents as well, instructing them how to do a comfort hold with their child to make the procedure as fast and painless as possible.” (l–r) Kalle and Vivi mark the dog days of summer by visiting pediatric ICU nurses at Greenville Memorial Hospital.

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• In March at the outbreak of the pandemic, our infectious disease physicians provided weekly Skype information sessions about COVID-19 to local pediatricians.

• A surge plan was developed for both Children’s Hospitals to meet our communities’ needs in anticipation for returning to school.

• In collaboration with SCHA and SCCHC, our Children’s Hospitals offer ongoing direction and information to other hospitals across the state.

• Team members continue to take part in media interviews and live Q&A sessions for print, TV, radio and other platforms.

• Pediatricians worked with governmental agencies to develop recommendations for safely returning to inperson learning.

• Because of visitor restrictions, Child Life served as advocates for children of adult patients at the end of life.

In return, our generous community has delivered, often free of charge: • Hundreds of blankets, toys, dolls and other items for our hospitalized children.

• Copious amounts of food and drink to thank Children’s Hospital teams for their selfless efforts.

• Providers have conducted thousands of healthcare visits via telehealth.

• Abundant appreciation to our healthcare team – such as sidewalk chalk messaging and thank you notes to caregivers – that offers encouragement to our healthcare heroes and boosts their resiliency.

• Facebook Live presentations cover topics such as how to cope with stay-at-home orders, online parenting courses and virtual car seat training as a way to educate families remotely.

• Approved cleaning products, masks and other equipment found to be in short supply.

• Virtual tours of facilities were made possible when in-person tours had been discontinued.

In addition, medical students volunteered to assemble thousands of 3D printed face shields and assisted with phone call follow-up to urge plasma donation from people who had recovered from the coronavirus.

• Pediatricians partnered with school districts to plan for return-to-school activities.

Our Children’s Hospitals are grateful for ongoing community and business support! Look for other examples of our response throughout this publication.

(l–r) Sadie and Zoe Tipping stopped by to thank their healthcare heroes with colorful homemade banners. After Zoe successfully completed treatment for a Wilm’s tumor at Prisma Health Children’s Hospital– Midlands in 2014, her family has continued to give back to our team members, patients and their families.

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F E AT U R E S TO RY

Virtual interview season begins!

This iconic setting in Columbia is a popular attraction.

Midlands This year, our program at University of South Carolina School of Medicine here in Columbia looks forward to a recruitment season like no other. With the world being upended by the COVID-19 pandemic, it only makes sense that residency recruitment would follow suit.

We know that students’ lives have been dramatically altered in the past few months regarding how they see patients, their learning experiences and their everyday lives. Yet, despite the uncertainty that surrounds heading

(l–r) Pediatric residents Marisa Laughrey, MD, and Heather Lynn, MD, take a wellness break and explore downtown Columbia’s popular Soda City Market.

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into a virtual application process, our program is excited to have the opportunity to possibly reach those who wouldn’t have had the means to check out in person our program, our people and all the wonderful things the school has to offer, as well as those already familiar with the wonderful aspects of our training.

We hope that the information provided to our applicants in a virtual format this year will help them to get to know our program, our passions and our people – what make us so proud to be who we are. We understand that this recruitment season will be unique and know that it can be stressful. For that reason, we plan to provide applicants with ongoing information in a variety of formats surrounding our program, the planned interview schedule/day and our wonderful city.

Our fantastic residents are working hard to show what life is really like via our unofficial Instagram page for our applicants. They also are working on ways to make the experience a rewarding one in which they will get to know applicants and, conversely, applicants will get to know the people we are so proud to call part of our residency family.

A ’hot’ program In a typical interview season, our program does a great job of selling and speaking for itself. Whether it’s the outstanding board pass rate for graduates over the past 20 years, the innovative curriculum and opportunities such as a dedicated bedside ultrasound curriculum and continuity clinics in the community, or the newly established “residency houses” formed to promote wellness, our program has so much to offer today’s applicant. Let’s not forget the successes our trainees see upon graduation with each matching into their first choice of fellowship location over the past 10 years as well as placement in primary care locations near and far.

No doubt about it: Life and training in Columbia are famously hot – and not just because of the weather. This year will just be a different way of experiencing it.

While life in general is an anxiety-provoking time, we will strive to provide comfort for our applicants through information sharing so that they can get to know us and we them. By helping them learn about our two greatest assets – our people and the education they will receive – we hope our program becomes where applicants go to begin their long and successful careers caring for children.

Befitting a pediatrician, we are embracing the uncertainty of this year with excitement and taking a line from Elsa, one of our favorite Disney princesses: “Every day’s a little harder as I feel your power grow. Don’t you know there’s part of me that longs to go into the unknown!”

Our program, our passions and our people are what make us so proud to be who we are.

Article author Scott Carney, MD Pediatric Residency Program Director, Children’s Hospital–Midlands

View this short video to learn more about the Midlands residency. https://vimeo.com/443455759 password: prisma

Upstate As I reflect on my residency interview season in 2006, “fit”’ was the buzzword. How does my personality fit with the resident, faculty and leadership I meet at each program?

Does the clinical and didactic educational system fit how I think it would best prepare me for my career, whether as a general pediatrician or someone pursuing a fellowship?

Is the city an affordable one in which I could envision enjoying my time away from the hospital? Based on a survey of our residency applicants from the 2019–20 interview season, these remain the most critical factors for today’s graduating medical students.

That precoronavirus survey was rather fortuitous. In May 2020, the Coalition for Physician Accountability – representing multiple peer organizations such as the AAMC and ACGME – made several recommendations regarding the 2020-21 residency recruitment season in response to COVID-19, including delaying the application timeline to residency because of its impact on the medical school curriculum and recommending use of virtual platforms for residency interviews.

Prisma Health quickly adopted this recommendation, and planning for a virtual interview season commenced forthwith.

The objective data for our program is an easy sell. For example, in the Upstate where I am based, we have boasted a 98% categorical board pass rate since 2006 and a 100% fellowship match rate over that same period.

The city of Greenville makes many top 10 lists, and a simple stroll down Main Street served as a huge draw for me and many others. But that stroll won’t be part of this year’s interview process, and the ability to make genuine connections over a Zoom meeting that echoes the camaraderie of our residents and faculty is yet to be seen.

Promoting the ‘people’ factor The people factor has consistently been one of our strengths, and we tapped into our greatest resource – our residents – for guidance, as they had been through the interview process most recently. A new residency recruitment video focuses on those areas our residents (and previous applicants) feel are highly pertinent to their decision, while showcasing our clinical learning environment in lieu of the tried-and-true interview day tour. Our residency website has been overhauled over the last two years, and we continue to make edits highlighting our people and their accomplishments.

Interaction with current residents was cited as a critical factor by applicants, and our residents and faculty will virtually “meet” our applicants via Zoom, considered to be the most familiar virtual meeting platform for all

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Greenville was recently ranked #6 by readers of Conde Nast Traveler as a “Best Small City in the United States.”

parties. Using fun questions for icebreakers (for instance, new interests/hobbies since the onset of COVID-19) in addition to games such as Scattergories, we are confident our residents will illustrate the collegiality and spirit of our program despite the lack of physical face-to-face interaction. Faculty interviews of applicants, also using Zoom, will further promote how our program can help achieve applicants’ individual goals while also assessing their fit with our program.

We recognize that our applicants, too, will have increased anxiety, given the change in format around an incredibly important decision process. Remaining true to our

investment in the care of the people in our program, we hope to alleviate those fears through an engaging, deliberate virtual interview process with a plan for frequent reassessment and reflection over the course of those 10 weeks to make necessary adjustments aimed at the well-being of all involved parties: applicants, residents and faculty. As a well-established program with a proven track record, we welcome the opportunity for the growth that comes with the discomfort of the unknown.

We recognize that our applicants, too, will have increased anxiety, given the change in format around an incredibly important decision process.

Article author Matt Grisham, MD Pediatric Residency Program Director, Children’s Hospital–Upstate

Residents often seem like superheroes to the children they care for, as was demonstrated last Halloween.

View this short video to learn more about the Upstate residency. https://schealthsciencescenter.org/pediatrics-residency-greenville/

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ACADEMIC NEWS

New and graduating residents Welcome, new Pediatric residents!

Midlands Lauren Ancona, MD: University of South Carolina School of Medicine, Columbia, South Carolina Ashleigh Aubin, MD: Louisiana State University School of Medicine, New Orleans, Louisiana

Ancona

Aubin

Cloessner

Favede

Hayes

Kamensky

Laughrey

Nelson

Nyitray

Patel

Reynolds

Stensrud

Emily “Ly” Cloessner, MD: Medical University of South Carolina College of Medicine, Charleston, South Carolina Cecelia Favede, MD: The Ohio State University College of Medicine, Columbus, Ohio Christopher “Collin” Hayes, DO: Rowan University School of Osteopathic Medicine, Stratford, New Jersey Olivia Kamensky, MD: Mercer University School of Medicine, Macon, Georgia Marisa Laughrey, MD: Florida State University School of Medicine, Sarasota, Florida Scott Nelson, MD: Florida State University School of Medicine, Tallahassee, Florida Ashley Nyitray, MD: Virginia Tech University Carilion School of Medicine, Roanoke, Virginia Zeel Patel, DO: Alabama College of Osteopathic Medicine, Dothan, Alabama Chelsea Reynolds, DO: Edward Via College of Osteopathic Medicine, Spartanburg, South Carolina Kayln Stensrud, DO: Des Moines University of Osteopathic Medicine, Des Moines, Iowa Alyssa Zeitouni, MD: University of South Carolina School of Medicine, Columbia, South Carolina

Zeitouni

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Upstate Natalie Bikulege, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina Laura Blasko, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina William Cornwell, MD: Medical University of South Carolina College of Medicine, Charleston, South Carolina

Bikulege

Blasko

Cornwell

Durr-Santos

Galloway

Mack

Nabors

Price

Ross

Somerville

Williams

McGarel

Moorthy

Stoker

Sturgill

Kaitlyn Durr-Santos, DO: Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania Hannah Galloway, MD: Mercer University School of Medicine, Macon, Georgia Bennett Mack, MD: East Carolina University Brody School of Medicine, Greenville, North Carolina Etta Nabors, DO: Edward Via College of Osteopathic Medicine, Blacksburg, Virginia Allyson Price, DO: Edward Via College of Osteopathic Medicine, Blacksburg, Virginia Brittany Ross, DO: West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia Leah Somerville, DO: Edward Via College of Osteopathic Medicine, Blacksburg, Virginia Allison Williams, MD: East Carolina University Brody School of Medicine, Greenville, North Carolina

Welcome, new Medicine-Pediatrics residents!

Upstate Megan McGarel, MD: University of Tennessee College of Medicine, Memphis, Tennessee Shanu Moorthy, MD: University of Mississippi School of Medicine, Jackson, Mississippi Alex Perez, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina Abbey Stoker, MD: University of South Carolina School of Medicine Greenville, Greenville, South Carolina Ariel Sturgill, MD: Indiana University School of Medicine, Indianapolis, Indiana

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Perez

New and graduating fellows Developmental-Behavioral Pediatrics Incoming: Ranjith Kasanagottu, MD Medical School: University of Alabama School of Medicine at Birmingham, Birmingham, Alabama Pediatric residency: Albert Einstein Medical Center, Philadelphia, Pennsylvania

Pediatric Psychology Incoming: Madison Paff, PhD PhD: Psychology, University of Georgia, Athens, Georgia Pediatric Psychology residency: Munroe-Meyer Institute at University of Nebraska, Omaha, Nebraska

Graduating: Ryan Baker, MD Pediatric Healthcare Alliance, Tampa, Florida

Graduating: Chris Moylan, PsyD Prisma Health Developmental Pediatrics, Greenville, South Carolina

Congratulations, Pediatric graduates!

Will Dalkin, MD: Pediatric Emergency Medicine Fellowship, Eastern Virginia Medical School, Norfolk, Virginia

Midlands Neha Desai, DO: Pediatric Hematology/Oncology Fellowship, University Hospitals Rainbow Babies & Children’s Hospital, Cleveland, Ohio

Cassie Graeff, MD: Outpatient General Pediatrics, Marion, North Carolina

Hilary Hozey, MD: Outpatient General Pediatrics, Edward Via Virginia College of Osteopathic Medicine New Beginnings Clinic, Blacksburg, Virginia

Zach Gray, MD: Assistant Program Director/Chief Resident, Prisma Health Pediatric Residency Program–Greenville, Greenville, South Carolina Michelle Matthews, MD: Prisma Health Kids’ Care (urgent care), Anderson, South Carolina

Elizabeth Huntley, MD: Pediatric Hospitalist, Beaufort Memorial Hospital, Beaufort, South Carolina

Angela McGhee, MD: Pediatric Hospitalist, Boone, North Carolina

Emily Kane, MD: Post Pediatric Portal Program, University Hospitals Cleveland Medical Center, Cleveland, Ohio

Leo Przybylowski, DO: Pediatric Cardiology Fellowship, Riley Children’s Hospital at Indiana University, Indianapolis, Indiana

Katherine Macmillan, MD: Pediatric Critical Care Fellowship, Johns Hopkins Children’s Hospital, Baltimore, Maryland Brittany Martin, MD: Outpatient General Pediatrics, Wake Forest Baptist Premier Pediatrics, High Point, North Carolina Mark Murray, DO: Outpatient General Pediatrics, Almouie Pediatrics, Austin, Texas Andrew Reittinger, MD: Pediatric Cardiology Fellowship, University of Virginia School of Medicine, Charlottesville, Virginia Lauren Stout, MD: Outpatient General Pediatrics, Bristol Pediatric Associates, Bristol, Tennessee Devi Walters, MD: Outpatient General Pediatrics, Sandhills Pediatric & Adolescent Clinic, Columbia, South Carolina

Jackie Razzaghy, MD: Neonatal Intensive Care Fellowship, University of Alabama Medical Center, Birmingham, Alabama David Roper, MD: Outpatient General Pediatrics, Greensboro, North Carolina Kelly Shymkiw, MD: Prisma Health Carolina Pediatrics of Greenville, Greenville, South Carolina

Congratulations, graduating MedicinePediatrics residents!

Upstate Ranjan Banerjee, MD: Cardiology Disease Fellowship, University of Kentucky Medical Center, Lexington, Kentucky

Upstate Caroline Brooks, MD: Assistant Program Director/Chief Resident, Prisma Health Pediatric Residency Program– Greenville, Greenville, South Carolina

Luke Burton, MD: PICU Fellowship, University of Alabama Medical Center, Birmingham, Alabama

Anna Brownstein, DO: Outpatient General Pediatrics, Prisma Health Center for Pediatric Medicine, Greenville, South Carolina

Walt Roberts, MD: Prisma Health Hospitalist and Pediatrics & Internal Medicine–Wade Hampton, Greenville, South Carolina

Tien Nguyen, MD: Hospitalist, University of Nebraska Medical Center, Omaha, Nebraska

Kevin White, MD: Hospitalist, Duke University Hospital, Durham, North Carolina 9

M E D I C A L S TA F F S P O T L I G H T

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

MIDLANDS Inpatient Pediatrics, Prisma Health Tuomey Hospital (Sumter) Monica McCutcheon, MD, earned her medical degree at University of South Carolina School of Medicine and completed her Pediatrics residency at Palmetto Health Children’s Hospital, both in Columbia. Dr. McCutcheon has extensive experience in neonatal care, having completed parts of a neonatal fellowship and serving as a newborn hospitalist for Children’s Hospital–Midlands and a private practice.

She is the medical director for Pediatric and Newborn Services at Tuomey Hospital. She can be reached at 803-434-7945.

Whitney Moses Przybyla, MD, received her medical degree at University of South Carolina School of Medicine in Columbia. She completed a Pediatrics residency at Greenville Memorial Hospital in Greenville, South Carolina, and then joined that facility’s Inpatient Pediatrics group following graduation. After moving back to her hometown of Sumter, Dr. Moses Przybyla joined Sumter Family Health Center, which later became Tandem Health Pediatrics. She can be reached at 803-434-7945.

Alexander Wagner, MD, earned his medical degree at University of South Carolina School of Medicine in Columbia. He completed his Pediatrics residency at Palmetto Health Children’s Hospital in Columbia and then a Sports Medicine fellowship at Prisma Health, also in Columbia. He can be reached at 803-434-7945.

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Pediatric Neurology Cecilia Fernandes, MD, earned her medical degree at Manipal College of Medical Sciences in Pokhara, Nepal.

Dr. Fernandes completed a Pediatrics residency at Bronx-Lebanon Hospital Center in New York City, followed by a residency in Child Neurology at Duke University Hospital in Durham, North Carolina. She can be reached at 803-434-7961.

Pediatric Rheumatology Learn about Jodi Dingle, MD, spotlighted on Page 14.

Pediatric Urology Frank Penna III, MD, earned his medical degree at Rutgers Robert Wood Johnson Medical School in New Brunswick, New Jersey.

Dr. Penna completed a Urology residency at the Vattikuti Urology Institute at Henry Ford Hospital in Detroit, Michigan. He then completed a Pediatric Urology fellowship at the Hospital for Sick Children in Toronto, Canada. He can be reached at 803-434-2833.

UPSTATE Developmental-Behavioral Pediatrics Ranjith Kasanagottu, MD, earned his medical degree at University of Alabama School of Medicine at Birmingham. Dr. Kasanagottu completed his Pediatric residency at Albert Einstein Medical Center in Philadelphia, Pennsylvania. He is a fellow in Developmental-Behavioral Pediatrics, where he can be reached at 864-454-5115.

General Pediatrics Caroline Brooks, MD, completed her medical degree at University of South Carolina School of Medicine Greenville and her Pediatrics residency at Children’s Hospital–Upstate, also in Greenville. Dr. Brooks is working as a pediatrician with the Center for Pediatric Medicine. She can be reached at 864-220-7270.

Kindal Dankovich, MD, completed her medical degree at University of South Carolina School of Medicine Greenville and her Pediatrics residency at Children’s Hospital–Upstate, also in Greenville. Dr. Dankovich is working as a pediatrician with the Center for Pediatric Medicine. She can be reached at 864-220-7270.

Zach Gray, MD, completed his medical degree at University of South Carolina School of Medicine Greenville and his Pediatrics residency at Children’s Hospital–Upstate, also in Greenville.

Dr. Gray is working as a pediatrician with the Center for Pediatric Medicine.

He can be reached at 864-220-7270.

Melanie Wills, MD, earned her medical degree at Medical College of Georgia in Augusta. She completed her residency training in Pediatrics at University of Mississippi Medical Center Batson Children’s Hospital in Jackson. Dr. Wills, who previously worked for Prisma Health as a pediatrician at Kids’ Care (an urgent care facility at AnMed Women’s and Children’s Hospital), now is working with the Center for Pediatric Medicine. She can be reached at 864-220-7270.

Inpatient Pediatrics Michelle Matthews, MD, earned her medical degree from University of South Carolina School of Medicine Greenville. Dr. Matthews completed her residency training at Prisma Health Children’s Hospital–Upstate, also in Greenville. She is working for Prisma Health as a pediatrician at Kids’ Care, an urgent care facility at AnMed Women’s and Children’s Hospital in Anderson. She can be reached at 864-512-6544.

William (Walt) Roberts, MD, earned his medical degree from Mercer University School of Medicine in Macon, Georgia. Dr. Roberts completed his Medicine-Pediatrics residency at Prisma Health Children’s Hospital–Upstate in Greenville. He is working half time as a hospitalist in Greenville; he also works at Prisma Health Pediatrics & Internal Medicine–Wade Hampton. He can be reached at 864-455-4411.

Newborn Services Hunter Altman, MD, earned her medical degree at University of Texas Medical School–San Antonio. Dr. Altman completed her Pediatrics residency at Children’s Hospital– Upstate in Greenville, where she then worked as a pediatrician with the Center for Pediatric Medicine. She can be reached at 864-797-1301.

Pediatric Emergency Medicine Erika Crawford, MD, earned her medical degree at Medical University of South Carolina in Charleston, South Carolina. Dr. Crawford completed a residency in Pediatrics at University of Alabama School of Medicine at Birmingham, where she also finished a fellowship in Pediatric Emergency Medicine. She can be reached at 864-455-6016.

Pediatric Neurosurgery Matthew Pearson, MD, earned his medical degree from Johns Hopkins University School of Medicine in Baltimore, Maryland. Dr. Pearson completed a Neurological Surgery residency at Vanderbilt University Medical Center in Nashville, Tennessee. He then completed a fellowship in Pediatric Neurosurgery at the University of Texas Southwestern Medical Center at Dallas. He can be reached at 864-797-7440.

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Pediatric Surgery Robert Ricca Jr., MD, FACS, earned his medical degree from Uniformed Services University of The Health Sciences F. Edward Hebert School of Medicine in Bethesda, Maryland. Dr. Ricca completed a General Surgery residency at Naval Medical Center in Portsmouth, Virginia. He also completed fellowships in Surgical Critical Care at Boston Children’s Hospital in Massachusetts and in Pediatric Surgery at Seattle Children’s Hospital at University of Washington Medical Center. He can be reached at 864-797-7400.

Pediatric Urology Lisa Cartwright, MD, earned her medical degree from Uniformed Services University of The Health Sciences F. Edward Hebert School of Medicine in Bethesda, Maryland.

Dr. Cartwright completed her Urology residency at University of Pennsylvania Health System in Philadelphia, followed by a fellowship at the Hospital for Sick Children in Toronto, Canada. She can be reached at 864-454-5135.

Welcome, Midlands providers!

As of Oct. 1, Palmetto Health-USC Medical Group has officially joined Prisma Health.

You may notice practice names changing to a department naming construct (such as Prisma Health Cardiology, searchable by location) for consumer convenience and to reinforce the organization’s scope across the care continuum.

We especially welcome those general and specialty practices serving our pediatric population throughout the Midlands.

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NEW COMMUNITY PEDIATRICIANS Upstate William (Walt) Roberts, MD (MedPeds), has joined Prisma Health Pediatrics & Internal Medicine–Wade Hampton half time in Greenville. He can be reached at 864-522-5000.

Kelly Shymkiw, MD, and Joshua Wyatt, MD, have joined Prisma Health Carolina Pediatrics of Greenville. They can be reached at 864-454-2670.

Aaron Tolan, MD (Med-Peds), has joined Clemson Primary Care in Clemson. He can be reached at 864-653-4071.

Children’s Hospital–Upstate garners award Prisma Health Children’s Hospital–Upstate has received a Women’s Choice Award as a Best Children’s Hospital. This honor goes to the country’s best health entities based on recent data and accreditation information regarding clinical excellence and the preferences of women when selecting a hospital. Congratulations!

CLINICAL CASE REPORT

What’s the diagnosis?

A previously healthy 14-year-old male presents with a two-year history of pain in both hands and feet. His symptoms started without any clear inciting event but then worsened after an episode of uncomplicated pneumonia the previous year. He describes burning and tingling sensations that occur approximately once a week during the cold season and more frequently with warm weather.

Figure 1 Representative image from UK National Health Service

Symptoms are triggered by mild physical activity, such as walking to the store, but is most closely associated with warm temperatures. Pain is moderate to severe when it occurs, limiting the ability to move normally. During episodes, there is erythema and swelling of both hands and feet. (Figure 1) No other body parts affected are affected. There is no fever, pruritus, intestinal symptoms, weight loss, bruising, rash or other systemic signs.

Naproxen provides partial relief. Gabapentin is not effective. Cold compresses are most effective at relieving pain.

Have you figured out the diagnosis?

See Page 15 for the answer.

Family history is significant for a maternal grandfather who died unexpectedly from cardiac arrest at age 52. A maternal grandmother has lupus, diabetic polyneuropathy and fibromyalgia. No recent travel or unusual animal exposures have occurred.

On physical exam, he is well appearing. He has no dysmorphisms, joint swelling, bruising or rash. The neurologic exam is normal except for a heightened sensation of pain (hyperalgesia) with a pinprick stimulus over his hands and feet. These abnormalities do not fit a dermatomal or peripheral nerve distribution. No pain to light touch (allodynia) or palpation exists. Strength, reflexes, cranial nerves and cerebellar function are within normal limits.

Article author Blake Windsor, MD Edited by Jonathan Markowitz, MD, FAAP James Stallworth, MD, FAAP

CBC, CMP, celiac studies and vitamin B12 are normal.

Electromyography and nerve conduction studies also are within normal limits.

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W H AT ’ S N E W ?

First collaborative division debuts: Pediatric Rheumatology The Division of Pediatric Rheumatology is excited to announce the formation of a collaborative “one team care division,” two-campuses model with the addition of pediatric rheumatologist Jodi Dingle, MD, in Columbia.

After graduating magna cum laude from Furman University, Dr. Dingle completed her medical degree at the University of South Carolina School of Medicine in Columbia before completing her Pediatric Residency with a Chief Year and her Pediatric Rheumatology fellowship at Vanderbilt University. She has recently returned to South Carolina to establish the Midlands’ Pediatric Rheumatology division.

Pediatric rheumatologists Sarah Payne-Poff, MD, and Lara Huber, MD, MSCR, will continue to conduct outpatient visits and day inpatient consults in the Upstate, while Dr. Dingle will do the same in the Midlands. Overnight and weekend calls will be shared with assistance from telehealth, as needed.

Dr. Dingle’s addition will expand access for families in the Midlands and provide pediatric rheumatology education opportunities for students and residents in Columbia. Her clinic is located at 9 Richland Medical Park Dr., Ste. 410.

Referrals for the Columbia location can be faxed to 803-758-0139.

Did you know?

300,000: Approximate number of U.S. children with rheumatic conditions 300: Number of active pediatric rheumatologists in the nation 36: Number of pediatric rheumatology programs (79 positions but 45% of first-year fellowships go unfilled) 22: Number of pediatric rheumatologists who graduate each year 2: Number of board-certified pediatric rheumatologists per 1 million children in the Southeast 54% of children must travel more than two hours to see a pediatric rheumatologist 68% of pediatric rheumatologists are female 32% of pediatric rheumatologists plan to retire in the next decade Source: 2015 Workforce Study of Rheumatology Specialists in the United States. American College of Rheumatology. 2016.

“A lot of people don’t realize that kids can get arthritis, but it’s common. It’s thought to be at least as common as pediatric diabetes.”

– Sarah Payne-Poff, MD

Pediatric unit opens A pediatric unit at Oconee Memorial Hospital opened July 8 with nine beds and a treatment room. All beds are flex between inpatient, observation and ambulatory infusion.

The new unit is staffed by two pediatric hospitalists: Allison Ranck, MD, and Miranda Worster, MD, along with Seneca Family Medicine residency teaching faculty and Family Medicine residents.

The hub of the unit is surrounded by nine beds plus a treatment room.

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Rooms are spacious and include child-friendly artwork.

The diagnosis (continued from Page 13) Erythromelalgia secondary to Fabry disease Erythromelalgia is a rare clinical syndrome characterized as bilateral, burning pain combined with erythema and swelling of the hands and feet in a symmetric glove and stocking distribution. It is worsened with heat and almost fully relieved by cold. Cases are rare in children. It is one of the most painful conditions known, and multiple case reports document patient-induced frostbite from ice water submersion as an attempt to alleviate the burning sensation.

Recent studies suggest that most causes are ultimately mediated by small fiber sensory neuropathies. In children, most cases are characterized as idiopathic or postviral in onset. However, secondary cases have been described related to sodium channel mutations in Nav1.7 (SCN9A), thyroid disease, autoimmune and autoinflammatory diseases, Guillain Barré syndrome, and Fabry disease.

In this patient, evaluation for secondary causes of erythromelalgia revealed classic Fabry disease with absent alpha-galactosidase activity. Fabry disease is an X-linked lysosomal storage disorder that results in accumulation of globotriaosylceramide (Gb3) in multiple cell types that can lead to nonspecific manifestations. The estimated prevalence of Fabry disease was 1 in 117,000 males; but after adding detection of the disease into newborn screens across five states, research suggests it may be as frequent as 1 in 3,100. It is not yet part of the newborn screen in South Carolina or any state in the Southeast, except Tennessee.

Mark your calendar!

William F. Schmidt Faculty Development Conference Friday, Nov. 6 • 7:45 a.m.

This virtual event is targeted to pediatricians, primary care doctors and other pediatric medical care professionals, including PAs, NPs and RNs. Keynote speaker for the DeLoache Distinguished Lecture will be Glenn Regehr, PhD, senior scientist and founding associate director of Research at the Centre for Health Education Scholarship and professor (Department of Surgery) at the University of British Columbia. His lecture is titled “Self-assessment, selfdirection, Self-regulation and other myths: Implications for the professional maintenance of competence.”

Major manifestations of Fabry disease in childhood include symmetric distal extremity neuropathic pain (acroparesthesias) present in most cases of classic Fabry disease. Additional features include corneal opacities seen on slit-lamp examination, with GI symptoms including recurrent abdominal pain, constipation and signs of dysmotility. In adolescents and adults, more progressive signs of disease can include progressive cardiomyopathy, progressive proteinuria and renal disease that can result in ESRD, and stroke. These progressive manifestations often occur without clear alternative causes.

Testing in males is primarily performed by measuring alpha-galactosidase activity, followed by genetic confirmation and an assessment of organ function.

Female heterozygotes can experience disease due to X-inactivation, but the diagnosis is more challenging due to having partial or normal alpha-galactosidase activity.

Gene testing is required for diagnosis.

Early diagnosis of Fabry disease is critical as enzyme replacement therapy appears to slow the progression of kidney disease if started early, and it may also be helpful in reducing neuropathic pain. Other treatments are organ-specific therapies treating manifestations of the disease.

References Schiffmann R, Ries M. “Fabry Disease: A Disorder of Childhood Onset,” Pediatr Neurol. 2016;64:10–20.

Figure 1 www.nhs.uk/conditions/erythromelalgia Newborn screening: https://www.newsteps.org/resources/newbornscreening-status-all-disorders

The lecture will be followed by interactive talks on: • Teaching in the clinical environment/providing feedback to learners • Managing stress and preventing burnout • An evidence-based approach to leadership Dr. Regehr will also present the closing session: “Kids these days: Reconsidering our conversations about Generation ME.” Formerly called the Annual DeLoache Seminar, the event has been renamed to honor longtime medical director William Schmidt III, MD, PhD, who retired from Children’s Hospital– Upstate in January 2019.

Dr. Schmidt speaks to friends and colleagues at a 2019 celebration honoring his nearly 30 years of service in the Upstate.

Register now at: https://ghscme.ethosce.com/content/2020Schmidt-FacultyDevelopment

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Making a wish (list) come true

C E L E B R AT I O N S

As Prisma Health Children’s Hospital teams made necessary adjustments for COVID-19, new visitor and delivery guidelines were put in place. As a result, many activity items for patients that were typically dropped off by community donors were suddenly limited.

Prisma Health Midlands Foundation

Children’s Hospital on the road During the COVID-19 pandemic, subspecialists at Prisma Health Children’s Hospital–Midlands were especially concerned with the safety of medically fragile patients.

It was best for these children and families not to travel to the hospital, but to be seen in their own homes, instead.

Subspecialists put a plan together to rent the Prisma Health Community Health Mobile unit and then hit the road to see patients.

Prisma Health Midlands Foundation’s annual giving societies for Children’s Hospital – Champions Society and Rising Champions – invested in the project and launched a fundraising campaign to cover rental expenses for the mobile unit, such as fuel and a driver. More than $15,000 was raised to keep the wheels turning for scores of children, including Lyl Pearce.

Lyl has trisomy 21 and needed an echocardiogram before her open heart surgery. As a result, Prisma Health pediatric cardiologist Sri Rao, MD, and his Midlands team drove the unit to Lyl’s home.

“It was such a relief when Dr. Rao said he would bring the mobile lab to our house, because it helped put my mind at ease,” said Lindsay, Lyl’s mom. “I got to worry less about her possibly catching any illness that would postpone her heart surgery.”

Thanks to the outpouring of support from donors, more than 60 children were seen in their own homes through July. Pediatric subspecialists will continue home visits, as needed, in the fall and winter.

Dr. Rao (second from right) is flanked by the transport team, who removed their masks to have their picture taken.

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That’s when Prisma Health Midlands Foundation teamed up with Child Life to create an online wish list. A social media campaign was launched, and more than 535 items were purchased and shipped directly to the hospital. In just a few clicks, donors restocked Child Life shelves with coloring books, markers, DVDs, activity pads and more.

“Our community continually amazes me!” said Christy Fink, manager, Child Life and Special Programs at Children’s Hospital–Midlands. “During a time when everyone is navigating a new normal, our generous neighbors rally around Children’s Hospital and help make sure we have what we need to provide excellent care.

Fink continued, “Through their donations, we continue to have the supplies we need to support our patients and families, despite our playrooms being closed and siblings not being able to visit. Our community never fails to come through for us, and that’s a wonderful feeling.”

A garden getaway Hannah Rogers’ passion for gardening, creative green spaces and tranquil environments has brought Hannah’s Garden to life for the Children’s Center for Cancer and Blood Disorders at Children’s Hospital–Midlands. With a lead gift from Hannah and Ron Rogers, Hannah’s Garden offers a warm, welcoming space on the rooftop outside the Kevin Berry Rogers Children’s Infusion Center, where children receive treatment for cancer and blood disorders.

It was the Rogers’ wish to have an inviting green space where children undergoing treatment and their families would enjoy sunshine and fresh air in a peaceful space featuring river stones, water features, benches and native South Carolina plants. Hannah’s Garden is slated to open to patients in early 2021.

New wheels for precious cargo

Upstate’s Office of Philanthropy

The Prisma Health–Midlands Pediatric Transport team is always on call. When babies are critically premature or when young children are severely ill and at another hospital, the team is ready to respond and provide safe transportation to Columbia, where the only Pediatric Intensive Care Unit (PICU) and Level III Neonatal Intensive Care Unit (NICU) are located in the 16 counties of the Midlands.

BMW Charity Pro-Am donation

This transport program is one of the few in the state that provides pediatric critical care during natural disasters and in response to large-scale incidents in our area. For example, when the COVID-19 pandemic required Prisma Health Baptist Hospital to prepare for a possible surge in patients, the team safely relocated premature babies from that hospital’s NICU to other hospitals within the organization. When Hurricane Matthew threatened Hilton Head Island in 2016, the team evacuated several babies to Children’s Hospital in Columbia.

The need to safely transport children, including premature babies, requires an ambulance equipped with the latest innovative tools and two isolettes for premature twins.

The current critical care ambulance, on the road for more than six years, has logged nearly 200,000 miles.

Prisma Health Midlands Foundation has launched a $425,000 fundraising campaign for a new pediatric ambulance.

“I cannot emphasize enough the important role that the Pediatric Transport team plays in the survival and transport of critical infants born in our referral areas,” said Stephen Watson, MD, medical director, NICU Transport, Prisma Health–Midlands. “The vast majority of these transports occurs via ground. Without a reliable, roadworthy Children’s Hospital ambulance, untimely delays in needed critical care will result.”

Thank you to South Carolina Charities Inc. and the 2020 BMW Charity Pro-Am presented by SYNNEX Corporation for raising $118,152 for Upstate charities, including Children’s Hospital–Upstate.

The tournament was canceled due to COVID-19, but that did not stop donations from tournament participants, sponsors, volunteers and ticket holders, as well as the Tournament Week of Giving online auction and charity donations through Birdies for Charity.

“This pandemic has had an unimaginable impact on the charities that lean on our support year to year,” said South Carolina Charities president Bob Nitto. “We are truly grateful to our community and tournament participants, volunteers and sponsors for stepping up in this extraordinary time of need.”

For more information, visit BMWCharityGolf.com.

Bringing smiles to all Children’s Hospital–Upstate kicked off national Smile Week by thanking generous donors from the last year. Those recognized included ScanSource, Wenderoth Orthodontics, Valiant Player and the Young Professionals Group.

Toothpaste and toothbrushes are a few of the goodies that made Smile Week come to life.

Prisma Health Midlands Foundation hopes to raise enough funds to purchase a new pediatric ambulance.

Pediatric Chair Robin LaCroix, MD, accepts a check on behalf of Children’s Hospital–Upstate.

Due to COVID-19, companies and organizations were not able to have their typical groups visit and pass out age-specific goodies, but our patients received gifts, nonetheless.

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

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Camp Courage drive-by When we can’t have Camp Courage in person, we have it on wheels.

A grateful Eddie Terrell presents a check to Pediatric Chair Robin LaCroix, MD.

Hospital receives $20,000 Greenville financial adviser Eddie Terrell was chosen

by Northwestern Mutual as a 2020 Community Service Award recipient – one of 16 advisers honored by the company for their work in giving back to their local communities. As part of the award, Terrell received a $20,000 grant, which was given to Children’s Hospital– Upstate.

Our Children’s Hospital–Upstate team members are always thinking of creative ways to reach our patients.

This year, they held a drive-thru event to celebrate Camp Courage, an annual summer camp for children with cancer and blood disorders, in a COVID-friendly way.

While campers were unable to spend a week away at camp, they were still able to interact and enjoy some summer cheer from our team members and camp staff.

Thanks to our teammates and volunteers who came out to support our campers and counselors!

Terrell became involved with the children’s hospital after his niece was diagnosed with leukemia several years ago.

Ever since, he has been raising community awareness and leading fundraising efforts on behalf of our facility.

“Children’s Hospital–Upstate saved my niece’s life, and I’m forever grateful,” said Terrell. “Through our fundraising efforts, I want to pay it back and pay it forward to other families who need these life-saving services.”

Fall campaigns benefiting our Children’s Hospitals • Children’s Miracle Network Hospitals partner campaigns: - Dairy Queen Round Up: October - Great Clips: October - Speedway “Push Weekend”: Oct. 30–Nov. 1 - Extra Life Game Day: Nov. 7 - Ace Hardware Round Up: Nov. 26–Dec. 25 - Speedway Giving Tuesday Push: Dec. 1 - GameStop Multiple Charities Round Up: through Dec. 31 Check out these items – and more – on our websites: Midlands Foundation PrismaHealthMidlandsFoundation.org.

Prisma Health–Upstate’s Office of Philanthropy ghsgiving.org.

Vehicles lined up to donate camping “gear” of a different kind.

COMING SOON! • Boxes & Bows (November–December): Led by volunteer friends of Children’s Hospital–Midlands, this campaign tops mailboxes with live holiday greenery swag and a festive, handmade bow. The campaign is open to residents of Richland and Lexington counties only. Swags will be delivered and installed for a $60 donation (for $55, swags can be picked up in Columbia at a specific time). Learn more at BoxesandBows.org.

• Spirit of Giving (Nov. 30–Jan. 11): This campaign, presented by WYFF 4, is an easy and rewarding way for our community to support young patients and their families served by Children’s Hospital–Upstate. Touch the lives of some very special children through the Spirit of Giving! Learn more at SpiritOfGivingGVL.org.

• Good Night Lights: In December, you can brighten holiday spirits for pediatric patients in Columbia and Greenville by taking part in this annual event.

• 2021 Canine F.E.T.C.H. Unit calendar, with proceeds going to a doggone good cause: the Upstate’s Canine F.E.T.C.H. Unit. You will paws-itively love it!

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IN THE COMMUNITY

Speak Now for Kids Family Advocacy Week Our own Halle Ching participated in Speak Now for Kids Family Advocacy Week in August. The week allows patient families to represent their children’s hospitals to engage with lawmakers in their states and districts – either by video or in person as appropriate – to increase awareness about and advance public policy priorities that address: • Challenges in accessing and providing children’s healthcare even before the COVID-19 pandemic • Tremendous sacrifices of children’s hospitals during the pandemic and how our hospitals are striving to provide care in this difficult environment • Necessary short- and long-term investments in children’s health that government leaders need to make Through this special event, Halle’s family shared information about her health journey, Prisma Health Children’s Hospital–Upstate’s role in providing Halle with necessary healthcare services, and why the public and elected officials must invest in the future of kids such as Halle.

She was eventually diagnosed with a rare genetic disorder on the CACNAIC gene. This disorder is so rare that it bears no name, and Halle is the only known person in the world with this condition. She also has epilepsy, low muscle tone and long QT syndrome.

Over the years, Halle has been hospitalized for seizures, pneumonia and various respiratory illnesses. Her care is coordinated through a special clinic for medically fragile children – Prisma Health’s Ferlauto Center for Complex Pediatric Care – where telehealth options have proved vital during the pandemic. The family relies heavily on Children’s Hospital–Upstate for ongoing cardiology, neurology, respiratory therapy, genetics and palliative care.

Halle, now 10, is calm and cheery. Although nonverbal, she finds ways to communicate when she is hungry or happy. She cannot walk or talk, but loves snuggling, watching movies, reading books and playing with her iPad. Halle is surrounded by a loving family and a strong team of pediatric specialists at the hospital.

“We want the world to know just how special Halle is to us and our medical community. And we also want the world to know how vulnerable she is to COVID-19.”

–Cathy Stevens

Halle’s mom had a normal pregnancy, and although Halle was tiny when she was born, it wasn’t obvious that she was not developing normally until she was a few months old. She couldn’t hold up her head until she was 1 year old and then began having spasms.

“Things were difficult at first as we began to realize how dramatically our lives were changing due to Halle’s illness,” her mother, Cathy, recalled. “It was an incredibly emotional and challenging journey of learning and acceptance.”

A unique case Halle went through extensive testing before the family received a diagnosis. Despite numerous tests, the family did not get a formal diagnosis until Halle was 8 years old.

Cathy Stevens poses with her daughter, Halle.

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BULLETIN FROM THE BRADSHAW INSTITUTE

Bradshaw Institute update The Bradshaw Institute for Community Child Health & Advocacy, part of Prisma Health Children’s Hospital–Upstate, works to create healthy and safe communities, increase access to care for those experiencing vulnerabilities, provide evidence-based strategies to improve health literacy, and ultimately become a best practice leader.

Here is an update of activities from April–July, which reflects creative responses to the COVID-19 pandemic.

COVID-19 community testing Many Bradshaw Institute team members, along with Accountable Communities personnel at Prisma Health, served our community by helping to provide more than 40 drive-thru testing sites and 15,000 tests.

(l–r) Loretta Crowley, Joy Venable, Denise Wiklacz and Hannah Aycock of the Bradshaw Institute provide aid at a drive-thru testing site.

School-based Health Centers These centers transitioned to a virtual platform for visits as a result of the pandemic. The Bradshaw Institute partnered with Greenville County Schools to allow use of Chromebooks for vulnerable families to access virtual visits – especially important for families with no computer or smartphone at home.

Prisma Health’s Mobile Health Clinic delivered on-site services every Friday through mid-June, which allowed us to continue seeing our most at-risk students in person and receiving referrals from schools. We also offered vaccinations for rising seventh graders and performed well child visits. The addition of well child visits would not have been possible in the traditional school-based setting.

Health promotion Hallways to Health transitioned its comprehensive messaging campaign to a digital platform. A new “Bulletin for Educators” was developed and dispersed weekly to our target schools (and the entire district). Topics included our traditional monthly messaging campaign, along with mental health and burnout prevention for teachers, Conscious Discipline (social and emotional learning strategies for a trauma-informed school), general medical information on COVID-19, and community resources with links to share with students and parents.

Additionally, we initiated a weekly parenting class on Facebook Live, with some sessions presented in Spanish. For convenience, several classes were offered twice weekly to help fit parents’ schedule.

(See flyer)

Virtual Parenting Support Series Join the Bradshaw Institute for Community Child Health & Advocacy for a FREE twice-weekly virtual parenting support series providing child safety, health and developmental information to parents, grandparents, caregivers and guardians.

The virtual component is an enhancement to the 2020 Kohl's Parenting Safety Series.

April class schedule April 8, 6:30–7:30 p.m. Swaddle, Sleep and Sanity: Navigating Safe Sleep for Your Family April 11, 10–11 a.m. Swaddle, Sleep and Sanity: Navigating Safe Sleep for Your Family April 15, 6:30–7:30 p.m. Safe Home, Safe Baby, Safe Kids: Preventing Injuries at Home April 18, 10–11 a.m. Safe Home, Safe Baby, Safe Kids: Preventing Injuries at Home April 22, 6:30–7:30 p.m. The Teen Vaping Trend – What Parents Need to Know April 25, 10–11 a.m. The Teen Vaping Trend – What Parents Need to Know April 29, 6:30–7:30 p.m. Ages and Stages: A Walk Through the Milestones May 2, 10–11 a.m. Ages and Stages: A Walk Through the Milestones https://www.eventbrite.com/e/bradshaw-institute-virtual-parenting-support-series-tickets101917162978 For links to this and future parenting classes, follow us on Facebook @GHSBradshawInstitute

Injury prevention Inpatient safety education was provided by the time of newborn discharge. Of the 440+ newborns discharged from Prisma Health Greenville Memorial Hospital since April, 92% of their parents received safe sleep and child passenger safety education.

A total of 65 car seats were installed before discharge at the hospital’s inspection station. The institute transitioned to virtual car seat education for the community and completed 25 educational consults and seven virtual inspections.

To learn more, go to ghschildrens.org/programs/bradshaw-institute-community-child-health-advocacy.

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Children’s Hospitals directory Admission to Children’s Hospital–Midlands: 1-800-75-SHOCK (7-4625) General information: 803-296-KIDS (5437) Children’s Hospital–Midlands doctor/program: 803-296-KIDS (5437)

Admission to Children’s Hospital–Upstate: 864-455-000 Neonatal Transport: 864-455-7165 Children’s Hospital–Upstate doctor/program: 1-800-4RBUDDY

Caughman Taylor, MD, Senior Medical Director ..... 803-434-2069 Adolescent Pediatrics .................................................... 803-434-7945 Anesthesiology ................................................................ 803-434-6151 Cardiology ........................................................................ 803-434-7940 Child Abuse and Neglect .............................................. 803-898-1470 Child Developmental and Behavioral Health ........... 803-434-6598 Cochlear Implant Program ........................................... 803-744-2700 Critical Care/PICU .......................................................... 803-434-4603 Dentistry ............................................................................ 803-434-6567 Emergency Medicine ..................................................... 803-434-7088 Endocrinology ................................................................. 803-434-7990 Gastroenterology ............................................................ 803-434-8450 General & Hospital Pediatrics ...................................... 803-434-7945 Genetics ............................................................................ 803-935-5390 Gynecology ...................................................................... 803-434-4100 Hematology/Oncology ................................................. 803-434-3533 Inpatient Rehabilitation Program ................................ 803-434-7995 Neonatology/NICU ........................................................ 803-434-2912 Nephrology ...................................................................... 803-434-3572 Neurology ......................................................................... 803-434-7961 Neurosurgery ................................................................... 803-434-2700 Newborn Nursery ........................................................... 803-434-6455 Ophthalmology ............................................................... 803-434-2020 Orthopedics ..................................................................... 803-296-9200 Pharmacy .......................................................................... 803-434-3040 Psychiatry .......................................................................... 803-434-4300 Pulmonology ................................................................... 803-434-2505 Radiology .......................................................................... 803-434-2168 Rheumatology ................................................................. 803-434-7995 SCCAMRS ......................................................................... 803-434-3822 Sports Medicine ............................................................... 803-434-6812 SportsMed Concussion ................................................. 803-434-2221 Surgery .............................................................................. 803-434-4555 Urology ............................................................................. 803-434-2833

Robin LaCroix, MD, Medical Director ......................... 864-455-8401 Adolescent Medicine ..................................................... 864-522-4888 Allergy, Immunology and Asthma ............................... 864-675-5000 Ambulatory Pediatrics .................................................... 864-220-7270 Anesthesiology ................................................................ 864-522-3700 Bradshaw Institute for Community Child Health & Advocacy ................................................................. 864-454-1100 Cardiology ........................................................................ 864-454-5120 Child Abuse Pediatrics ................................................... 864-335-5288 Child Psychiatry & Psychotherapy .............................. 864-454-5612 Critical Care/PICU .......................................................... 864-455-7146 Developmental Pediatrics ............................................. 864-454-5115 Emergency Medicine ..................................................... 864-455-6016 Endocrinology ................................................................. 864-454-5100 Ferlauto Center for Complex Pediatric Care ............ 864-220-8907 Gastroenterology ............................................................ 864-454-5125 Genetics ............................................................................ 864-250-7944 Gynecology ...................................................................... 864-455-1600 Hematology/Oncology ................................................. 864-455-8898 Infectious Disease ........................................................... 864-454-5130 Inpatient Newborn Care (Patewood) ......................... 864-797-1301 Inpatient Pediatrics (Anderson) .................................... 864-454-5612 Inpatient Pediatrics (Greenville) ................................... 864-455-3643 Inpatient Pediatrics (Greer) ........................................... 864-455-4411 Inpatient Pediatrics (Oconee) ...................................... 864-855-7522 Minor Care (Greenville): Children’s Hospital After-hours Care ......................................................... 864-271-3681 Neonatology/NICU ........................................................ 864-455-7939 Nephrology & Hypertension ........................................ 864-454-5105 Neurology ......................................................................... 864-454-5110 Neurosurgery ................................................................... 864-797-7440 Newborn Services ........................................................... 864-455-8401 Ophthalmology ............................................................... 864-454-5540 Orthopedics ..................................................................... 864-797-7060 Otolaryngology ............................................................... 864-454-4368 Pain Medicine .................................................................. 864-522-4888 Plastic Surgery & Aesthetics ......................................... 864-454-4570 Pulmonology ................................................................... 864-454-5530 Radiology ............................................................. 864-522-XRAY (9729) Rheumatology ................................................................. 864-454-5004 Sleep Medicine ................................................................ 864-454-5660 Supportive Care Team ................................................... 864-455-5129 Surgery .............................................................................. 864-797-7400 Urgent Care (Anderson) ................................................ 864-512-6544 Urology ............................................................................. 864-454-5135 Weight Management Program .................................... 864-522-2100

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Non-Profit Org. US Postage PAID Columbia SC Permit No. 740 701 Grove Road Greenville, SC 29605-5601 Address Service Requested

Inspire health.

Serve with compassion.

Be the difference.

For Children’s Hospital giving opportunities, contact: Prisma Health Midlands Foundation at 803-434-7275 or PrismaHealthMidlandsFoundation.org.

Prisma Health–Upstate’s Office of Philanthropy at 864-797-7732 or ghsgiving.org.

A cover-up to bear in mind Be like Buddy the Bear and wear your mask correctly – snugly over your nose and mouth.

We can’t bear to see you baring your face like this: