Brittany Walters shares how she adapted her fitness routine to stay active and safe during COVID-19, and she hopes her story will inspire others to make their wellness a priority too. Read more
September 1, 2020
August 31, 2020
As Hurricane Laura gained strength in the Gulf of Mexico and set its sights on landing as a Category 4 hurricane somewhere along the Texas/Louisiana coastline, Texas Children’s employees assigned to ride-out the storm at one of our three hospital campuses packed their bags and headed to their designated areas.
Just like they did three years ago when Hurricane Harvey was upon us and in years past when other storms were headed our way, they showed up to help take care of our patients and their families, even during a potential storm.
This year, with the COVID-19 pandemic still in our midst, there were additional concerns to tend to and plan for, but that didn’t deter anyone from showing up ready to carry out Texas Children’s mission of caring for children and women no matter what, under good circumstances and trying ones, too.
“Everyone’s attitude has been perfect,” said Susana De La Torre, whose job was to help direct people to and from their assigned sleeping quarters in Mark A. Wallace Tower. “No one has had anything negative to say.”
When leaders decided to active the organization’s ride-out team on August 26, the path of Hurricane Laura was still fluctuating with some forecasts pointing it right at Houston. Fortunately for our region, the storm ended up tracking east sparing us from the severe damage it dealt our neighbors. Nevertheless, we were prepared for the worst even during a pandemic.
To keep everyone safe while riding out the storm, everyone was required to adhere to all COVID-19 precautions and protocols, including screening upon arrival and every 24 hours thereafter, masking, socially-distant sleep accommodations, and dedicated areas for employees who begin to experience COVID-19 symptoms.
Employee Health was available throughout the ride-out if an individual exhibited symptoms of COVID-19 to help isolate them, monitor their symptoms, provide medical assistance and assess the need for COVID-19 testing. Had an employee’s medical condition required a higher level of care, there was a medical team on standby and our Employee Medical Clinic Physician was also available.
The departments of Organizational Resilience, Infection Control, Facilities and the Incident Command Planning Section worked on these plans for months and were prepared to implement them prior to everyone’s arrival.
Burt Gumeringer, senior vice president of facilities and operations, said leaders have been thinking for months about what it would look like to have employees come into the hospital and ride out a hurricane during a pandemic.
“Our primary concern was protecting our staff,” Gumeringer said. “The two main things we knew we had to change were sleeping arrangements and screening.”
Sleeping arrangements were made so that people were socially distant and a policy stating that employees on ride out had to be screened every 24 hours even if they didn’t leave the building was put into place.
Dr. Brent Kaziny, medical director of Emergency Management, said Texas Children’s has a duty to provide services to our patients and families during events such as these.
“In order to do that, we need to make sure our home is in order and that our families are in good hands so that we can come to the hospital and do what we need to do for those we serve,” Kaziny said. “Being prepared is of upmost importance.”
Hurricane season is not over yet. It won’t come to a close until November 30. So, we all have to stay vigilant and aware of storms brewing in the Atlantic. Pay close attention to local media reports concerning weather conditions and make sure you stay up to date with Texas Children’s Emergency Management communications. These are sent via texts, phone calls and emails through the Texas Children’s Notification System. Please make sure to update your personal information in MOLI with your current mobile phone number so you receive all messages in a timely manner. Here are the instructions for updating your information in MOLI.
On the 15th anniversary of the devastating storm, Dr. Brent Kaziny recalls in a TMC News story his experience as a young intern in New Orleans during Hurricane Katrina and how it shaped his career in emergency management. Read more
Each year in September, Texas Children’s Cancer Center goes gold to honor the courageous journeys of our patients and families who have been touched by pediatric cancer and to create awareness about the challenges these children and their loved ones face. It’s also a special time to honor our Cancer Center staff and everyone who plays a role in ensuring that our patients and their families get the care and support they need.
This year, awareness celebrations will be conducted differently to maintain social distancing due to the COVID-19 pandemic. We will celebrate with our families and staff in a virtual way, instead of the large celebratory gatherings across our four campuses (Main, West, Woodlands and Vannie Cook) that we have held in previous years.
“Despite the challenges we all face due to COVID-19, we have a phenomenal team of providers who will do whatever it takes 24/7 to ensure our patients and their families get the care and treatment they need,” said Dr. Susan Blaney, director of Texas Children’s Cancer and Hematology Centers. “Our Cancer Center helps children fight and defeat cancer every day. We hope you will stand with us in Going Gold for childhood cancer, so that together, we can create a healthier future for these children who need our care.”
In this video spotlight on Texas Children’s Cancer Center, Blaney shares how our teams are advancing science and research every day to find cures and give hope to the many patients and families we serve.
Virtual activities to raise awareness
Throughout September, Texas Children’s Cancer Center encourages staff to participate in several virtual activities to help shine the light on childhood cancer.
- Patient and staff videos: Throughout the month of September, we will feature inspiring videos from patients and families sharing messages of encouragement and support to other families impacted by childhood cancer. Our Cancer Center staff will share video messages as well. The videos will be posted on Texas Children’s Cancer and Hematology Centers Facebook Page and our One Amazing Team Instagram Page.
- Making a Mark virtual art gallery opens: Presented by The Periwinkle Foundation, the Making A Mark® exhibition will showcase art and creative writing by children ages 3 to 22 who have been affected by cancer and blood disorders. The exhibit opens each year in September and this year it will be hosted virtually on The Periwinkle Foundation website. The exhibit will feature over 130 pieces of art and creative writing made by patients and their siblings. A panel of guest judges have selected 15 purple ribbon pieces which they feel convey a positive message about childhood cancer and blood disorders awareness. Click here to access the art gallery.
- Purple Songs Can Fly documentary – Purple Songs Can Fly, the first recording studio ever created on a pediatric cancer floor at Texas Children’s Hospital, will make its award-winning documentary, “Journey to Hope” available on YouTube September 12-30 during Childhood Cancer Awareness Month. “Journey to Hope,” is an original musical production featuring six childhood cancer patients. Written and recorded in the Purple Songs Can Fly studio during their individual cancer journeys, the songs in the documentary spread messages of hope, love and resiliency.
- Visit the Texas Children’s Blog for Cancer Center-related posts throughout the month. Stay tuned to Connect for more Texas Children’s awareness activities in September.
Virtual activities in the community
Patient Activities
The Cancer and Hematology Centers’ inpatient team is hosting a carnival and the outpatient team is hosting a variety of activities throughout the month to honor childhood cancer awareness month as well as the patient populations impacted by the diseases/disorders being honored in September.
Childhood Cancer Awareness Month
September 17: Houston City Hall lights up in Gold
Click here to learn more about Texas Children’s Cancer.
Approximately 25 percent of children and adolescents in the United States have a diagnosed mental, behavioral, learning, or developmental disorder, and these numbers are growing rapidly as more children and families continue to be impacted by the uncertainty, economic stress and daily disruption caused by the COVID-19 global pandemic.
“Since we began building our developmental-behavioral health infrastructure in The Woodlands in 2016, our focus has been on developing a robust program that serves the broad developmental and mental health care and behavioral needs of children and families,” said Dr. Paul Sirbaugh, chief medical officer at Texas Children’s Hospital The Woodlands. “From diagnosis to a multidisciplinary treatment approach, our patients and families can access services in their own community from behavioral health specialists who treat a myriad of mental health issues.”
The Developmental-Behavioral Health team consists of psychiatrists, psychologists, a clinical social worker and a developmental-behavioral pediatrician who collaborate with colleagues at Texas Children’s, Texas Children’s Pediatrics and in the community to design efficient methods to screen and identify patients in need of our services.
Having developmental-behavioral health services available at Texas Children’s provides the security of knowing that children and families will benefit from science-informed practice and a focus on quality and outcomes, ensuring our patients and their families have access to the right care, in the right place at the right time.
Our patient model of care
Referrals to the Developmental-Behavioral Health team at The Woodlands are routed through the Behavioral and Developmental Sciences Referral Center. A dedicated referral team reviews all patient referrals closely and triages them to the appropriate service, location and provider based on the patient’s needs. The developmental-behavioral health providers can also bring other members of the team on board for those patients who would benefit from more than one service.
Psychology
The psychology team in The Woodlands offers diagnostic assessment and psychotherapy intervention services either through in-person or e-Health video visits for children and adolescents with behavioral health concerns.
“Within psychology, our focus is on using evidence-based tools and interventions to diagnose, treat and monitor outcomes for our patients,” said Chief of Psychology Dr. Karin Price. “Our psychology providers work with a broad spectrum of pediatric and adolescent patients including those with common mental health concerns and difficulties related to acute and chronic health issues.”
The Woodlands team consists of four psychologists and a certified social worker with diverse specialties:
- Dr. Elizabeth Franklin treats adolescent patients with mood, anxiety and eating disorders. She also serves as the bariatric surgery psychologist for The Woodlands Bariatric Surgery Program, where she conducts pre-surgical psychological evaluations and assists patients with interventions for binge eating disorders.
- Dr. Jennifer Kazmerski specializes in pediatric behavioral sleep medicine. Working with our Sleep Center, she provides evidence-based therapy services to children and their families for a range of sleep concerns and sleep disorders including behavioral insomnia, nocturnal enuresis and obstructive sleep apnea.
- Dr. Aime Allain provides family-based interventions for common child and adolescent mental health concerns, including anxiety and depression. She counsels patients on relational concerns whether it be helping families manage conflict and/or social relationships in a healthier, more adaptive way.
- Dr. Don Caudle provides neuropsychological assessment for patients with illnesses or injuries that impact their cognitive functioning, helping families and educators understand a child’s strengths and weaknesses, and how to best help them in their daily lives.
- Nikki Adeleke is a licensed clinical social worker who is part of the Traumatic Stress and Resiliency program that provides support and intervention to children and families facing trauma, stress and personal crises.
While psychologists and psychiatrists both specialize in evidence-based diagnostic assessment and treatment planning for patients, Texas Children’s psychiatrists provide more specialization in medication management.
Psychiatry
Under the guidance of Dr. Kirti Saxena, interim section chief of psychiatry at Texas Children’s, the psychiatry team in The Woodlands consists of two psychiatrists Drs. Nabil Guirguis and Humera Danwar, who also see patients through in-person visits or e-Health video visits, making it easier for providers and their patients to connect remotely.
“We have a full case load of patients in our clinic,” said Saxena. “There is a huge demand for children with primary psychiatric needs, but also patients with chronic medical conditions who need psychiatric services. Many of our slots are filled for existing patients, so trying to get new patients in has been challenging for us, but our providers are doing a fantastic job of accommodating as many patients as we can given our current resources.”
Often times, patients with mental health needs may benefit from more than one service. If a patient has been diagnosed with a mood or anxiety disorder, a traumatic brain injury, or is lagging behind in school after a diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) – and in addition to psychotherapy – they need medication to manage the symptoms of their illness more effectively, that’s when the expertise of psychiatry comes into play.
“We collaborate with our psychology partners regularly to ensure that we provide the most comprehensive, individualized treatment plan for our patients,” said Danwar. “We also work with colleagues in developmental pediatrics. If we have a patient with autism whose symptoms are not being managed well with other therapies, and medication management is needed, that’s when my expertise is needed to assist with their treatment plan.”
Developmental Pediatrics
The Meyer Center for Developmental Pediatrics at Texas Children’s is the third component of the comprehensive model of care for patients and their families enrolled in the Developmental-Behavioral Health Program in The Woodlands.
Led by Dr. Robert Voigt, the chief of service for the Meyer Center and head of the section of developmental pediatrics in the Department of Pediatrics at Baylor College of Medicine, our developmental-behavioral pediatricians provide medically directed diagnostic consultations for infants, children and adolescents spanning the full spectrum of developmental-behavioral pediatrics – from intellectual disabilities, autism spectrum disorders, and cerebral palsy to learning disabilities, attention-deficit/hyperactivity disorder (ADHD), and motor coordination disorders. The Meyer Center also provides medically directed developmental evaluations for children at increased risk for developmental-behavioral disorders due to prematurity or other neonatal complications, medical conditions such as congenital heart disease, genetic syndromes, or neurologic disorders, or adverse psychosocial experiences.
“Our approach is interdisciplinary and family-centered, and our evaluation considers the individual and collective impact of biological, genetic, environmental and social factors,” said Dr. Candice Allen, the only developmental- behavioral pediatrician at Texas Children’s Hospital The Woodlands. “Our team evaluates each child and works with the family on assessments, team meetings and conferences to develop an individualized treatment program so that every child who seeks our services receives the care and support they need to achieve their highest potential.”
As medical director of the SOAR (High Risk Neonatal Follow Up) Program at The Woodlands, Allen works closely with families to ensure a seamless transition of care following their infant’s discharge from the NICU. Through this program, the infant’s early growth and development are tracked to ensure that any developmental concerns are detected and addressed as early as possible. If developmental concerns arise, The Woodlands team of SOAR Occupational, Physical and Speech therapists are ready and able to provide any therapy services that are needed.
“It’s so critical that our patients are able to readily access all of our developmental-behavioral health services in The Woodlands,” Allen said. “The sooner that a patient’s mental health, neurodevelopmental and/or neurobehavioral concerns are diagnosed and treated early on, the better the long term outcomes will be for the patient and their family.”
Expecting mothers will soon receive even higher quality service when they visit The Center for Children and Women.
In response to patient feedback, the obstetrics services at both the Greenspoint and Southwest locations will treat patients with a new personal care team model. This will prevent families from seeing up to 10 different providers and instead offer them their own team of no more than four providers.
“We are excited about this change, especially because it has been made in direct response to one of our most common patient complaints,” said Dr. Faunda Armstrong, assistant medical director for The Center at Greenspoint. “The smaller team model will allow providers to develop a patient plan together, build a closer relationship with families and increase trust at every appointment.”
To ensure that this change – set for mid-September – achieves the intended results, The Center will continue to use the patient satisfaction firm, Press Ganey. The firm’s annual survey results will show the effects of the change.
Additional recent changes include an increased use of telemedicine appointments to keep patients and families safe amid COVID-19 concerns. For more information about The Center for Children and Women visit https://www.jointhecenter.org/.
August 30, 2020
You are seen
The following passage was written by Texas Children’s Chaplain James Denham.
I want you to know that you are seen. Your tireless efforts are seen and heard and they are felt deeply. But I am willing to bet you may not feel as tireless as you seem. We all are feeling the drain of life as school for some approaches and others has already started, as flu season is upon us, as a pandemic draws on, and as we are faced with multiple new norms. It’s OK to acknowledge this. We truly can feel hectic and yet paralyzed. We can feel exhausted and on constant adrenaline. We can feel drained and restless.
Today, I want you to hear the words of a theologian I love deeply – John O’Donohue. O’Donohue is a gifted writer and feeler, who captures my feelings right now, but he also writes with such a deep invite to renewal beyond what I have experienced. The reality is that we may not get back to who we were, but there is a joy in what we do at Texas Children’s that can give us a greater renewal and nourishment even in these times. This is my prayer for you and for all of us here who yearn for more right now.
For One Who Is Exhausted: A Blessing
By John O’Donohue
When the rhythm of the heart becomes hectic,
time takes on the strain until it breaks;
then all the unattended stress falls in
on the mind like an endless, increasing weight.
The light in the mind becomes dim.
Things you could take in your stride before
now become laborsome events of will.
Weariness invades your spirit.
Gravity begins falling inside you,
dragging down every bone.
The tide you never valued has gone out.
And you are marooned on unsure ground.
Something within you has closed down;
and you cannot push yourself back to life.
You have been forced to enter empty time.
The desire that drove you has relinquished.
There is nothing else to do now but rest
and patiently learn to receive the self
you have forsaken in the race of days.
At first your thinking will darken
and sadness take over like listless weather.
The flow of unwept tears will frighten you.
You have traveled too fast over false ground;
now your soul has come to take you back.
Take refuge in your senses, open up
to all the small miracles you rushed through.
Become inclined to watch the way of rain
when it falls slow and free.
Imitate the habit of twilight,
Taking time to open the well of color
that fostered the brightness of day.
Draw alongside the silence of stone
until its calmness can claim you.
Be excessively gentle with yourself.
Stay clear of those vexed in spirit.
Learn to linger around someone of ease
who feels they have all the time in the world.
Gradually, you will return to yourself,
Having learned a new respect for your heart
and the joy that dwells far within slow time.