April 7, 2022

It’s been more than five impactful years since the Pawsitive Play Program started at Texas Children’s, breaking ground as the first program of its kind in the Texas Medical Center.

With the generous support of Judy and Bobby Shakouls, our first therapy dog, Elsa, and her handler and Child Life Specialist Sarah Herbek became pioneers – forging a path that would leave a lasting imprint on nearly 2,000 patients and their families in more than 12,000 bedside interventions.

Now 7 years old, Elsa will retire from Texas Children’s on April 8 and take Herbek with her. It’s a bittersweet goodbye for everyone the duo has encountered during their service, including many team members across the organization.

“Over the years with Elsa by my side, I have been inspired by the thousands of patients and families we’ve met and so grateful to have become part of their journeys,” said Herbek, who had been a child life specialist for two years when she learned about funding for the new animal-assisted therapy program and found Elsa.

After completing a year-and-a-half of training, the pair were ready to begin helping patients in acute care.

“I have witnessed incredible resiliency that oftentimes I wouldn’t have believed if I hadn’t seen it myself,” Herbek said. “There is truly nothing I am more proud of than the growth and the impact of the Pawsitive Play Program. Years from now, I hope our wonderful patients and families will think back on their time at Texas Children’s Hospital and remember that in their darkest days, the love of a golden retriever made their experience just a little bit easier.”

‘The Magic of Elsa’

After piloting the program, Herbek and the Child Life team learned more about Elsa’s temperament and found she would be ideally suited to work with patients in the Pediatric Intensive Care Unit (PICU) and eventually Oncology, where Elsa has spent close to five years caring for those in need.

In fact, Elsa and Herbek dedicated their last three weeks at Texas Children’s entirely to our pediatric cancer patients – sitting with them, keeping them calm and bringing joy to stressful days.

“By the time I meet the child, they have usually come through the emergency center, been poked and prodded and told that something is very wrong. Everything is new and unfamiliar. The sounds, the smells, the people in scrubs who keep coming into a room that looks sterile and nothing like home,” Herbek said. “They fear the unknown or worse, what they have just learned and oftentimes at this point they begin to shut down. But then Elsa walks in the room.

“The mood of the room immediately changes. Suddenly they see something familiar. Something friendly. Something that feels like home. Elsa hops up in their bed and they feel safe. This interaction changes everything. Many times, this is the first time their parents will see their child smile since walking through the hospital doors,” she said.

That was the case for the Vigil family, whose 14-year-old daughter, Christiana, has greatly benefitted from the comfort provided by Elsa and Herbek throughout multiple hospitalizations and a recent bone marrow transplant at Texas Children’s.

“Our daughter has spent many months in the hospital since her diagnosis with the most recent stay being 70 days straight which included Christmas and New Year’s,” said Keri Vigil, Christian’s mother. “There were times that Sarah and Queen Elsa were the only thing that brought a smile to Christiana’s face. ?They will forever hold a special place in our hearts and we will be forever grateful for all they have done for our daughter.”

Herbek refers to it as “the magic of Elsa.”

“Elsa becomes their loyal friend. One who is not judgmental of how they look when they lose their hair, the new scar they have or that they use a wheelchair now when it’s too painful to walk,” Herbek said. “There will be bumps along the way, but there is never a doubt that during their stay, they will see her wet nose push open their hospital room door as she makes her way to their beds.

“Elsa is there to see them through their whole journey. The good days, the bad days, the days when even she can’t help. She’s there. She will be there with them until the end because she has become part of the family.”

A fond farewell

With Elsa’s departure, therapy dogs Bailey, Pinto and Pluto will fill Elsa’s paw prints at the Medical Center campus and ensure our patients receive ongoing love and attention. Other therapy dogs in our system include Cohen at The Woodlands hospital campus, and our newest member, Angus, who joined West Campus in December 2021.

Among the canines’ biggest fans are their two-legged colleagues – many of whom have poured out messages of love and support for Elsa and Sarah in the days leading up to their departure. You can leave your own well-wishes and sweet words of good-bye by clicking HERE.

“Sarah and Elsa – you have bettered so many lives throughout your time with Texas Children’s. I am so grateful that I was able to spend time with you both. Thank you for bringing so many smiles to the faces of our patients, their families and staff. Congratulations to you, and enjoy retirement! People may forget many things such as names, titles and words but “people will never forget how you made them feel.”…. We love you!,” wrote Kelsey Mihm.

“Dear Sarah and Elsa, you have pioneered AAT at TCH and your legacy will forever touch patients, families and staff for decades to come. Wishing you love, happiness, peace, rest, and bountiful joy on your next adventures,” wrote Jess Casas.

“Elsa, some people say that dogs don’t belong in hospitals, but then neither do children. It was really cool working in a hospital with a dog like you whose sole purpose was to cheer patients up. And you sure did the job, from what I hear. We’ll miss you! Have a happy “retirement” and enjoy taking a great big nap every day. You did good,” wrote Jerry Miller.

For more information about Texas Children’s Pawsitive Play Program, click here.

The Woodlands Campus float pool nurse, Krista Larsen, shares her thoughts on choosing Texas Children’s. Read More

Recognition is a powerful component of patient experience. Creating a mechanism for patients to express their gratitude to those that care for them can lead to greater employee connection, retention, teamwork, and morale.

Caught You Caring (CYC) is an ongoing recognition program at Texas Children’s. It is offered to patients, families and staff, to recognize employees who have gone above and beyond their role to provide compassion to another person. We encourage everyone to submit CYCs for deserving team members! Once submitted, your CYC goes directly to the recipient and his or her leader. Submit a CYC here for someone you know!

Here are a few outstanding examples of Caught You Caring recipients:

  • Kristian ‘Kiki’ Divin (Mark Wallace Tower Ambulatory Clinics) went out of her way to help me get formula to a patient when I wasn’t able to. I appreciate her teamwork and her commitment to patient care!”
  • Dr. Wendy Valicek (Texas Children’s Pediatrics Shadow Creek) is the most caring and wonderful doctor I have ever known. She genuinely cares about my girls! She is the most responsive on MyChart – it’s almost as fast as when I’m texting with a friend! I couldn’t ask for a better pediatrician for my girls!!”
  • “The lab tech that drew my baby’s blood, Jamie Ash (West Campus Pathology), was amazing!!! She didn’t get bothered we were early. She immediately helped us. She was caring, nice, tried her best to cause the least pain to our four-year-old. She made a parent’s biggest headache, of having to get blood work for their small kid, such a great experience.”
  • “My son is autistic and had a meltdown and Maggie Roberts (The Woodlands Inpatient and Emergency Center) was so great and patient to assist me and my wife.”
  • Kathleen Ashby (Legacy Tower Critical Care) is an exceptional nurse who is very collaborative with other disciplines. She takes excellent care of her patients and is receptive to therapist feedback to ensure best patient care.”
  • “Yesterday I had a procedure done at the Pavilion for Women and Helen Weledmariam (Pavilion for Women Facilities) was the patient transporter who took me down to my car afterwards. She was just so lovely! She had perfect timing, actually made conversation with me, and was a pleasure to interact with. As a Texas Children’s employee myself, I really appreciated Helen’s pleasant demeanor, encouragement, and the overall way in which she engaged with me. She is a great example of what it means to Live Compassionately!”
Patient Experience Week and Caught You Caring of the Year Awards

Patient Experience Week is around the corner, April 25-29, with activities, prizes and our annual Caught You Caring of the Year Award winner announcements. The Caught You Caring of the Year Awards recognize individuals who consistently demonstrate an outstanding commitment to compassionate care and teamwork. The Patient Experience Team is calling for Caught You Caring of the Year Award nominations through April 10. Click on the nomination form to recognize staff, providers and partners for moments when they went above and beyond.

This year’s Patient Experience Week theme, “Magical Moments Together” celebrates the special moments we create every day, with patients, families and each other. Stay tuned for more details about this fun-filled week.

We’re excited to expand our world-class care in Austin, one of America’s fastest growing cities, and we hope you will join us!

As we continue our search for top talent to help deliver on our mission, we have posted 18 new career opportunities, including 16 new Assistant Director positions.

Please click here to explore these new roles and apply for these opportunities. Until April 5, these roles will be posted internally only and will then open to the public.

Even if the role isn’t right for you, please consider reaching out to your network to pass along these great opportunities. We’re always looking for top candidates who want to make a difference, and through E.A.R.N., you can receive $1,000 for referring a candidate who joins our team.

There’s so much to look forward to in 2024 when we open our new state-of-the-art hospital in Austin and further establish ourselves as a leading health care provider for children and women across central Texas. We’ve already built a strong foundation with our expansive operations in the community, including Urgent Care at Westgate, Specialty Care Austin, and multiple Texas Children’s Pediatrics locations.

To address the need for expanded pediatric, fetal and Ob/Gyn care in the central Texas area, the hospital will include neonatal intensive care, pediatric intensive care, operating rooms, epilepsy monitoring, sleep center, emergency center, fetal center, state-of-the-art diagnostic imaging, acute care, and an on-site Texas Children’s Urgent Care location, to name a few. We will also offer numerous subspecialties to patients and families.

For more information and opportunities at Texas Children’s in Austin, keep an eye out for our next Town Hall in May.

You can also learn more about our Austin expansion on Connect.

As we build our bright future Tomorrow, Together, we will continue to offer and improve our best-in-class patient care, service for our members and elite programs for our workforce. We’re already off to an amazing start for the year as the three Texas Children’s Hospital Surgery PA Fellowship Programs become the first and only pediatric-focused programs to receive national accreditation from the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Prior to this recognition, there were only seven Clinical Postgraduate PA programs in the U.S. to have received accreditation. What an incredible achievement!

“The PA Fellowship Programs have factored enormously into the growth of our surgical APP program and have raised our profile across the country,” said Dr. Larry Hollier, surgeon-in-chief and chair of the Department of Surgery and medical director for the Surgical PA Fellowship Programs. “These accreditations will certainly make our PA Fellowship Programs some of the most sought-after opportunities for recent graduates and experienced generalists interested in specialization. We are incredibly proud of how this program has evolved over the last decade.”

The newly accredited programs are:

  • Texas Children’s Hospital Surgery Physician Assistant Fellowship Program
  • Texas Children’s Hospital Orthopedic Physician Assistant Fellowship Program
  • Texas Children’s Hospital Community Surgery Physician Assistant Fellowship Program

“These programs are truly one of a kind,” said Jordan Rodriguez, chief administrative officer for the PA Fellowship Program. “It is such an honor to see each class of fellows arrive and grow not only as clinicians but as well-rounded providers. The opportunities they get to experience throughout the year amazes me, and I am so happy we can proudly say we are accredited.”

New applicants can be assured that Texas Children’s provides a well-rounded education program to prepare them with a strong foundation of skills for the future. The programs can accept a combined 10 fellows each year to learn the ins and outs and to work in each surgical subspecialty. It is a unique opportunity that most providers never experience.

“The medical knowledge and interpersonal skills our PA fellows develop during their training becomes invaluable as they progress in their career,” said Kris Marsack, director of Surgery APPs and academic director for the Surgical PA Fellowship Programs.

The accreditation could not have been possible without the dedication and tireless efforts of the planning committee who worked for the better part of a year completing applications, planning in person and virtual site visits. Amazing team effort by the accreditation planning committee members below.

  • Dr. Larry Hollier, Medical Director
  • Kristina Marsack, PA-C, Academic Director
  • Ryan Krasnosky, MPAS, PA-C, DFAAPA, DrPH Assistant Director
  • Jackie Broda, PA-C, Program Director
  • Jordan Rodriguez, Chief Administrative Officer
  • Magda Gonzalez, Program Coordinator
April 1, 2022

We’re celebrating the tireless and important contributions of Texas Children’s doctors. Today and every day, thank you for your sacrifice, courage and love.

This week on Mark Wallace’s blog, he invites Dr. Larry H. Hollier Jr. to share a word of encouragement as we celebrate National Doctors’ Day. Read More