SLIMMING DOWN ANDSHAPING UP WITH SHAQSouth Florida children really look up to former<strong>Miami</strong> Heat superstar Shaquille O’Neal. Thatmade <strong>the</strong> 7-foot-plus basketball legend a perfectrole model for a group of obese middle schoolchildren recruited to take part in a nationaltelevision series aimed at chronicling <strong>the</strong> teens’progress in pursuing healthier lifestyles.When Shaq chose his dream team ofspecialists for <strong>the</strong> series titled “Shaq’s BigChallenge,” his producers tapped <strong>Miami</strong>Children’s own Dr. William Muiños, a pediatricgastroenterologist, as <strong>the</strong> project physician.“Childhood obesity is a real problem in <strong>the</strong>United States,” said Dr. Muiños. “We feltsomething positive had to be done to educateand inform people about <strong>the</strong> grave dangersassociated with obesity – such as diabetes,heart disease and early death,” he said.Dr. Muiños, Shaq, a dietician and o<strong>the</strong>r teammembers worked with <strong>the</strong> children over anine-month period to help <strong>the</strong>m develophealthier lifestyles and lose weight. Theirstep-by-step progress was captured in <strong>the</strong>six-part ABC network series that aired during<strong>the</strong> summer months.“It was rewarding to see <strong>the</strong> children slimdown, become more active and change foodpreferences. We hope this inspires o<strong>the</strong>rfamilies to challenge <strong>the</strong>mselves to change<strong>the</strong>ir life to ward off serious illness andenhance quality of life,” said Dr. Muiños.10 Years of Transporting<strong>the</strong> Region’s MostCritically Ill ChildrenA critically ill child struggles for life in a Naplesarea hospital. The medical team fighting tosave her knows <strong>the</strong> child’s best hope is hoursaway at <strong>Miami</strong> Children’s <strong>Hospital</strong>. Whatdo <strong>the</strong>y do? They call in LifeFlight ® , <strong>Miami</strong>Children’s <strong>Hospital</strong>’s dedicated pediatriccritical care transport team.LifeFlight ® , which celebrated 10 years ofservice to <strong>the</strong> region in 2007, serves asa mobile intensive care transport program.Today, <strong>the</strong> team brings approximately1,000 children and newborns per yearto <strong>Miami</strong> Children’s from hospitalsthroughout <strong>the</strong> U.S., South and CentralAmerica, and <strong>the</strong> Caribbean via groundor air transport.The LifeFlight ® program features a state-of<strong>the</strong>-artground ambulance for South Floridatransports, a fixed-wing aircraft and twoSikorsky helicopters, <strong>the</strong> second of which wasacquired in 2007. All are outfitted with <strong>the</strong>latest life-sustaining pediatric care equipment,and <strong>the</strong> LifeFlight ® team of critical carenurses, pilots and mechanics is top-notch,consistently receiving commendations fromstate accreditation teams for <strong>the</strong> quality andsafety of <strong>the</strong> service provided.“All of us at LifeFlight ® are proud to servechildren when <strong>the</strong>y need help <strong>the</strong> most,” saidMaria Fernandez, MSN, ARNP, Director of <strong>the</strong>LifeFlight program. “Nothing is more rewardingthan delivering a child into <strong>the</strong> hands of <strong>the</strong>hospital’s amazing critical care team.”1,000Children and newborns transported per year to <strong>Miami</strong> Children’sfrom hospitals throughout <strong>the</strong> U.S., South and Central America,and <strong>the</strong> Caribbean via ground or air transport.Growth89
<strong>Looking</strong> at success with special treatments.SuccessDaniel Makes HistoryHistory was due to repeat itself for DanielRodriguez. At only 13, <strong>the</strong> Hollywood eighthgrader was in need of yet ano<strong>the</strong>r open-heartsurgery, <strong>the</strong> fourth of his young life. BornThe Congenital Heart Institute at <strong>Miami</strong>Children’s is one of only three pediatric heartcenters nationwide – and <strong>the</strong> only center in<strong>the</strong> Sou<strong>the</strong>ast – that participated in a Foodand Drug Administration study to evaluate<strong>the</strong> use of a first-of-its-kind new heartvalve replacement system. The MedtronicMelody Transca<strong>the</strong>ter Pulmonary Valveand Ensemble Transca<strong>the</strong>ter DeliverySince <strong>the</strong> procedure, Daniel has grown severalinches, something his parents attribute in partto better health resulting from <strong>the</strong> procedure.He is happy and healthy, and pursues hobbies,which include caring for <strong>the</strong> family reptiles, andwill soon resume participating in local <strong>the</strong>ater.“We had such faith in <strong>the</strong> doctors at <strong>Miami</strong>Children’s. They had performed his earlierASHLEY GETS AHEADOF THE CURVEThrough seven long years and countlessmedical appointments, Betsy Alvarez nevermanaged to smile in <strong>the</strong> presence ofDr. Harry L. Shufflebarger, Medical Directorof <strong>Miami</strong> Children’s Spinal Surgery Division.Not until <strong>the</strong> year 2007.Dr. Shufflebarger is one of <strong>the</strong> world’sleading experts on scoliosis. The surgicaltechnique he developed at <strong>Miami</strong> Children’smore than a decade ago is now in usearound <strong>the</strong> globe. The method involvessurgical insertion of implantable rods thatimmediately correct <strong>the</strong> spinal disfigurement,enabling patients to lead active lives.with a defect in his pulmonary heart valve,Daniel underwent his first open-heart surgerywhen he was only 10 days old and seemeddestined for a future in which surgerieswould be needed perhaps every decade orso as <strong>the</strong> replacement valves wore out.But thanks to doctors at <strong>Miami</strong> Children’s<strong>Hospital</strong>, Daniel had <strong>the</strong> opportunity to breakthis pattern and make some history with a newprocedure that spared him <strong>the</strong> complex surgeryand subsequent long recovery. In February2007, Daniel became one of <strong>the</strong> first childrenin <strong>the</strong> nation to benefit from a new heart valvereplacement procedure in which <strong>the</strong> valve isimplanted without invasive surgery.We had such faith in <strong>the</strong> doctors at <strong>Miami</strong>Children’s. They had performed his earliersurgical procedures, so when <strong>the</strong>y suggestedthis new technique, we had completeconfidence in <strong>the</strong>m.— Melanie Rodriguez, Daniel’s mo<strong>the</strong>rSystem is delivered to <strong>the</strong> heart via a tinyca<strong>the</strong>ter tube and <strong>the</strong>n deployed. Theprocedure was performed by Dr. EvanZahn, Chief of Cardiology for <strong>the</strong> CongenitalHeart Institute and an international leaderin developing and implementing minimallyinvasive heart procedures.For Daniel, <strong>the</strong> FDA study came just at <strong>the</strong>right moment. Instead of surgery and alengthy and painful recovery, Daniel wenthome within a day of <strong>the</strong> new procedurewith only a band-aid to cover <strong>the</strong> site where<strong>the</strong> valve was inserted. If future proceduresare needed, a replacement valve can beinserted over <strong>the</strong> existing one using <strong>the</strong> sameminimally invasive method.surgical procedures,” said Daniel’s mo<strong>the</strong>rMelanie Rodriguez. “So when <strong>the</strong>y suggestedthis new technique, we had completeconfidence in <strong>the</strong>m. Daniel’s fast recoveryhas made us very glad that we did.”The Congenital Heart Institute at <strong>Miami</strong>Children’s <strong>Hospital</strong> and Arnold Palmer <strong>Hospital</strong>for Children in Orlando offers one state-of-<strong>the</strong>-artprogram at two locations.“I was always so devastated about what washappening that I just couldn’t bring myselfto smile,” recalls <strong>the</strong> <strong>Miami</strong> mo<strong>the</strong>r of twoand real estate broker, who, toge<strong>the</strong>r withher husband, William, first brought daughterAshley to see <strong>the</strong> world-renowned surgeonseven years ago. Dr. Shufflebarger confirmed<strong>the</strong> family pediatrician’s preliminarydiagnosis of scoliosis, a disorder that cancause progressive curvature of <strong>the</strong> spine. Infact, 4-year-old Ashley’s spinal deformationwas already so pronounced that a nighttimebrace was required to discourage fur<strong>the</strong>rcurvature.Wearing a brace is a tall order for a small child,particularly one as active as Ashley, and Ms.Alvarez anticipated each three-month follow-upappointment with dread. “Dr. Shufflebargerhad told me she would likely need surgery in<strong>the</strong> future, but when her curvature reached 50degrees – <strong>the</strong> point where surgery is required –I was beside myself,” recalls Ms. Alvarez.Not willing to accept anything at face value,<strong>the</strong> Alvarez family visited scoliosis specialistsin Texas, New York and California beforerecognizing that Ashley’s best bet was rightat home in <strong>Miami</strong>.Ashley underwent surgery in May 2007.Within days, <strong>the</strong> determined 11-year-old wason her feet and by August she had resumedswimming. “I think I’ve gotten stronger asa result of <strong>the</strong> experience,” said <strong>the</strong> busysixth grader, whose schedule includescheerleading, basketball and volleyball.As for Dr. Shufflebarger, he received a hugand a well-earned smile from a relievedand happy mo<strong>the</strong>r. “Our decision to haveOur decision to have Dr. Shufflebargerperform <strong>the</strong> surgery was one of <strong>the</strong> bestwe’ve ever made.— Betsy Alvarez, Ashley’s mo<strong>the</strong>rDr. Shufflebarger perform <strong>the</strong> surgery wasone of <strong>the</strong> best we’ve ever made,” said Ms.Alvarez. “We were lucky to have <strong>the</strong> very bestdoctor here in our own home town. Ashleyhas made an incredible recovery and we oweit all to <strong>the</strong> <strong>Miami</strong> Children’s spinal team.”Ashley Alvarez1011