Recognition – Page 116 – Texas Children's News

August 25, 2015

What would you do if your pregnant patient, who was five centimeters dilated, told you in the examination room, “I need to get married before I have my baby?”

For Dr. Karla Wagner and her Maternal Fetal Medicine (MFM) team at Texas Children’s Pavilion for Women, the response to their patient’s request was a no brainer. Instead of saying no, they embraced this rare and exciting opportunity.

“We knew how important it was for our patient to get married before her baby arrived,” said Aimee Jackson, a nurse practitioner and clinical manager for maternal medicine at Texas Children’s Fetal Center. “It wasn’t a matter of, “Can it happen?” It was more like, “It will happen.”

With little time on their side, the MFM staff sprung into action to fulfill their patient’s wedding wish. Within an hour, they pieced together a simple, yet elegant ceremony for expectant mom Stephanie Tallent and her soon-to-be husband Jason Nece.

The couple planned to get married over the weekend, but their plans abruptly changed on August 21 when Wagner discovered during Stephanie’s reassessment exam that she was five centimeters dilated and her baby was still breeched. Luckily, the couple had their marriage license in the car along with a white sundress that Stephanie planned to drop off at the dry cleaners.

With these two items checked off the list, the rest of the components for the ceremony fell perfectly into place.

“Stephanie got the good luck tradition for a bride,” Wagner said. “She borrowed a beautiful pearl necklace from one of my nurses, we found something blue, we decorated the room with flowers, and I gave her a bouquet of roses that I grabbed from my office so she could hold it as she walked down the aisle.”

The staff rounded up the wedding troops to ensure every detail of the ceremony was covered. Texas Children’s videographer Wally Crow and photographer Allen Kramer captured the ceremony, maternal fetal scheduler Ashanti Riggs sang a cappella and the hospital’s chaplain Johnna Faber officiated the ceremony.

Wagner’s primary nurse Susan Hardee Crosky played the “Wedding March” on her cell phone, as Wagner walked her patient down the hallway aisle into Clinical Room 3 where Stephanie and Jason exchanged their vows in front of a congregation of roughly 25 Texas Children’s MFM employees.

At the end of the ceremony, the staff quickly scrawled on a piece of paper, “Just Married” and stuck it on the back of Stephanie’s wheelchair before she was whisked away to the delivery room. Later that afternoon, Stephanie and her husband welcomed their precious baby girl, Sophia, who was delivered by caesarean section.

“I love the maternal fetal department,” Stephanie said. “They pulled everything together at the last minute and did an unbelievable job. We cannot be any happier than we are right now.”

For Wagner, she is proud of her team who went above and beyond to meet the spiritual needs of her patient.

“We value the importance of family and spiritual values,” Wagner said. “We all came together as a team on such short notice to make this couple’s wish come true, while at the same time, meeting the medical needs of our other patients in clinic.”

August 12, 2015

Dear Cameron,

Why fit in when you were born to stand out.

One year ago on July 17, you burst into the world. Your daddy raced us to Texas Children’s Pavilion for Women, and just 26 minutes later, you were born. After getting over the initial shock of your quick arrival, it sunk in that my life was changed forever. It was during your first bath that our nurse pointed out your dimples. To this day, your dimples remain one of my favorite things about you. Not only are they an adorable and unique facial feature, they are a constant symbol of your happiness. You are the happiest and smiliest baby I have ever known. You flash your smile and wave at anyone that catches your eye. It’s no wonder that people are so naturally drawn to you.

You have brains in your head. You have feet in your shoes. You can steer yourself in any direction you choose.

It seems like just yesterday you needed me for everything from holding your head up, getting your burps out and marathon nursing sessions. In those early days, I marveled at your every move. Watching you grow, learn and reach milestones has been one of the most rewarding experiences of my life. You’re not walking just yet but have several other skills that you are honing to perfection. Your fierce ball throwing, jumping and speed crawling abilities have given your athletic parents high hopes for a sporty future. Your gravitation towards books warms my heart and I love watching you light up as you explore the words and pictures. “Turn the page” was the first instruction that you consistently followed, but only with your left hand.

Oh, the Places You Will Go

The travel seed has been firmly planted in you. It was on your first out-of-town trip to the Texas Hill Country at 10 weeks of age that we discovered the ridiculous amount of baby gear you require. At four months old, you conquered a 10-hour road trip to Destin, Florida to celebrate Thanksgiving with the family. At six months, we rush ordered a passport for you, as sadly your great grandmother in England passed away. On your first flight, the Dreamliner Captain welcomed you into the cockpit and totally dug your Snoopy bomber jacket. Even though the circumstances for the trip were sad, the extended family fawned over you and happily introduced you to mushy peas. At eight months, your daddy wheeled you up and down the hilly San Francisco streets and you experienced life behind bars in an Alcatraz jail cell. Your passion for the outdoors and new experiences has made me giddy for the lifetime of travel we have ahead of us.

Family, like branches on a tree we all grow in a different direction, yet our roots remain as one.

You are blessed to receive so much love from your entire family. Your Grammy and Pops enthusiastically swing you at the park, play endless games of peek-a-boo and chase you around in your red sports car. Your Nanny and Grandad love exposing you to music, culture, travel, and puppies. Even though your Nanny swore she wouldn’t be “that Grandma,” she proudly showcases you all over social media. Your free-spirited nanny Sarah lovingly cares for you day after day and encourages you to become whoever it is that you want to be.

To the world you may be one person; but to one person you may be the world.

Cameron, you have taught me to practice patience, to be more selfless and to live in the moment. You have allowed me to trust my Mommy instincts and that it is ok to break “parenting rules.” I am infinitely grateful for the bond you have solidified between your Daddy and me. We are a team and you are our M.V.P. You are generous in your cuddles and sloppy kisses and gentle towards other babies and animals. You are courageous, determined and show resilience when you fail. You delight in your accomplishments and value the praise you receive. I admire these qualities and hope that the baby you are today is an indication of the man you will become.

Your first year felt both long and short and hard and effortless, however the one constant is that my love for you grows at a faster rate than you do. I am so proud to be your mom. As this first chapter in our lives together comes to a close, I will end this letter with the wise words of Dr. Seuss: “Cameron, you’re off to great places, today is your day, your mountain is waiting, so go get on your way.”

Love, Mommy (Julie Griffith)

Click on this image to watch a video slideshow of Cameron’s first year.

August 10, 2015

Bench and Bedside is a digest of the previous month’s stories about the clinical and academic activities of our physicians and scientists. We welcome your subsmissions and feedback.

July 7

Texas Children’s Hospital launches pediatric Thyroid Tumor Program

Texas Children’s Hospital recently formed a new pediatric Thyroid Tumor Program dedicated to the diagnosis and treatment of children and young adults with thyroid tumors, cancer and diseases. Read more

July 7

Radiology expansion promotes environment of collaboration

New and improved office space for the Department of Pediatric Radiology brings together all radiologists in one large reading room and houses the department’s offices in one centralized location. The expansion also provides space for daily morning huddles. These changes help ensure the hospital’s imaging services are available for patients in a timely manner. Read more

July 14

Dr. Susan Blaney elected chair of CPRIT Advisory Committee on childhood cancers

Dr. Susan Blaney, deputy director of Texas Children’s Cancer and Hematology Centers, was recently elected to serve as chair of the Cancer Prevention & Research Institute of Texas (CPRIT) Advisory Committee on Childhood Cancers (ACCC). Blaney, who has been a member of the committee for three years, will serve a two-year term. Read more

July 14

Health Center staff prepares for transition to community hospital setting

With the opening of the outpatient and subspecialty building at Texas Children’s Hospital The Woodlands just 15 months away, steps are being taken to ensure the transition for staff, patients and their families is seamless. One such step was taken June 25 and 26 when staff and leaders at the Woodlands Health Center and staff and leaders at the West Campus Outpatient and Subspecialty Building met and discussed what it’s like to go from working at a small community health center to a community hospital. Read more

July 14

Texas Children’s opens first-of-its-kind pediatric Heart Failure Intensive Care Unit

Texas Children’s Heart Center and the section of Critical Care Medicine cut the ribbon July 6 on a new, first-of-its-kind pediatric Heart Failure Intensive Care Unit. This highly-specialized 12-bed unit focuses on the treatment of children with heart failure, as well as those requiring intensive care before and after heart transplant. Read more

July 14

Young investigator given research boost from national grant

Dr. Rikhia Chakraborty is a young scientist with a distinct goal – to find the causes that potentially lead to Langerhans cell histiocytosis (LCH), a rare cancer mainly affecting pediatric patients, and determine the best way to prevent and treat the disease. Chakraborty’s research was recently recognized by Alex’s Lemonade Stand Foundation with a Young Investigator Grant worth $100,000. Read more

July 14

Hour-long documentary on Mata conjoined twins to air on Discovery Life Channel

An hour-long documentary on the formerly conjoined Mata twins aired on the Discovery Life Channel on July 16 . The program spotlighted Texas Children’s Hospital’s efforts leading up to and after the historic surgery that separated Knatalye Hope and Adeline Faith Mata. Read more

July 14

Department of Surgery makes great strides 2010-2015

During his annual state of the department meeting, Surgeon-in-Chief Dr. Charles D. Fraser Jr. highlighted the impressive efforts within the Department of Surgery. Read more

July 20

A new community hospital partnership allows patients to deliver at CHI St. Luke’s Health – The Vintage Hospital

Pregnant members of Texas Children’s Health Plan – The Center for Children and Women Greenspoint location recently received some big news. They can now deliver their babies at CHI St. Luke’s Health – The Vintage Hospital located in Northwest Houston. Read more

July 21

Texas Children’s conference empowers HH patients, families

On July 11, Texas Children’s Hospital and Hope for Hypothalamic Hamartomas hosted an educational conference to empower patients and their families affected by a rare and often devastating brain condition. Hypothalamic Hamartoma (HH) is a noncancerous tumor of the hypothalamus that causes uncontrollable seizures, early puberty, hormonal imbalances and cognitive and behavioral problems. Read more

July 21

World renowned epileptologist, colleagues visit Texas Children’s Hospital

World renowned epileptologist Dr. Helen Cross and two of her colleagues visited Texas Children’s July 9 and July 10 to get more information on the Medtronic Visualase system, which uses real-time MRI-guided thermal imaging and laser technology to destroy lesions in the brain that cause epilepsy and uncontrollable seizures. Read more

July 21

Leaders prepare for opening of special isolation unit

Clinicians recently participated in a detailed simulation to prepare for the soon-to-be-open special isolation unit. The state-of-the-art facility will open its doors in October and a Special Response Team will stand ready to receive children suspected of having a highly contagious disease. Read more

July 21

End-of-treatment bell brings hope for cancer patients

Patients at the Texas Children Cancer and Hematology Centers now can ring a bell in both the inpatient and outpatient units at the end of their treatment. Listen to a song Purple Songs Can Fly artist and cancer survivor Christian Spear wrote and dedicated to patients entering a new phase of their lives with the ringing of the end-of-treatment bell. Read more

July 21

ICD-10: Let’s reach 100 percent educational compliance by September 1

On October 1, Texas Children’s and other hospitals around the nation will convert to the federally-mandated ICD-10 coding system to better report patients’ diagnoses and inpatient procedures. To ensure we are ready systemwide for this transition, employees must complete their required online education and training by September 1. You can access your assigned e-learning module here. Read more

July 28

Texas Children’s Auxiliary awards given to Gargollo and Rosenfeld

The Texas Children’s Hospital Auxiliary awarded urologist Dr. Patricio Gargollo the Denton A. Cooley Fellowship in Surgical Innovation Award and orthopedic surgeon Dr. Scott Rosenfeld the Outcomes Fellowship Award for 2015. Each award totals $75,000. This is the fourth year the Department of Surgery has received funding from the Texas Children’s Auxiliary. Read more

July 28

NRI study: Insufficient energy production by mitochondria can lead to neural degeneration

In a fascinating study recently published in PLOS Biology, Dr. Hugo Bellen, Manish Jaiswal and their colleagues at the Jan and Dan Duncan Neurological Research Institute at Texas Children’s found that insufficient energy production by the mitochondria can cause photoreceptor neurons in the retina to degenerate. Read more

July 28

Fraser celebrates 20 years with Texas Children’s Hospital Heart Center

Thanks to the vision of legendary heart surgeon Dr. Denton H. Cooley and the leadership of Texas Children’s Hospital Surgeon-in-Chief Dr. Charles D. Fraser Jr ., the Texas Children’s Hospital Heart Center is one of the most active pediatric heart programs in the United States, setting a record with 32 heart transplants in 2014 and consistently treating the most complex heart issues every day. Read more

July 28

Texas Children’s expands crucial care to cancer and hematology patients in developing countries

Texas Children’s Cancer and Hematology Center physicians are crossing the globe to provide care for children suffering from cancer and blood disorders. Watch a video to see how the care they provide continues to reach new populations. Read more

July 28

Zarutskie’s arrival, expertise complements patient care at Family Fertility Center

Dr. Paul Zarutskie recently joined the Family Fertility Center at Texas Children’s Pavilion for Women. With more than 30 years in the field of reproductive medicine, Zarutskie combines his expertise and compassionate approach to patient care to help infertile couples achieve their dream of starting a family. Read more

August 14

Transplant Services team to host pediatric transplant symposium

Texas Children’s Hospital Transplant Services team is hosting the 2015 Pediatric Transplant Symposium at Texas Children’s Hospital. Learn how to register for this conference. Read more

August 4, 2015

Dr. Huda Zoghbi, a Howard Hughes Medical Institute investigator and the director of the Jan and Dan Duncan Neurological Research Institute (NRI) at Texas Children’s, has been awarded a Javits Neuroscience Investigator Award from the National Institute of Neurological Disorders and Stroke for her “distinguished record of substantial contributions in the field of neurological science.”

Zoghbi received this award for her groundbreaking research on spinocerebellar ataxia, a neurodegenerative disorder that affects gait, speech and other activities controlled by voluntary muscles as a result of a CAG repeat in Ataxin-1 protein. Zoghbi identified the gene responsible for this disorder almost 20 years ago. Spinocerebellar ataxia continues to be a primary focus of her research program at the NRI.

This seven-year research grant will allow Zoghbi’s team to further explore the molecular mechanisms underlying spinocerebellar ataxia-1 by which the mutant protein Ataxin-1 cannot be folded properly in the cell, interfering with action of neurons. The protein contains many repeats of the CAG or glutamine amino acid, making it unwieldy for activity in the cell.

Zoghbi’s research project aims to lower the level of toxic protein in the cell, screen human cells in culture and the fruit fly for additional drug targets that can help lower the levels of the protein, and explore modifications and interactions of the Ataxin-1 protein to understand features that would be relevant outside the cerebellum of the brain.

The Javits Neuroscience Investigator Award is named in honor of the late Senator Jacob Javits of New York, a strong advocate for neurological research who died of amyotrophic lateral sclerosis.

July 20, 2015

Bench and Bedside is a digest of the previous month’s stories about the clinical and academic activities of our physicians and scientists. We welcome your subsmissions and feedback.

June 30

Blaney’s vision for SAIF helps advance research from bench to bedside

Texas Children’s Small Animal Imaging Facility (SAIF) at the Feigin Center has helped advance scientific investigations. The center allows for collaborations that lead to higher levels of innovative research within the Texas Medical Center. Read more

June 30

Dr. Hugh Allen receives distinguished award from the American Society of Echocardiography

Dr. Hugh Allen, pediatric cardiologist at Texas Children’s Hospital, was presented with the Council on Pediatric and Congenital Heart Disease Founders Award from the ASE. Allen received the prestigious accolade during ASE’s Annual Scientific Sessions. Read more

June 30

Mid-year roundup: NRI publishes groundbreaking research in 2015

Texas Children’s scientific research writer Dr. Rajalaxmi Natarajan highlights some of the 2015 groundbreaking discoveries from the NRI labs of Drs. Benjamin Deneen, Hugo Bellen, Mirjana Malatic-Savatic and Anne Anderson, who continue to pioneer innovative treatments to improve the quality of life for children with devastating neurological diseases. Read more

June 30

Dr. Rachel Rau given Chao Physician-Scientist Award for Leukemia Project

Dr. Rachel Rau received the 2015 Chao Physician-Scientist Award for her project “Defining the Role of DOT1L in DNMT3A-Mutant Leukemia.” Read more

June 23

Texas Children’s Pediatrics launches new mobile health management app

Managing health care decisions and contacting your child’s provider just got easier thanks to Texas Children’s Pediatrics’ new mobile app. The ParentAdvice Center, available for free on iTunes and Google Play, will help families make smart decisions about the level of care needed for their children and offer information about providing symptom relief for minor illnesses or injuries at home. Read more

June 23

The Association for the Advancement of Medical Instrumentation (AAMI) honors Texas Children’s Hospital alarm management team

The Association for the Advancement of Medical Instrumentation (AAMI) has given the AAMI Foundation & Institute for Technology in Health Care’s Clinical Solution Award to Texas Children’s Hospital alarm management team, which combined stakeholders from across the institution in partnership with an innovative healthcare analytics company, Medical Informatics Corp. The team used real-time data to drive decison and change conversations related to alarms to pave the way for quality improvement in the area. Read more

June 16

Dr. Peter Hotez – US Science Envoy

Dr. Peter Hotez, who heads the Sabin Vaccine Institute and Texas Children’s Center for Vaccine Development, works with several leaders in his current position, and he’s recently added leader of the free world to that list. Hotez has been appointed to the role of U.S. Science Envoy by the White House and State Department. Read more

June 16

Maddie’s Mission donates $40,000 plus to CMV awareness efforts, research

Maddie’s Mission, a Katy-based organization dedicated to educating people about a common virus that can cause a serious infection in your unborn baby, recently donated more than $40,000 to the CMV Research Fund to benefit congenital CMV research conducted at Baylor College of Medicine and Texas Children’s Hospital. Read more

June 16

Texas Children’s Urgent Care is on Facebook

Texas Children’s Urgent Care, now on Facebook, was created to respond to the growing need for expert pediatric urgent care. Read more

June 9

Formerly conjoined twin, Adeline Faith Mata, joins family after being discharged from Texas Children’s Hospital

Formerly conjoined twin Adeline Faith Mata joined her family June 9 after being discharged from Texas Children’s Hospital. Her sister, Knatalye Hope, went home in May, less than three months after she and Adeline underwent a successful separation surgery. Dressed in matching striped pastel sundresses, the girls smiled for cameras capturing the monumental moment. They, along with their family, will stay in Houston for the next month before moving back to Lubbock. Read more

June 9

Dr. Arnold serves as ambassador to grassroots advocacy

Dr. Jennifer Arnold is serving as the face of Speak Now for Kids, a grassroots advocacy effort to get patient families and health care providers promoting issues that matter to pediatric patients. Arnold explains how you can help. Read more

June 9

Texas Children’s/AAP Member in Action: Dr. Julie Katkin

Texas Children’s pediatric pulmonologist Dr. Julie Katkin has been an active, engaged member of the American Academy of Pediatrics for several years. Learn how Texas Children’s partnership with the AAP helps physicians advocate for their patients. Read more

June 9

Pediatric anesthesiologist receives honor from Baylor College of Medicine

Texas Children’s Pediatric Anesthesologist and Baylor College of Medicine Associate Professor Dr. Olutoyin Olutoye recently received the college’s Rising Star Clinician award. Read more

June 9

Texas Children’s pediatric urologists honored by Society of Pediatric Urology

Dr. Jason Au was awarded the top prize for his case presentation, “Urologic Considerations in the Seapration of Conjoint Twins.” Dr. Chester Koh was appointed to serve a three year term on the Society for Pediatric Urology Executive Council. Read more

July 14, 2015

Wendy Knight from Kangaroo Crew transport team is the latest Texas Children’s Super Star employee. “What makes one person standout from another is the little things,” said Knight. “It’s not only doing your job, but trying to put a smile on a little one’s face in one of the worst times of their lives.” Read more of Knight’s interview, and find out how you can nominate a Super Star.

Q&A: Wendy Knight, March 2015 Employee

Your name, title and department. How long have you worked here?
Wendy Kristine Knight, RRT, NPS. I am a respiratory therapist on the transport team, nicknamed the Kangaroo Crew, at Texas Children’s Hospital. I started working for the respiratory department at Texas Children’s, my senior year of high school through a program called HOSA (Health Occupations Students of America). I would get up at 4:30 a.m. and drive in Monday through Friday, work three hours, then drive home, change clothes and go to school. It made for a very busy and fun senior year. After I graduated I went to respiratory school and then was rehired in November of 1992. So I have worked at Texas Children’s for a total of 24 years.

What month are you Super Star for?
March 2015

Tell us how you found out you won a super star award.
One morning I was walking down the hall and a person was trying to get into our department to deliver breakfast food. I badged her in and as I was walked in I jokingly said “Hey everyone I brought food this morning.” About 15 minutes later my management team came down and said they had an announcement that one of the team had been selected as Super Star of the Month. I was looking at all my team mates trying to figure out which one had won the award. In my mind it could have been any one of us. I could not believe it was me when she said my name. Then everyone started kidding with me saying that I really did bring them food.

What does it mean to be recognized for the hard work you do?
It is quite an honor and I am grateful to receive this award but I think of it as recognition for the dedication and professionalism of my team. In my opinion, the Kangaroo Crew provides outstanding service to our patients, referring hospitals and to Texas Children’s. I am very fortunate and proud to be part of such a distinguished team.

What do you think makes someone at Texas Children’s a super star?
I think we are all great in what we do or we would not work for Texas Children’s. But if I had to say what makes one person standout from another it would be the little things. It’s not only doing your job, but trying to put a smile on a little one’s face in one of the worst times of their lives. It’s remembering as you jump into a situation, critical or not, as you begin your procedures that your patient has fears, feels pain and you may be their only advocate for compassion. Taking the time in a critical situation with a family who is having trouble understanding what is happening to their child and why, even when you feel rushed or harried. Also, the ability to give the parents peace as you transport their very sick child, because they know that you will treat their child as if they are your own.

What is your motivation for going above and beyond every day at work?
My grandfather always told me to strive to be the best me I can be. He was a huge influence in my life. Also, my teammates on the Kangaroo Crew inspire me with their dedication and support. They are a second family to me. However, by far, my biggest motivation is my patients. In their darkest moments, these children and their families depend on my teammates and I to safely deliver them into the world renowned care of Texas Children’s Hospital.

What is the best thing about working at Texas Children’s?
I love working with children. I realized when I was going through respiratory school that I was the happiest when I worked with children. As I rotated through hospitals in respiratory school I realized Texas Children’s was my first and last choice. I was determined to come back to Texas Children’s once I graduated. At Texas Children’s Hospital children come first. It isn’t a numbers game. They made sure your work assignments gave you enough time to be with your patients which enabled me to give the best quality care. As a teaching hospital Texas Children’s is at the forefront of cutting edge technology, research and medical treatment. It is an exciting place to work and I am thankful to be part of the Texas Children’s team.

Anything else you want to share?
Yes. I would like to thank Texas Children’s for this much appreciated award. I am grateful for the opportunities Texas Children’s provides me. I would like to express my gratitude to my teammate Melissa Campbell for so graciously nominating me. I would like to thank my teammates and the management team of the Kangaroo Crew. I am proud of our accomplishments and thankful for my place among you. Finally, I would like to acknowledge my family and friends who have supported me through every step of my career. I consider myself blessed by all those around me, family, friends and coworkers alike.

June 23, 2015

Patrick Hatcher from Facilities Planning and Development is the latest Texas Children’s Super Star leader. “A Super Star at Texas Children’s is one who takes initiative, leads by example and focuses on the opportunities in spite of the obstacles,” Hatcher said. Read more of Hatcher’s interview, and find out how you can nominate a Super Star.

Q&A: Patrick Hatcher, January – March 2015 Leader

Your name, title and department. How long have you worked here?
Patrick Hatcher, Logistics Program Manager, Facilities Planning & Development. I have worked here for 2 ½ years.

What month are you Super Star for?
First Quarter 2015 (January – March)

Tell us how you found out you won a super star award.
The good news came through my leader, Allison Muth, disguised as an “Organizational Update” meeting. Very surprising!

What does it mean to be recognized for the hard work you do?
It is great to be appreciated, but also very humbling. I work alongside so many other super stars both in Facilities Planning & Development and other departments.

What do you think makes someone at Texas Children’s a super star?
A Super Star at Texas Children’s is one who takes initiative, leads by example and focuses on the opportunities in spite of the obstacles.

What is your motivation for going above and beyond every day at work?
Contributing to the well-being of our patients and coworkers is my main motivation.

What is the best thing about working at Texas Children’s?
The best thing about working at Texas Children’s is understanding that our efforts are tied to a greater purpose.

Anything else you want to share?
I would like thank my leaders Pete Dawson, Jill Pearsall and Allison Muth for affording me with opportunities to grow personally and professionally. I am truly fortunate to work for such an amazing organization with an equally amazing mission and vision.

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