November 18, 2021

From the vibrant walls and new furniture to the artwork adorning the hallways and ceilings (so patients can see it when they are lying on a gurney), the new Radiology floor is an impressive sight. But the move to the 18th floor of West Tower is so much more than a cosmetic improvement. The project was part of the Care First initiative and was delayed due mainly to the COVID-19 pandemic. The team has eagerly awaited the chance for patients to take advantage of the new space and everything it has to offer.

“We’re very excited to offer our patients an elevated level of service with our new facilities and technology,” said Dr. Thierry Huisman, Radiologist-in-Chief. “We have procedures and treatments no one else in the medical center can provide, and we will continue to stay on the cutting edge when it comes to providing the best care for our patients.”

The new magnetic resonance guided high intensity focused ultrasound (MR-HIFU) is the only one of its kind at both Texas Children’s Hospital and in The Texas Medical Center. It provides a much less invasive solution to remove tumors without radiation or surgery. In adults, it’s been used to reduce and even eliminate tremors.

The department will also house a Spectral CT scanner to offer much less invasive, yet superior molecular imaging with much lower radiation exposure to the patient. Plus, there are multiple large screen monitors in each room making it easier for the radiologist and treating physician/surgeon to communicate and view results in real-time.

The Siemens Myabi suite utilizes a full-scale CT scanner capable of moving between either IR room via rails built into the floor.

In addition, with the new space the number of PACU beds available increased from six to 16, nearly tripling the amount of patients Radiology can prep and recover. The existing space on the first floor will be used to expand the ER in the future.

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National Radiologic Technology week ran recently from Nov. 7-13 to commemorate the discovery of the X-ray and its contributions to the medical and health sciences. The discovery of the X-ray advanced medical science by helping the diagnosis of fractures, broken bones and other ailments impacting the skeleton. Thank you to all the radiologic technologists at Texas Children’s for your contributions and continued dedication to our mission.

November 16, 2021

Already well-known for achieving exceptional outcomes for our patients and their families while also fueling innovation in critical care, Texas Children’s ECMO program recently received a Platinum Level Center of Excellence designation by the Extracorporeal Life Support Organization (ELSO), an international consortium of health care institutions, researchers and industry partners dedicated to furthering the excellence of ECMO care, education and research throughout the world.

ECMO stands for Extracorporeal Membrane Oxygenation, a life-sustaining treatment that circulates a patient’s blood through a machine that functions as both artificial heart and lung to support a patient’s own failing organs – providing days or weeks of valuable time for the heart and lungs to rest.

The Platinum Level Award for Excellence is the highest possible accreditation an ECMO Center can receive. Texas Children’s ECMO program was one of just 13 programs worldwide to reach the platinum level in 2021 after completing an intensive application process that drew on the insights and expertise of our dynamic and multidisciplinary team.

To date, ELSO has recognized only 34 Platinum Level Centers of Excellence worldwide.

“Within critical care, we consider ourselves a learning and adaptable organism, always looking to incorporate something new that can help us do better,” said Dr. Jim Thomas, who serves as ECMO Medical Director at Texas Children’s and has 30 years of experience in the discipline.

“This accreditation is from our peers in the field. They are looking at us and comparing us to what they know about all the other centers, and they say we are in the top tier,” he said. “That’s important to us and it should be important to our patients and families. If ECMO is a possibility, you want to know you are at one of the best.”

Thomas played a central role in putting together a successful application for accreditation and crafting the narrative that brought our multi-faceted ECMO program to life for readers and evaluators. In addition to superior outcomes, ELSO considered multiple dimensions, including processes, training, safety and the patient and family experience.

“Every three years they’re coming up with new things and we ask ourselves, ‘What’s the next set of goals?’” said Cole Burgman, ECLS Supervisor and certified cardiovascular perfusionist. “Our goal for our center was platinum and we worked hard to strive for it. It takes a massive group of intelligent people from all fields to help isolate each field and answer these questions to the fullest. We pool all our knowledge and put all our experiences together.”

After treating 50-60 patients each year, the ECMO team treated 90 patients in 2020 alone and more growth is anticipated, according to Lee Evey, director of Respiratory Care and ECMO Services.

Having access to a world-class ECMO service also improves the care provided by Texas Children’s transplant centers, intensive care units, top-ranked Heart Center and other critical care programs, such as pulmonary hypertension and neonatology. Children who would not have previously been considered ideal candidates are now routinely placed on ECMO as part of their treatment plans, and ECMO is being used to treat diseases that would have been unimaginable in the past.

Staying on the cutting edge and earning such a significant status is only possible because of our dedicated and highly trained ECMO professionals – particularly frontline team members like nurses and respiratory therapists who undergo additional specialized training to become ECMO specialists who focus on patients one at a time, minute after minute and hour by hour.

“If you know your child needs care, you can look on the Internet and see the best players in the country and the world,” Evey said. “Texas Children’s has a reputation and ECMO is one specific area that certainly enhances that reputation.”

Strengthening its commitment to the Austin community, Texas Children’s Pediatrics is thrilled to announce the opening of a new Community Health Center in Windsor Park. The new site joins 12 other Texas Children’s locations in Central Texas providing trusted, high-quality medical services to children and adolescents.

Texas Children’s Pediatrics Windsor Park will be named the Jodie Lee Jiles Community Health Center, to honor Jodie Lee Jiles’ extraordinary lifelong advocacy for underserved populations. Jiles, a member of The University of Texas System Board of Regents and director of business development at Transwestern, has served on the Texas Children’s Board of Trustees since 2002, and has been a Texas Children’s Emeritus Trustee since 2019. His passion for giving back and strong ties to Austin – as a graduate of The University of Texas at Austin – are a few of the many reasons Texas Children’s chose to dedicate the site in his honor.

“I am incredibly humbled and honored by this recognition from Texas Children’s,” said Jiles. “I am deeply moved by the organization’s mission and pleased that the new facility will provide quality health care to a traditionally underserved community.”

Regardless of a family’s financial situation the Jodie Lee Jiles Community Health Center will provide primary health care services to children from birth to age 18. The new location also offers the opportunity to develop a long-term relationship with board-certified pediatricians, Dr. Ana Avalos and Dr. Shauna Butler.

“We’re excited about the ability to serve even more families in the Austin community,” said Dan Gollins, president of Texas Children’s Pediatrics and Texas Children’s Urgent Care. “We hope the clinic will be a great representation of Mr. Jiles’ passion for reaching every child in the community, ensuring they have the resources needed for a healthy future.”

“My dream has always been that every child in America and especially in Texas has access to preventative care, primary care and hospitalization when necessary,” said Mark A. Wallace, president and CEO of Texas Children’s Hospital. “I’m happy to say that this dream is coming true through the Jodie Lee Jiles Community Health Center and because of people like Jodie who never stop advocating for what is right. We are thrilled to name the Windsor Park facility in his honor.”

Texas Children’s Hospital is also constructing a $485 million top-tier, freestanding children and women’s hospital in North Austin, set to open in February 2024. Please stay tuned for available positions as our new hospital gets under development. To learn more visit our Austin Expansion site on Connect: https://texaschildrens.sharepoint.com/sites/Austin

Following his dream to become a security officer when he grows up, Devarjaye Daniel was sworn in as an Honorary Security Officer by Texas Children’s Security Department. During his recognition, he received a certificate, badge as well as a uniform.

Devarjaye, often known as “Turtle” in honor of his favorite Ninja Turtles, is a patient at Texas Children’s Cancer and Hematology Center who was diagnosed with a brain tumor called ependymoma. After his tumor came back despite receiving the best available treatments, Devarjaye went on to participate in a genomic sequencing study, TX KidsCanSeq, which identified a rare and unique genetic change within his tumor. This resulted in a precision oncology strategy where Devarjaye can now take oral medication to control his tumor.

His visits are known to be filled with his jokes, laughter, and desire to serve others; his honor as a junior officer tracks right in line with his desire to contribute to his community.

Leslie Morris shares the importance of leveraging online patient educational resources to help nurses connect with patients and families so they can make informed health care decisions. Read more

Structural racism is a system in which public policies and institutional practices work to influence, perpetuate, and reinforce racial inequities. Structural racism is not a new concept, however. Current events within the US have brought to light a deep-rooted issue that has been affecting the country since it was formed. Structural racism impacts social, economic, and political systems that were built to serve and benefit us. There have been many instances in history where racism has impacted our systems:

In health care

Tuskegee Study of Untreated Syphilis. Conducted by the U.S. Public Health Service, the purpose of this study was to observe untreated syphilis in 600 low-income Black men. They were promised free healthcare and consultation services. When penicillin became the standard treatment for syphilis, researchers withheld knowledge of this treatment from the participants. These men were taken advantage of and deceived into participating in a study that had no intentions of providing a diagnosis, treatment, or cure, due to promise of free healthcare services. Researchers employed discriminatory selection and unethical treatment of subjects – based on men’s race and income status – to advance their science, with little care for the health and well-being of their vulnerable participants.

This study is also commonly documented as the beginnings of Black and African-American people’s distrust in the health care system, and part of the reason why minority individuals are reluctant to seek healthcare services or trust their healthcare providers. And to this day, Black men and women face higher risks of chronic illness, infection, and injuries compared to their White counterparts.

In the economy

“Redlining.” Established in the 1930s, redlining was once used by banks, the real estate industry, and various federal government agencies. Lenders and the federal government outlined on a map (in red) the neighborhoods where people of color lived. If you lived inside the red lines, your loans were considered high-risk and banks were less likely to give loans or invest, or you were offered higher interest rates for lending – all leading to higher prices for individuals of color, leaving them at an economic disadvantage. Lasting impacts of redlining can still be seen today: Black people remain disproportionately in debt, have reduced wealth in the minority population as a whole, and are less likely to own property or other assets when compared to their White counterparts. There have since been legislation efforts to counter the impact of historical redlining, such as the Fair Housing Act (1968), to prohibit discrimination in the purchase, sale, rental, or financing of housing and the Community Reinvestment Act (1977) to encourage banks to meet the credit needs of moderate to low income neighborhoods.

In politics

Voting. The electoral college, established within the Constitution, is a system in which each state is granted two senators and a certain number of representatives in Congress to represent their vote. Because the Constitution gives every state two senators, rural states which tend to be whiter and less populated, end up with a greater representation in the Electoral College than more populated and more demographically diverse states (for example: Wyoming has 580,000 and California has 39.5 million people, but each state has two senators).

Similar disparities exist when considering congressional districts, as well. Every 10 years, voting district boundaries are redrawn and must have populations roughly equal to one another. You may have heard the term gerrymandering – it’s the drawing of boundaries within states that gives one political party an unfair advantage over another. An example of this could be splitting the congressional district to separate Black voters into different districts, splitting their vote intentionally so that the majority vote within their district is unlikely to be in their favor.

In education

The school-to-prison pipeline. Researchers and scholars have explored links between race, behavior, and suspension rates and there is no evidence that Black students misbehave at higher rates than their white counterparts. Disciplinary records for white students often note objective behavioral offenses such as vandalism or obscene language, while disciplinary records for Black students are more likely to be noted for subjective offenses such as disrespect, insubordination, or disorderly conduct. Starting at an early age, Black children are also more commonly disciplined, suspended and taken out of school, and placed into the juvenile justice system. A preschool study noted that while Black children only make up 18 percent of the preschool population, 48 percent of preschool children suspended more than once are Black. There is a disproportionate number of Black students taken out of the education system and placed into the justice system, showing that racial disparities and discriminatory practices are still at play in the education system to this day.

In the criminal system

U.S. Prisons: Our nation’s prisons are disproportionately filled with Black men and women. The 13th amendment states that “Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States, or any place subject to their jurisdiction.” Shortly after the ratification of the 13th amendment, Jim Crow laws, a set of laws legalizing racial discrimination, were enacted. Jim Crow laws served to enable decision makers to essentially re-enslave Black people on the basis of what they deemed as crimes. Black Codes (part of Jim Crow laws) were strict local and state laws that detailed when, where, and how formerly enslaved people could work and for how much pay. These codes worked in conjunction with labor camps for the incarcerated, where prisoners were treated as enslaved people. Decades later, the Crime Bill of 1994 provided funding for prisons, encouraging mass incarceration, and included provisions to more severely punish justice-involved youth (further reinforcing the school-to-prison pipeline). These structures within the criminal system have worked to establish incarceration, crime, and punishment as a profitable industry. In the present day, 33% percent of US prisoners are Black, compared to their representation as 12 percent of the general population, while white individuals are 30 percent of prisoners and 63 percent of the general population.

These are just a few examples, out of many, of how our social, economic, and political structures have policies and practices in place that continually disadvantage Black individuals and their communities. We are fortunate to live in a time where information has become more transparent and available; we have come a long way in reversing discriminatory policies, but there is plenty of work left to do. The first step to creating change is to raise awareness about the ways in which public policies and practices can create and maintain inequities along racial lines.

November 15, 2021

First Lady Dr Jill Biden, Congresswoman Sheila Jackson and US Surgeon General Dr Vivek Murthy visited Texas Children’s as part of an initiative to encourage kids to get shots. Read more