For Kids’ Sake and its Spanish-language companion, Por Su Bienestar, debut today as extensions of Checkup Newsroom, Cook Children’s award-winning source for pediatric health news since 2014.

The podcasts bring Cook Children’s physicians, specialists and clinicians into conversations about the health topics families are talking about most. Guests will offer clear, balanced perspectives and understand the thoughtful decisions parents make every day.

"Our goal is to give caregivers trusted information directly from the people who care for children every day," said Chelsea Kretz Howell, director of Public Relations at Cook Children’s and host of For Kids’ Sake. "Families are constantly sorting through information online. These podcasts create a place where they can get clear answers to the questions that matter most."

The first episodes focus on back-to-school health and wellness, including immunizations, establishing healthy routines and helping children manage first-day anxiety. Future episodes will explore a wide range of pediatric topics, from seasonal illnesses and safety concerns to mental health, nutrition and emerging health trends.

Each episode features conversations with Cook Children’s experts who break down the latest pediatric health news and offer practical takeaways families can use at home. Episodes also include an "Asking for a Friend" segment, where clinicians answer listener-submitted questions and common concerns families may hesitate to ask.

"Providing trustworthy health information in both English and Spanish allows us to better serve the diverse families in our communities," said Lourdes Vazquez, multimedia storyteller at Cook Children’s and host of Por Su Bienestar. "We want parents and caregivers to feel informed, supported and confident when making decisions about their children's health."

New episodes of For Kids’ Sake will be released weekly, while Por Su Bienestar will publish new episodes every other week. Both podcasts will be available in video and audio formats.

Parents, grandparents, guardians and caregivers can watch full episodes on the Cook Children’s YouTube channel. The podcasts are currently available on all major podcast platforms, including Apple, Spotify, Google Podcasts, as well as through Checkup Newsroom. Follow Cook Children’s Instagram page @Cookchildrens, @ForKidsSake, @PorSuBienestar to submit questions to be addressed on the shows.

Media Contact

Chelsea Kretz Howell
Director, Public Relations
chelsea.kretz@cookchildrens.org

For Stephanie Acord, M.D., a pediatric neurologist specializing in neuromuscular disorders at Cook Children’s, those first conversations with parents are much more than explaining a diagnosis.

“For these families, the biggest thing is trying to learn to trust us,” said Dr. Acord. “We are going to do anything and everything that we can to get their child the best type of treatment, to have the best outcomes possible.”

That trust is especially important because with SMA, time matters.

Before Texas added SMA to its newborn screening panel in 2021, many children were diagnosed only after symptoms began to appear or older siblings were also diagnosed with SMA. Today, newborn screening allows specialists at Cook Children’s to identify babies much earlier and begin evaluating treatment options before symptoms develop.

“Besides stroke, where every minute counts, in the SMA world, essentially every day counts,” Dr. Acord said.

SMA is caused by a genetic change that prevents the body from producing enough survival motor neuron (SMN) protein, which keeps motor neurons healthy. There are five types of SMA categorized by disease severity and the age at which symptoms begin. Even though no cure exists for this condition, there are four different types of medication that are currently approved by the U.S. Food and Drug Administration (FDA) to treat SMA. One of them is SPINRAZA®, a treatment medication that was first approved by the FDA back in December of 2016.

Because Jesse’s newborn screening identified him early, his care team immediately began confirmatory testing while working to start treatment without unnecessary delays.

Rather than waiting weeks for additional approvals, Jesse began taking Evrysdi®, an oral medication that served as a bridge while the team secured authorization for a gene therapy medication called Zolgensma®. Jesse continued his oral medication as physicians closely monitored his progress.

Although Jesse continued to make progress with the first two treatments, Dr. Acord believed he could benefit from the third treatment, SPINRAZA®.

At Jesse’s one-year follow-up appointment, he had not yet reached some of the developmental milestones his care team had hoped to see. After several conversations and close follow-up visits with his family, Dr. Acord recommended adding the third treatment medication that Jesse had not yet received.

On March of 2026, before Jesse’s scheduled treatment appointment, the FDA announced the approval of a higher-dose regimen of SPINRAZA® for eligible patients. The approval did not introduce a new medication. Instead, it expanded dosing for an existing therapy that has been used to treat SMA since 2016, allowing eligible patients to receive a larger dose over a shorter period.

Recognizing the potential benefit, Dr. Acord and her team immediately contacted Jesse’s parents and discussed the newly approved dosing option.

“For Jesse, that meant he was getting more medication in a shorter period of time,” said Dr. Acord.

After discussing the risks and benefits, Jesse’s parents agreed.

Jesse became the first patient in Texas and only the second in the United States, to receive the newly approved higher-dose regimen at Cook Children’s.

“Instead of having to undergo four lumbar punctures, which are more invasive procedures, within a two-month period on the regular standard dosing regimen, he was going to undergo two of those, within a two-week period, but essentially get double that dose within two weeks compared to over two months,” Dr. Acord explained.

Within weeks of the first dose, Jesse’s family noticed changes. He began pulling himself up to stand, cruising along furniture, and clapping his hands. He even attempted to climb stairs. His family quickly learned how to appreciate the little things children normally do, and they took nothing for granted.

For Dr. Acord, those moments never lose their significance either.

“When children come walking in or they just walk across the room for the first time, your mouth hits the ground, and you're just like, ‘this is why I do what I do,’” said Dr. Acord.

Today, watching Jesse continue reaching new milestones gives the family hope they could not have imagined during those first frightening days after his diagnosis.

“I'm glad I took the chance on trying something new, because I just want to give him the best opportunity to walk,” said Lupe Vasquez, Jesse’s mother.

Looking back, she hopes other parents facing an SMA diagnosis will give themselves grace.

“I would tell [other parents] that they're not alone. I know exactly how it feels whether it's SMA or another disease.” Lupe said. “Take care of your mental health… you have to make sure that you are okay too.”

Thanks to early screening, medical innovation, and a team committed to finding every possible advantage, Jesse’s journey is just beginning. Each new milestone serves as a reminder that, for children with SMA, every small step forward can change the course of a lifetime.

Resources and tips for finding immunizations for children:

Navigating vaccines can feel overwhelming. Talk to your pediatrician.

• Schedule an appointment through Cook Children's.
• Find your nearest Texas Department of State Health Service Clinic.
• Call 211 for help.
• Call Tarrant County Public Health at 817-248-6299 to make an appointment or to find a walk-in clinic.
• Check with your local school district for vaccine events.

Just weeks before students return to the classroom, the Texas Department of State Health Services (DSHS) issued a health alert following four reported cases of measles in July. According to DSHS, all four cases occurred within a single family after a family member traveled out of state.

With back-to-school season underway, pediatricians at Cook Children’s Health Care System are sharing key information about how measles moves through communities and how families can protect their children.

Measles is highly contagious. One infected person can potentially infect 12 to 18 unvaccinated individuals. The virus spreads through infectious respiratory droplets and airborne transmission (from coughing or sneezing), where tiny droplets can remain suspended in the air.

Cook Children’s experts say the best way to prevent getting and spreading the virus is to get the measles, mumps and rubella (MMR) vaccine.

The MMR vaccine is required by most school districts and Cook Children’s understands that navigating conflicting information about vaccines can feel overwhelming. Mary Suzanne Whitworth, M.D., medical director of Cook Children’s Infectious Diseases, explains the key facts about the measles and the MMR vaccine.

What is measles

Measles is a viral infection caused by the rubeola virus, which is not the same as rubella. The virus is very small, which makes it more contagious. It can remain in the air of a room for up to two hours after an infected patient leaves. Measles symptoms typically appear seven to 14 days after infection.

Symptoms include:

• Rash
• Fever, sometimes over 104º Fahrenheit or 40 º Celsius
• Runny nose
• Cough
• Red, watery eyes
• Sore throat
• Tiredness

Complications can include ear infections, diarrhea, pneumonia and, in rare cases, brain damage or death.

How can measles be prevented?

Vaccination is the most effective way to prevent measles. The first dose of the MMR vaccine is typically given to children on their first birthday (12 months old), followed by a booster at age 4. Talk to your pediatrician about questions and concerns. Children traveling outside the United States may be able eligible to receive the vaccine before their first birthday.

Because measles remains airborne for up to two hours, if 10 unvaccinated children are in a room with one infected child, nine of them will likely contract the virus.

In addition to getting vaccinated, the spread of measles can be mitigated by proper hygiene. This includes:

• Handwashing
• Covering your mouth and nose when you cough or sneeze
• Avoid sharing drinks or eating utensils
• Disinfect frequently touched surfaces

What would you like families to know about measles and the MMR vaccine?

Measles was declared eliminated from the United States in 2000. However, measles immunization rates have declined in recent years due to missed checkups during the pandemic, parental concerns and vaccine misinformation.

Measles also remains common in many parts of the world. Most recent U.S. cases stemmed from unvaccinated travelers returning from abroad. This drop in vaccination coverage makes communities vulnerable to disease resurgence.

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• Top 10 Questions Parents Ask About Vaccines

• Measles Mythbusting with Laura Romano, D.O.

To a parent living through their most terrifying moment, only one thing matters - that help is on the way for their child experiencing a medical crisis. Nothing brings relief like the sight of

With a moment’s notice, this team of critical care experts can be wheels up in one of Cook Children’s air ambulances to travel to points all over the United States, Canada and Mexico. While these aircraft are known to air traffic controllers by their unique call signs, to the anxious parents waiting on the ground, these identifiers are more than a string of letters and numbers. They are a declaration of the help and hope on the way.

“We’re walking in on a family’s worst and darkest day, and we are always cognizant of that,” said Deana McLelland, RN, Cook Children’s Teddy Bear Transport nurse. “They are always relieved to see us. I like to say our name is ‘Oh good, they’re here’ because that’s what we always hear when we walk in to pick up the tiniest of babies or the sickest of kids. I love taking care of them and feel so lucky that this is my job. I get emotional just talking about it.”

McLelland has been doing this job for 29 years. She is an original member of the Teddy Bear Transport team, having joined during its start up after working as a critical care nurse at Cook Children’s Medical Center for 6 years.

In May, she climbed aboard and began flying the friendly skies in a new addition to Cook Children’s fleet of mobile intensive care units - a Pilatus PC24 twin engine jet. The aircraft replaces one of two Cook Children’s airplanes currently in operation and enhances the health system’s ability to transport sick and injured children to Cook Children’s Medical Center for care.

“Our older airplane, which is a 1982 Beechcraft King Air twin turboprop, has served us well, but it’s time to retire,” said Stacy Putman, Cook Children’s director of Transport. “Now, we’ll have two jets to transport children from all over the country and even internationally from Canada and Mexico.”

Rapid Response

In emergency medicine, every minute counts. Cook Children’s new jet is bigger and faster than its turboprop predecessor, and can travel further distances before needing to refuel. To sick children and anxious parents, this means they get the help they need sooner.

Teddy Bear Transport averages about 30 flights per month. Many of those bring children back to North Texas to receive care close to home after becoming sick or injured while traveling. Premature babies or critically ill children from rural areas of Texas and surrounding states who need advanced care in Cook Children’s neonatal, pediatric or cardiovascular intensive care units are transported by air, too. Teddy Bear Transport also regularly flies infants diagnosed with a rare and severe genetic disorder called congenital hyperinsulinism (HI) to Cook Children’s Hyperinsulinism Center, one of only six HI Centers of Excellence in the world. Congenital hyperinsulinism can lead to dangerously low blood sugar in infants. Without timely intervention, these infants are at risk of seizures and permanent brain damage.

Cabin Features

The new jet joins a transport fleet that includes a Cessna Citation Encore+ jet, an American Eurocopter 145 helicopter and six specialty/critical care ambulances. All are equipped with medical technology comparable to what is used in neonatal and pediatric intensive care units.

“We are a mobile ICU,” Putman said. “So everything we can do in our pediatric or neonatal ICU, we can do in the airplane. We can even transport cardiovascular ICU patients on ECMO (advanced life support).”

Every transport carries a team that includes a nurse, paramedic and respiratory therapist. They are the elite of the elite when it comes to pediatric emergency medicine, as they must be as proficient in caring for a micro-preemie born at 21-weeks as they are at caring for an 18-year-old teenager. Expert skill is a must, coupled with the composure to deliver care while flying through the air or traveling the highways below.

In addition to having a little extra in-flight leg room for the transport team, the bigger plane allows for more equipment, staff and passengers when needed.

“When we transport kids on ECMO, it doubles our equipment and our on-board staff,” McLelland said. “This jet gives us more room to take anyone we need with us, and that includes parents. In the past we’ve only been able to take one parent with us because of our team configuration, but this allows us the seating to bring two with us if necessary. Sometimes that child’s survival is on the line and we don’t feel good about leaving one parent behind if we don’t have to, so this is a really important feature for keeping the family together in these critical moments.”

Engineered for Safety

In addition to its critical care capabilities, both of Cook Children’s jets are equipped with leading-edge safety features, including a Wide Area Augmentation System (WAAS) and Traffic Collision Avoidance System (TCAS). The WAAS enhances GPS navigation, turning it into a precision guidance system that allows aircraft to land in lower visibility and at smaller regional airports, like those in rural areas frequented by Teddy Bear Transport. One of the most important safety features of modern-day jets, the TCAS prevents potential mid-air collisions by giving pilots a heads up warning of aircraft in the area and, if needed, escape guidance to avoid collision.

Other on-board assists, like a Nexrad weather radar and a terrain warning system, guide pilots in flying above storms, avoiding dangerous wind sheer and navigating obstacles on the ground.

Grounded, But Not For Long

Even after 29 years, McLelland says her job never gets old.

“Every time that motor starts, my heart skips a beat,” she said. “Every day is a new place, a new diagnosis and a new family, and I love the variety. I still say I cannot believe I get paid to do this job.”

When a breast cancer diagnosis last year temporarily grounded her, McLelland persevered and returned to work in March after a six-month leave of absence.

“When all of this cancer stuff started, my doctor asked what three things scared me the most,” McLelland said. “I told him leaving my job was one of them and he assured me I would go back to the work I love. I could not wait to get back. I’m really lucky to get to do it for as long as I have, and I’m not done.”

McLelland can’t wait to step aboard for her first transport in the new plane. Although flying on new wings, her wheels-up preparation will be the same as it has been for two decades—suit up and pray up.

“Every single morning on the way into work, I pray for my patients and their families,” she said. “And I pray for my crew that we will be wise and discerning and tender and take good care of the children we transport.”

Teddy Bear Transport by the Numbers:

• Operates 24/7/365

• 4,100 transports annually

• 10,000 referral calls handled each year by dispatch

• Staff includes 60 neonatal/pediatric nurses, paramedics and respiratory therapists

As visitors poured in from around the world, Cook Children’s Health Care System provided top-notch medical care not just for residents, but for traveling fans with children who may have needed unexpected care. Cook Children’s treated more than 200 visiting families in its Urgent Care centers over the course of the event.

Between the heat and the fandom, the summer games would bring the health system launched the "World Cup Wednesday" public health series. For nine weeks leading up to the tournament, this series provided families with essential resources on injury prevention, heat and water safety tips, and more.

While soccer matches in North Texas have come to an end, the impact of keeping global and local visitors safe will live long after the fans have gone home.

Cook Children’s Health Care System is seeing a steep increase in serious injuries associated with these vehicles, including skull fractures, facial fractures, finger amputations and severe extremity fractures.

According to Cook Children's trauma registry data, injuries surged during the first half of 2026 compared with all of 2025. E-bike-related trauma cases increased 500%, rising from eight to 48 cases, while e-scooter injuries climbed 97%, from 29 to 57 cases. Because the trauma registry captures only the most severe injuries, the total number of emergency department visits is even higher.

This surge also saw a widening age gap: while the age range for these injuries so far in 2026 spans 4 to 17 years, the prior year saw a narrower range of 10 to 16 years for e-bikes and 4 to 17 for e-scooter injuries.

During the first two weeks of summer break alone, Cook Children’s treated 25 patients for e-bike and e-scooter injuries and 16 children for other personal electric vehicles. Many of those patients required admission to the Pediatric Intensive Care Unit (PICU).

“With e-bikes, kids are often not wearing appropriate protective gear or helmets,” said Taylor Louden, M.D., medical director of emergency services at Cook Children’s Medical Center – Fort Worth. “Sadly, we have had children struck by cars while riding on the road because they do not understand basic traffic laws.”

The U.S. Consumer Product Safety Commission (CPSC) recommends that children younger than 12 should not operate any e-bike capable of traveling faster than 10 mph.

Dr. Louden emphasized the importance of proper helmets.

“Always wear a helmet when riding anything with wheels,” said Dr. Louden, “For these faster e-bikes, we recommend a BMX-style helmet with face protection.”

Under the Texas Transportation Code, an e-bike is a bicycle with fully operational pedals, a motor of less than 750 watts, and an assisted top speed of 28 mph or less. Texas classifies e-bikes into three categories. While there are no age restrictions for riding a Class 1 or Class 2 e-bike, riders must be at least 15 years old to operate a Class 3 e-bike.

Sharon Evans, trauma injury prevention manager for Cook Children's, said families should remember that e-bikes and e-scooters are vehicles, not toys.

Evans and Dr. Louden offer the following safety tips for families:

Summer Ride Safety for E-Bikes and E-Scooters

• Adult supervision: Children should not ride these vehicles without direct adult supervision. Children younger than 12 should not operate them.
• Always wear a helmet: Make sure your child wears a properly fitted helmet. Helmets are the most important piece of safety equipment, but not all helmets are designed for e-bikes and e-scooters. Check the safety standards below to ensure children are wearing the appropriate helmet for the vehicle’s speed.
  • CPSC: All bicycle helmets sold in the U.S. must meet this standard. These are best for traditional bicycles and low-speed scooters.
  • ASTM F1952: Provides more protection than a standard bicycle helmet and may be good choice for riders traveling at speeds below 20 mph.
  • NTA 8776: Designed specifically for e-bike and e-scooter riders. This is the preferred choice for riders travelling at speeds above 28 mph.
  • DOT FMVSS-218: Provides the highest level of protection on this list and is best suited for higher speeds above or riding near heavy traffic.
    
• Perform a safety check before every ride:
  • Check the tires. Ensure they are inflated to the recommended pressure listed on the sidewall.
  • Test brake levers. Squeeze the brake levers while rolling the vehicle forward and backward.
  • Inspect vehicle. Check for loose parts or anything that appears damaged or abnormal.
    
• Follow the rules of the road:
  • Always ride on the right, in the same direction as traffic. Use the bike lane when available.
  • Stop and look both ways before entering a street or crossing an intersection.
  • Stop at all intersections.
  • Obey all traffic lights and signs.
  • Stay aware of your surroundings. Do not talk on the phone, text, or wear earbuds while riding.
    
• Night rides: Wear bright, reflective clothing and ensure the e-bike or e-scooter is equipped with light and reflectors.

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• A Families Guide to Summer Snacks and Hydration
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Recalled Product Description

The recall affects Nara Organics Whole Milk Infant Formula sold nationwide through Target stores, Target.com and Nara.com between July 2025 and June 2026. Recalled products include:

• Nara Organics Whole Milk Infant Formula, powdered infant formula
• Products sold in retail stores and online through Target and Nara Organics
• All lot codes and all expiration dates

The Symptoms of Botulism

Infant botulism is a rare but serious illness that can occur when babies ingest Clostridium botulinum spores or toxins that attack the nervous system. Symptoms may include:

• Constipation
• Change in facial expression
• Ptosis
• Loss of head control
• Drooping eyelids
• Generalized weakness
• Difficulty swallowing, poor feeding
• In severe cases, respiratory failure 

Cook Children’s Expert Recommendation

Mary Suzanne Whitworth, M.D., medical director of Cook Children’s Infectious Diseases, previously advised parents to seek medical attention right away if an infant develops symptoms of botulism. Symptoms can take days or even weeks to appear after exposure. Families with concerns about recalled products or possible symptoms should contact their pediatrician for guidance and evaluation. If the infant is having trouble breathing or severe weakness, it’s best to call 911 immediately or proceed to the nearest emergency department.

The FDA recommends keeping any remaining formula away from children and other food products. Families who purchased the recalled formula may be eligible for a refund through Nara Organics or Target.

For more information about infant botulism and symptoms to watch for, read our previous coverage on infant botulism and formula safety.

In 2024, the U.S. Surgeon General recognized firearm violence as a critical public health crisis in the United States. Nationwide, firearms have risen to become the number one cause of mortality among children. Data from the CCHSC revealed that between 2024 and 2026, the hospital encountered 121 unintentional firearm injuries, alongside five pediatric fatalities stemming directly from firearm trauma.

The forum focused on community-driven solutions. A recurring consensus emerged among the panelists: sustainable intervention requires bringing the youth into the conversation, acknowledging and resolving the compounding personal traumas they carry before those crises escalate into violence.

Panelist Rodney McIntosh, Pastor and Director of the non-profit organization Violence Intervention and Prevention Fort Worth (VIPFW), urged community members to actively integrate young people into the safety dialogue, equipping them with foundational tools in social-emotional learning and actionable conflict de-escalation tactics.

Daniel Guzman, M.D., an emergency room physician and program director for Cook Children’s Aim for Safety program, brought a frontline medical perspective, illustrating the realities of firearm accidents in the home and emphasizing that responsible storage and education can reduce injury.

The evening closed with a powerful challenge to the audience:

“We challenge you to do something,” said Eric Gonzalez, Program Manager for Injury Prevention at the Center for Community Health at Cook Children’s Health Care System. “Ask your community, schools, family: why wait to have a conversation when we can do this right now?”

Fort Worth leaders urge parents, educators, and neighbors to initiate open, judgment-free discussions about firearm safety within their homes and community. Keep guns secured. Protect your children. Lock up all firearms.

Related Stories:   

• Experts Urge Safe Gun Storage as School's Out

• Expert Tips for a Safe Spring Break: Aim for Safety

• Empowering Families: Gun Safety

The recall includes select lots of Up & Up Fragrance-Free Baby Wipes and Up & Up Fresh Cucumber Scented Baby Wipes sold nationwide.

Here is a list of the recalled products including their UPC codes:

Up & Up Fragrance-Free Baby Wipes

• 20 Count: UPC 085239265956
• 72 Count: UPC 085239265949
• 216 Count: UPC 085239265963
• 800 Count: UPC 085239266137
• 1200 Count: UPC 085239266090

Up & Up Fresh Cucumber Scented Baby Wipes

• 72 Count: UPC 085239265970
• 216 Count: UPC 085239265994
• 800 Count: UPC 085239265987

Health Risks and Symptoms

While healthy people may experience mild symptoms such as skin irritation or rashes, Bcc can lead to more serious infections including pneumonia or sepsis in newborns, premature infants and immuno-compromised patients.

Cook Children’s Infectious Diseases specialists encourage families to stop using the recalled wipes immediately and monitor children for symptoms.

“Early warning signs may include redness, tenderness, warmth or swelling on the skin, especially around cuts or abrasions cleaned with the wipes,” said Mary Suzanne Whitworth, M.D., medical director of Infectious Diseases at Cook Children’s. “Infants and young children may also develop fever, poor feeding, irritability or lethargy.”

Families should contact their child’s primary care physician or seek care at one of Cook Children’s Urgent Care Center or Emergency Department if a child develops symptoms or appears ill after exposure to the wipes.

At this time, Cook Children’s infectious disease team has not evaluated any confirmed patient cases linked to the recalled wipes.

What Should Consumers Do?

The FDA advises consumers to stop using the products immediately and return them to any Target store for full refund. More information available on the FDA website.

Tina Manshadi, M.D. from Cook Children’s Pediatrics (Plano) shared this mother’s experience from a recent newborn class session:

“I remember a mom who came to class looking really worried about whether her baby would be getting enough milk in those early days,” Dr. Manshadi explained. “She kept saying, ‘How will I know?’ So, we sat together and walked through all the little clues we look for, such as how a baby feeds, how they’re gaining weight, monitoring diapers, and the signs that her milk supply was coming in just fine. As we talked, you could see her shoulders relax. By the end, we had a plan that matched her goals, and she knew she wouldn’t be figuring it all out alone. We were a team, and that made all the difference.”

The ‘team’ approach is how the pediatricians at Cook Children’s view newborn care. Below, four of our pediatricians leading these classes answer some of the big questions and help prepare parents for the classes.

Beyond the basics, what is the primary benefit parents gain from attending this class?

“It is a great chance to understand what to expect from a pediatrician’s office and to get a sense of the doctor who might be seeing you a whole bunch those first several years,” says Alison Hsu, M.D., from Cook Children’s Pediatrics (Parkwood). “There are no dumb questions,” she emphasizes.

Amy Stockhausen, M.D. from Cook Children’s Pediatrics (Carrollton) says “expectant parents who attend this class have the chance to really communicate with and get to know the physician teaching the class.” “They have the opportunity to ask questions they are particularly worried about and get answers from a physician instead of online,” Dr. Stockhausen continues.

For a new parent arriving feeling unsure or worried, what does a typical newborn class look like? What can they do to prepare beforehand?

Dr. Hsu encourages that since “these tend to be smaller classes; it can be structured in the way that works best for the parents attending.” “We have a presentation we can go over if you’re not sure what to ask or expect, but we can also spend extra time on topics of interest, skip past things that aren’t of interest, and have free and open discussion. To prepare, parents can certainly come with specific questions or considerations for their situation.”

What is one essential topic you cover that surprises parents the most, and why is it so critical for those first few weeks?

“One thing that always surprises parents is just how normal so many newborn behaviors really are,” says Dr. Manshadi. “Frequent feeding, quirky sleep patterns, sneezing, hiccups, and plenty of crying are all part of healthy development. Once parents learn this, you can almost see the relief—they realize their baby isn’t ‘difficult,’ they’re simply being a newborn. That reassurance can make those first few weeks feel a whole lot lighter,” she encourages.

What do you hope is the single biggest takeaway every parent carries home with them after their class?

Dr. Stockhausen reminds parents “that they have good instincts, even if they have little experience in caring for babies.” “There is a lot of information from friends, neighbors, family and the internet; I hope families learn that they are the best source of knowledge about what is right for their baby and their family. We are here to support them with education and scientific advice whenever they need us!”

“I want every parent to walk away knowing they’re never on this journey alone,” encourages Dr. Manshadi. “Welcoming a new baby is exciting, but it can also feel overwhelming—and that’s exactly why we’re here. Whether it’s a big worry or a small question that pops up, I want parents to feel comfortable reaching out anytime.”

How do these classes provide support for the parents as they navigate life with a newborn?

Diana Nguyen, D.O. from Cook Children’s Pediatrics (Parkwood) says “attending a class will give parents an introduction to the clinic and a chance to meet with the pediatrician. You may also get to meet and chat with other parents who are experiencing the same things you are or have the same questions as you do.”

The "team" approach doesn't end when the class is over; it’s the beginning of a lifelong partnership in your child’s health. If you’re expecting or have recently welcomed a newborn, we invite you to join us at one of our participating locations.

Below is a list of all clinics offering these newborn classes and the links to sign up. We look forward to being a part of your journey!

• Cook Children’s Pediatrics (Aubrey)
• Cook Children's Pediatrics (Collin County)
• Cook Children’s Pediatrics (Keller Parkway)
• Cook Children’s Pediatrics (Lake Worth)
• Cook Children’s Pediatrics (Parkwood)
• Cook Children’s Pediatrics (Plano)
• Cook Children’s Pediatrics (Windhaven)

“We are seeing either children are taking the medication in an inappropriate amount intentionally or accidentally ingesting it,” said Stephanie Felton, D.O., associate medical director for the emergency department at the medical center in Fort Worth. 

The trend mirrors a similar spike seen at Cook Children’s in 2020. During that year, patients reported getting the idea from TikTok videos claiming users could hallucinate by taking a dozen or more allergy pills. While that trend eventually faded through education and public awareness, a recent resurgence has prompted medical experts to issue a new alert for parents and caregivers.

“These are heartbreaking cases because these are usually normal, healthy, fully-functioning children that can have dire effects because of this choice,” said Dr. Felton.

She adds that these incidents often bring to light underlying issues, including bullying or psychiatric illnesses such as depression or anxiety.

The Power of Open Dialogue

Medical experts say open communication is the first line of defense in preventing an overdose. Dr. Felton acknowledges these can be difficult conversations, however, she emphasizes it can make a potentially life-saving difference.

“Be aware of what they're dealing with, their environments, what they're looking at, what they're watching,” explained Dr. Felton. “Ask them questions, direct questions.” 

Because Benadryl (diphenhydramine) is an over-the-counter medication, it is easily accessible to children and teens. Experts say it is important to communicate that consuming any medication improperly can be detrimental to a person's health in both the short and long term. 

“There is specific per age, per weight, how much you can take of a medication, if you go outside of that you can cause harm to your body,” said Dr. Felton.

Recognizing an overdose

While it may seem trivial because it is an over-the-counter medication, Dr. Felton explains that an overdose can have lifelong effects. This includes heart arrhythmias, electrolyte abnormalities, or urinary retention that can impact the kidneys. Hallucinations can also affect the brain.

Monitor for these symptoms of an overdose:

• Hot but not with a fever
• Pupillary size
• Heart arrhythmias
• Seizures
• Difficulty breathing
• Hallucination

Tips for Poison Prevention: 

Safe Medication Dosing 

• Follow the dosing directions listed on the medication by using the appropriate measuring items, such as a medicine cup or oral syringe.
• Double dosing is NOT twice as effective, and in many instances can cause internal damage.
• Adult medications may be too strong for children and should not be given in half doses. Only give medicine to your child that is intended for children.
• Print the medication schedule to keep the right dosage for your family. 

Safe Storage 

• Many people leave medications on bathroom and kitchen counters as well as bedroom nightstands as a visual reminder to take them. Avoid unintentional injury and store medication up high, locked, and out of reach.
• Hang purses and personal bags up high so children cannot reach prescriptions, vitamins, or other regularly used medications.
• Remember, when visiting friends and family, it is ok to have an open discussion about safe storage. 

Safe Disposal 

• DEA Drug Take Back Day is on April 25th from 10 a.m.-2 p.m.
• Visit a medication drop box at a local pharmacy. For more information on poison prevention, visit www.meddropbox.org.
• The best disposal option is to find a drug take-back location, which may be found in retail, hospital, pharmacies, and/or law enforcement facilities.
• Removing any unused or expired medication in the home can reduce the risk of access. 

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The impact of the pause in Supplemental Nutrition Assistance Program (SNAP) benefits is significant, given the existing challenge of food insecurity in North Texas. A recent Cook Children’s Community Health Needs Assessment found that one in five children are food-insecure in the U.S., and Texas has the largest number of food-insecure children in the nation. The rate and number of children experiencing food insecurity are the highest it has been since 2014, with the largest one-year increase since 2008. The report also indicated that in Cook Children’s eight-county service area, 21% of children, about 236,400, live in a household that reported receiving food stamps or SNAP benefits in the past year.

“A child’s everyday behavior could be distracted by their hungry belly or stressed because they don’t know what they will be able to eat for dinner that night,” said Cabarcas.

Recognizing that health is all-encompassing, Cook Children’s Health Care System has actively worked to mitigate the impact of food insecurity before the government shutdown by piloting food distribution to eligible patient families, the Center for Community Health program families, and Health Plan members. 

“For the past three years, Cook Children’s has been building our response to food insecurity in general and has implemented many partnerships and new efforts to contribute to the cause,” said Courtney Barnard, director of community wellness for the Center for Community Health at Cook Children’s Health Care System.

Barnard shares essential information for families impacted by the pause and where they can access food assistance:

• Parent Pass app: Vetted resources for families
• Tarrant Area Food Bank (TAFB) at https://tafb.org/find-food-main/
• North Texas Food Bank (NTFB) https://ntfb.org/food-assistance/find-a-food-pantry/
• Programs such as WIC and free and reduced lunch programs at schools are unaffected at this time. Eligible families should enroll.
• The TAFB is still helping people enroll in SNAP. Families should still apply and enroll, as benefits will be retroactive once the pause is lifted.
• TAFB is working to double food sourcing and distribution to meet the increased need.

“As physicians, we educate our patients about eating five servings of fruits and vegetables per day as part of a healthy diet, but that goal is really difficult to attain when those fruits and vegetables cost much more than a bag of chips or a fast-food cheeseburger,” said Cabarcas. 

The system works alongside food pantries across its eight-county service area to provide additional food and education to families, train pantry staff and volunteers, and build capacity to serve more people. Cook Children’s collaborates with TAFB to support a new mobile market serving Denton, Wise, and Cooke counties. The system also formed partnerships with Texas Health Resources to support Good for You Healthy Hubs at the Eastside YMCA and Eugene McCray Community Center.

“Our patients’ families can struggle to pay for housing, utilities, childcare and healthcare, so adding the additional challenge of affording nutritious foods for their family causes psychological stress felt by all members of the household,” explained Cabarcas.  “I have noticed that as children mature, they sometimes disclose to me that they feel a burden of guilt due to their parents having difficulty paying for their basic needs.”

In August, the neighborhood health center in Las Vegas Trail opened its doors, helping to fill critical community needs. West Aid Food Pantry, which has been a staple in Southwest Fort Worth for 40 years, is now located at the health center. This collaboration aims to end the area's status as a food and health care desert.

Cook Children’s Neighborhood Health Centers provide unique services in the community. Staff work with families to overcome barriers to future health care access and bridge the gap. Patients of the Neighborhood Health Centers have access to dieticians, referral coordinators, speech therapists, behavioral health therapists, community health workers, and even dental services.

“Food insecurity impacts children’s oral health because it often limits access to nutritious foods rich in calcium, vitamins, and minerals that are essential for healthy teeth and gums,” explains Ottis Goodwin, director of community oral health for Cook Children’s Health Care System. 

Cook Children’s Health Care System provides access to these services all within their medical home. These teams work seamlessly with the community and Cook Children’s partners to assess and address patient needs in a timely and holistic manner.

Cook Children's has more than 40 pediatric offices and neighborhood health centers in North Texas. To become a patient, learn more about our locations here. You can also find additional information on community resources on our page here.

"Our new NICU is a promise to families that their children will receive expert, compassionate care without having to leave their community," said Kevin Greene, President of Cook Children's Medical Center - Prosper. "With each investment we make into our medical center and in our outpatient clinics, we are building a foundation for exceptional pediatric care close to home."

With more than 46,000 new residents moving to Prosper and surrounding cities each year, many of them young families, Cook Children's NICU ensures that even the smallest and most vulnerable patients have access to specialized pediatric care close to home.

“Unlike NICUs in adult hospitals, every physician, nurse and clinical team member here is exclusively trained in pediatrics,” said Jonathan Nedrelow, M.D., neonatologist and Chief Medical Officer at Cook Children’s Health Care System. “This means newborns benefit from care designed specifically for babies and children, backed by the full resources of Cook Children’s nationally recognized pediatric subspecialties.”

We can provide a consultation from a pediatric specialist in more than a dozen subspecialties, onsite. This significantly reduces the need for families to endure stressful transfers to other facilities, likely an hour away in Dallas or Fort Worth.

In the event a baby needs the highest level of medical care, they can be seen via telehealth by physicians at the Level IV NICU at Cook Children’s Medical Center – Fort Worth, and quickly transferred by Teddy Bear Transport, if necessary.

 We are a multidisciplinary, holistic care team led by Neonatologists. Cook Children's is committed to growing the NICU in both size and capabilities, and currently, our NICU features:

• 10 rooms, including a room for twins (11 beds total)
• Single rooms with bathrooms, breast pumps, milk warmers and refrigerators
• Dedicated nutrition lab and formula mixing
• Bedside camera system so parents can see their babies via an app when they’re away

Designed with families in mind, every detail of the NICU is crafted to support both patients and their loved ones. Bright, whimsical colors and geometric shapes create an uplifting and calming environment, while bold polka dots and playful floor designs serve as a thoughtful wayfinding system, helping parents and visitors navigate the space with ease.

 Every feature, from the oversized rooms that allow for more family members to gather to the extra cabinetry for personal storage, prioritizes comfort, privacy and convenience during what can be a stressful time. Each room provides dedicated sleep spaces for parents, ensuring loved ones can remain close to their baby at all times.

“The opening of this NICU reflects Cook Children’s continued mission to improve the well-being of every child in our care and strengthen the health of our communities,” said Sheralyn Hartline, DNP, RN, CENP, RNC-NIC, Vice President, Nursing and Patient Care at Cook Children’s Medical Center – Prosper. “We’re looking forward to growing further to meet the needs of families.”

“As two organizations committed to putting children first, this partnership represents a natural alignment,” said Kevin Greene, president of Cook Children’s Medical Center – Prosper. “We’re honored to partner with Celina ISD in our continued Promise: Everything for the child.”

This partnership reflects the spirit of Celina ISD’s guiding motto, Life Connected, by embedding high-quality pediatric care into the daily experience of nearly 6,000 students in one of Texas’ fastest-growing school districts.

“Cook Children’s has cared for generations of children across North Texas, just as Celina ISD has shaped their minds and futures,” said Tom Maglisceau, Ph.D., superintendent of Celina ISD. “Together, we’re ensuring every student is both well-educated and well-cared for.”

What the Partnership Means for Families

Beginning in Fall 2025, students at all Celina ISD campuses will benefit from:

• Access to Cook Children’s Virtual Health through the school nurse’s office, enabling real-time video visits with pediatric providers.
• In-school diagnosis and treatment for common illnesses such as fevers, earaches, rashes, sore throats and pink eye – minimizing classroom disruptions and parent work absences.
• Seamless communication with primary care providers, prescription support and visit summaries.

This proactive model of care ensures kids stay healthier, in school longer, and connected to both learning and healing. Learn more about Cook Children’s Virtual Health program at Celina ISD here.

Left to right: 

• Tom Maglisceau, Ph.D., Superintendent of Celina ISD
• Starla Martin, Director of Student Services at Celina ISD
• Kevin Greene, President of Cook Children’s Medical Center – Prosper.

"We are pleased to welcome Amy to Cook Children's," said Rick W. Merrill, President and CEO of Cook Children's Health Care System. "Her extensive experience at the national level, coupled with her deep understanding of the unique needs of children's hospitals, will be invaluable as we continue to advance our Promise to improve the health of every child. Amy's passion for collaboration and her strategic vision align perfectly with our values and our aspirations for the future."

This appointment marks an exciting new chapter for Cook Children's, building upon the strong foundation established by her predecessor Keith Holtz, who will be retiring in early 2026.

"I am incredibly grateful to join Cook Children’s and the talented teams here to make meaningful contributions to children’s health care and to each child and family we serve,” Amy shared. “My work has given me an extraordinary opportunity to get to know many children’s health systems, and Cook Children's stands out for its commitment to exceptional care, its truly remarkable culture, and the many opportunities we have to grow as an integrated delivery system serving children."

Amy envisions Cook Children's growth through innovative research, strategic expansions, and leveraging its programs and diverse portfolio to reach and serve more families. She is particularly focused on elevating its national profile by showcasing its exceptional work and collaborative ethos, a key differentiator in health care.

Amy will report to the president and CEO, providing executive leadership for a broad range of areas including strategy; community health; patient, family and team experience; marketing, public relations and communications; human resources, and more. Known as a natural connector, Amy is committed to building strong relationships and fostering teamwork, and she is also a dedicated coach and mentor.

Prior to joining Cook Children's, Amy served as President of the Children's Hospital Association (CHA) based in Washington, DC. Her career also includes more than a decade as a partner in a boutique health care strategy firm and administrative roles in a children’s hospital. Her extensive experience, strategic perspective, and deep-rooted commitment to Cook Children's Promise will be instrumental as the system continues to advance children’s health and health care.

After an extensive search, Cook Children’s chose Dr. Edgington based on his experience and success in leadership, endowment growth, donor engagement and strategic partnerships. He began at Cook Children’s on April 21, taking the fundraising helm for an ambitious $1.25 billion expansion project at Cook Children’s Medical Center – Fort Worth.

“As we embark on the largest fundraising campaign in the history of Cook Children’s, Kyle brings an expertise that makes him an ideal fit for our organization,” said Rick W. Merrill, president and CEO of Cook Children’s Health Care System.

“His skillset and proven leadership will be key to raising the capital campaigns required to expand and enhance our flagship medical center,” Mr. Merrill said. “We look forward to Kyle’s vital impact steering the fundraising effort for this transformative project.”

Dr. Edgington, a Fort Worth native, comes to Cook Children’s after 16 years at the University of Texas at Dallas, where he held multiple teaching and administrative leadership roles. Most recently, as Vice President for Development and Alumni Relations for the university, he oversaw a 110-member team and a $15 million budget. Just a few of his achievements include:

• Spearheading "New Dimensions: The Campaign for UT Dallas," which to date has raised $440 million toward a $750 million goal;
• More than doubling the university’s endowment, now valued at $868 million; and
• Boosting annual gift count by 183% and donor count by 70%.

Dr. Edgington holds a Ph.D. in Public Affairs from The University of Texas at Dallas, an MBA from Wayland Baptist University, and a bachelor’s degree from Texas Tech University. In addition to his professional success, he has a long history of serving children in North Texas as a volunteer. He is a past president for Big Brothers Big Sisters Lone Star Foundation, as well as a head youth basketball coach for Allen Sports Association.

“Philanthropy is one of the oldest and most cherished traditions in health care, and few places embody its spirit more profoundly than Cook Children’s. I am excited to join the organization during such a pivotal season of growth and look forward to the impact our work together will have in the community and beyond,” Edgington said. 

In November 2024, Cook Children’s unveiled a 10-year master plan, including the new West Tower, to help meet pediatric health care needs for the growing population of North Texas.  The West Tower is a 760,000-square-foot expansion on the campus of our flagship medical center in Fort Worth. This project will increase capacity for critical care, cardiology and transitional care. This expansion also creates next level operating rooms with technology and equipment to support advanced programs like orthospine, neurosurgery, cardiothoracic surgery, robotics and more. This tower will be home to leading edge pediatric care, research and innovation demonstrating our commitment to building a healthier future for families in our community and for generations to come.

Sources of financing to build the West Tower will include a mix of operations, bonds and philanthropic support.

“We pledge at Cook Children’s to do everything we can for the health and well-being of the children in our community,” Mr. Merrill said. “Making our Fort Worth medical center bigger and better helps us fulfill that Promise. We’re looking to the future and taking steps to deliver the state-of-the-art facilities that will allow us to continue providing exceptional care for children in our region and beyond.”

In the primary 2024 PGA TOUR season, Hoge led the tour in number of birdies with 314 total. A birdie is a score of one-under par on a hole, meaning you finished the hole in one stroke less than expected. 

Hoge’s birdie campaign, “Birdies for Basic Needs,” benefits Cook Children’s Case Management department. 

The Cook Children's Case Management team plays an integral role in delivering the family-centered care that distinguishes Cook Children's. When a child has an unexpected medical emergency or experiences a prolonged illness, being in the hospital can disrupt the family’s ability to meet their basic needs. Meals, housing, utility bills – those things essential in life – can leave a family vulnerable when faced with unexpected medical bills or costly prescriptions. Being present with a sick child means being away from work – for days, weeks, even months at a time – which can affect a family’s income. This is where Cook Children’s donor-funded Case Management team comes into play by helping to provide for families’ basic needs so they can focus on the healing of their child. 

For the 2025 PGA TOUR season, Hoge encourages others in the corporate and golf communities to participate in the “Birdies for Basic Needs” campaign. Join him in providing basic needs for families by clicking here.

In 2022, Hoge and his wife, Kelly, gave a transformational gift to Cook Children’s, providing the largest single donation to Case Management to date. In 2024, Cook Children’s became an official partner of Hoge. Because both parties are located in Fort Worth and have a passion for excellence and giving back, it seemed a natural fit for a purpose-driven partnership. 

“Beginning the formal partnership with Cook Children’s last year was really exciting. We always wanted to work on a campaign to help drive donations to their important mission” Hoge stated. “After sitting with the team, we created the Birdies for Basic Needs Campaign, where I’ll be supporting the Case Management department of Cook Children’s. I hope you’ll join me in participating in the campaign and following along this season. Together with Cook Children’s, we can give children and their families the support they need during hard times.” 

The report, released today, analyzed data from 108 children’s hospitals and surveyed thousands of pediatric specialists.

The following Cook Children’s specialties were named among the top programs:

·         Pediatric Behavioral Health – Top 50

·         Pediatric Cancer - #37 in the nation

·         Pediatric Cardiology - #37 in the nation 

·         Pediatric Endocrinology - #44 in the nation

·         Pediatric Neurology and Neurosurgery - #45 in the nation

·         Pediatric Orthopedics - #24 in the nation

·         Pediatric Pulmonology - #48 in the nation

This is the first year for U.S. News & World Report to include Pediatric Behavioral Health as “Top 50” programs and Cook Children’s was named to the inaugural list. Other highlights include Cook Children’s Cardiology jumping to #37 and Cook Children’s Orthopedics moving an impressive 16 spots in the rankings, from #40 last year to #24.

“We’re thrilled to see our Pediatric Behavioral Health services recognized on a national level,” said Kia Carter, M.D., co-medical director of Inpatient and Consultation Liaison Psychiatric Services. “Our team's expertise in child and adolescent mental health is unparalleled. These rankings reflect our commitment to providing evidence-based care that empowers young people to thrive.”

U.S. News & World Report evaluated children’s hospitals based on a variety of factors, including quality of care, clinical research programs, services and surgeries performed, patient and family involvement and access to resources, staff dedication, recognition as a Nurse Magnet Hospital, and more.

For Cook Children’s Health Care System as a whole, the rankings highlight longstanding excellence in a variety of areas. 

"It's a tremendous honor to be recognized by U.S. News & World Report once again," said Rick W. Merrill, President and CEO of Cook Children's. "This recognition is a testament to the exceptional work of our doctors, nurses, and staff, who consistently strive to provide the best possible care for every child, every day. Our dedication to our promise and values, combined with our strong culture, sets us apart, and we're proud to be named a top children's hospital."

Acknowledging Cook Children's commitment to patient satisfaction, the 2023 Press Ganey Human Experience Guardian of Excellence Award® places our medical center in the top 5% of health care providers nationwide.

In acknowledging the tireless efforts of all teams involved, Megan Chavez, Vice President of Cook Children's Experience, highlights the dedication that led to this achievement.

"An award of this magnitude is only achieved through the dedicated efforts of our teams," says Chavez. "This is an award for all of our teams. What happens in the hospital is very much informed by what our families experience at the doctor’s office, in the emergency room, urgent cares, at home and through their health plan."

Press Ganey, a global leader in health care experience solutions, collaborates with more than 41,000 health care facilities to enhance overall safety, quality, and experience of care. Patrick T. Ryan, CEO, and chairman at Press Ganey highlights Cook Children's as a "top-performing leader in health care," emphasizing our commitment to delivering exceptional patient care.

Meanwhile, the AACN's Silver Beacon Award for Excellence recognizes Cook Children's PICU for its effective approach to policies, procedures, and processes, including strong engagement of staff and key stakeholders.

Terry Davis, President of AACN, commends the exemplary efforts of PICU caregivers for consistently exceeding the high standards set forth by the Beacon Award for Excellence.

“These dedicated health care professionals join other members of the exceptional community of nurses who set the standard for optimal patient care,” Davis said. “The Beacon Award for Excellence recognizes caregivers in stellar units whose consistent and systematic approach to evidence-based care optimizes patient outcomes. Units that receive this national recognition serve as role models to others on their journey to excellent patient and family care.”

“At Cook Children's Medical Center, we strive to provide excellent patient care and the silver-level Beacon Award reflects our commitment to strong leadership, staff engagement, effective communication, using evidence-based practices, and demonstrating quality outcomes,” said Cheryl Petersen, Senior Vice President and Chief Nursing Officer at Cook Children’s. “These are all part of our Promise to improve the well-being of every child we care for and in the communities we serve.”

The combined acknowledgment from Press Ganey and AACN further underscores Cook Children's unwavering dedication to delivering exceptional health care experiences. In alignment with our guiding Promise, we solidify our position as a leader in patient care, ensuring that every child's life is treated as sacred and improved through our compassionate and innovative approach.

About Press Ganey: Press Ganey, the leading Human Experience (HX) healthcare performance improvement company, offers an integrated suite of solutions that address safety, clinical excellence, patient experience and workforce engagement. The company works with more than 41,000 healthcare facilities in its mission to reduce patient suffering and enhance caregiver resilience to improve the overall safety, quality and experience of care. Press Ganey is a PG Forsta company.

About the Beacon Award for Excellence: Established in 2003, the Beacon Award for Excellence offers a road map to help guide exceptional care through improved outcomes and greater overall patient satisfaction. U.S. and Canadian units where patients receive their principal nursing care after hospital admission qualify for this excellence award. Units that receive the Beacon Award for Excellence meet criteria in six categories: leadership structures and systems; appropriate staffing and staff engagement; effective communication, knowledge management, and learning and development; evidence-based practice and processes; and outcome measurement. To learn more, visit www.aacn.org/beacon or call 800-899-2226.

About the American Association of Critical-Care Nurses: Founded in 1969 and based in Aliso Viejo, California, the American Association of Critical-Care Nurses (AACN) is the largest specialty nursing organization in the world. AACN represents the interests of more than half a million acute and critical care nurses and includes more than 200 chapters in the United States. The organization’s vision is to create a healthcare system driven by the needs of patients and their families in which acute and critical care nurses make their optimal contribution. To learn more about AACN, visit www.aacn.org, connect with the organization on Facebook at www.facebook.com/aacnface or follow AACN on Twitter at www.twitter.com/aacnme.

Best Children’s Hospitals list for 2023-2024.

The report, which was released today, uses clinical data to measure patient safety, infection prevention and adequacy of nurse staffing. Out of 284 children’s hospitals in the U.S., only 90 ranked in at least one of the 10 pediatric specialties evaluated. The following Cook Children’s specialties were named among the top programs:

• Pediatric Cancer - #30 in the nation
• Pediatric Diabetes and Endocrinology - #31 in the nation
• Pediatric Neurology and Neurosurgery - #36 in the nation
• Pediatric Orthopedics - #40 in the nation
• Pediatric Pulmonology and Lung Surgery - #48 in the nation

Cook Children's Hematology and Oncology program jumped an impressive 20 spots in the rankings, from #50 in 2022-2023 to #30 in 2023-2024.

 “We are focused every day to improve the lives of the patients we serve and enrich the care of children all over the world. We do this by providing innovative care and contributing to the science of future cancer therapies,” said Donald Beam, M.D., medical director of Hematology and Oncology. “We will continue to strive to improve every day, growing beyond what we are and stepping to the future.”

For Cook Children's Health Care System as a whole, the rankings demonstrate a longstanding commitment to excellence in pediatric care.  

"For more than 105 years, Cook Children's has been committed to improving the well-being of every child in our care. We are honored to see our mission validated yet again by U.S. News and World Report,” said Rick W. Merrill, President and CEO of Cook Children’s Health Care System. “With our newest medical center in Prosper now open, we look forward to making an impact in the lives of even more children and families.” 

Cook Children’s also ranked #3 in Texas and #4 in the Southwest on the U.S. News and World Report “Best Regional Hospitals” list. 

 “Surgical resection of the brain area where these functional networks are localized offers higher chances of seizure freedom than conventional methods,” said Dr. Papadelis, director of Neuroscience Research at Cook Children’s. “This novel method has the potential to improve the outcome of children with epilepsy, particularly those who were previously ineligible for neurosurgery due to the absence of abnormal activity in their electrophysiological conventional diagnostic tests.”

 One out of every 100 children in the U.S. suffers from epilepsy, a severe brain disease that causes frequent and unprovoked seizures. Anti-seizure drugs can control seizures in most cases, but they fail in 30% of children suffering from epilepsy. Children with uncontrolled seizures are at increased risk for poor long-term intellectual and psychological outcomes and poor health-related quality of life. For these children, brain surgery is the best available treatment since it offers high chances of seizure freedom.

 This study is funded by the National Institute of Neurological Disorders and Stroke and is in collaboration with the Boston Children’s Hospital, Massachusetts General Hospital and Harvard Medical School. Ludovica Corona, a Ph.D. student of Bioengineering at the University of Texas at Arlington, serves as first author in this scientific paper.

Coming Soon

The Jane and John Justin Institute for Mind Health at Cook Children’s, opening in October 2023, is bringing together nine specialties under one roof. Pediatric specialists in neurological, developmental and behavioral health are changing the way we deliver health care. Together, we’re healing minds and bodies and sharing smiles that warm the soul and connecting care for kids unlike anyone else.

 About Cook Children’s

Cook Children’s is more than a health care system: we strive to be an extension of your family, growing with your child from their first steps to adulthood. By collaborating to deliver on our Promise—to improve the well-being of every child in our care and our communities, we connect the dots for our patients. Between primary and specialty. Between home and medical home. Between short-term care and long-term health.

Based in Fort Worth, Texas, we’re 8,000+ dedicated team members strong, passionately caring for over 1.5 million patient encounters each year. Our integrated, not-for-profit organization spans two medical centers (including our new, state-of-the-art location in Prosper), two surgery centers, a physician network, home health services and a health plan. It also includes Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. 

And our impact extends beyond the borders of Texas. We proudly treat children from virtually every state in the nation and 32 countries. By seeing the world through the eyes of children and their families from all backgrounds, we’re able to shape health care suited to them: connected by kindness, imagination and respect—with an extra dose of magical wonder.

Discover more at cookchildrens.org.

Cook Children’s reports its pediatric attempted suicide cases have increased about 104% from 2015 to 2020. In 2020, there were 294 attempted suicide cases at Cook Children’s. As of August 2021, there have already been 293 attempted suicides, with four months of the year remaining. Cook Children’s has had 27 patients admitted to the medical center between January and August 2021 for opioid ingestions and overdoses. Without proper education and prevention strategies, these numbers are expected to grow.

“Before COVID, we saw misuse of nonprescription drugs by kids,” said Dr. Stacey VanVliet, M.D., pediatric hospitalist at Cook Children’s. “With the pandemic, we’ve seen the rates go up even higher than before. These things are common and easy to get a hold of, and I think that's what leads to the frequency and overuse — the easy access part.”

Dr. VanVliet addressed the connection to mental health: “Kids are under a lot of stress as it is, particularly entering the high school years, dealing with things like social media and balancing all of the pressure of high achievement. So it leads to some of these decisions that get made in the heat of the moment — whether that’s a moment of disappointment, sadness, or stress. I tend to see a lot of teenagers reach for these medicines when these things happen rather than using coping skills or different ways to process.”

Unfortunately, this issue is not exclusive to Cook Children’s. According to a Pediatrics study, symptoms of depression, anxiety, and risk of suicide among children and adolescents have increased over the course of the pandemic. The Children’s Hospital Association (CHA) reports in the first two quarters of 2021 as compared to that of 2019, children’s hospitals have experienced a 14% increase in mental health emergencies for children ages 5–17. In this same time period, children’s hospitals saw a 45% increase of self-harm and suicide in children ages 5–17 as compared to 2019.

However, there is hope for a brighter tomorrow, as children’s hospitals across the nation and Cook Children’s have created extensive resources for children, families, and communities at large to join the mental health and wellness movement. CHA’s national advocacy community, Speak Now for Kids, raises awareness of health care system challenges relating to children’s mental health. It educates the public on these unique issues and pushes for legislation change. Cook Children’s JOY Campaign is a suicide prevention initiative aiming to foster resilience, provide resources to struggling families, and encourage children that there is hope today for joy tomorrow.

Cook Children’s and its JOY Campaign represent one example of a regional hospital providing resources for families to participate in National Prescription Drug Take Back Day. The hospital works in conjunction with Fort Worth organizations like Safe Kids North Texas and the Elizabeth Harris Foundation to provide medication lock boxes. These allow families to safely conceal or dispose of their unused drugs at home.

Dana Walraven, child safety manager for Safe Kids North Texas, says they purchase these boxes with their injury prevention budget, which is part of the $100 million in total community benefits that Cook Children’s provides annually.

“The boxes are a tool to help reduce child access to medications in the home. The Jordan Elizabeth Harris Foundation is a new partner of our Safe Kids North Texas Coalition, and we work together toward a common goal. In fact, we actually provided lock boxes to them for educational events they were organizing,” Walraven stated.

The American Psychiatric Association reports that 53% of adults with children say they are concerned about their children’s mental health. Resources like Collection Site Locators and medication lock boxes provide parents with active prevention strategies to avoid child opioid misuse or overdose.

Dr. VanVliet shared that open communication is the best suicide prevention strategy: “I always encourage the teenagers and their parents to be in regular communication, have a family dinner if you can, talk about the great things in your life, and talk about what’s not going so great. Try to do some action planning, asking if this becomes too much to handle, what do we do next?”

Locking up prescription drugs now may unlock an opportunity for open conversations later, says Dr. VanVliet, and that can lead to healthier communities for everyone.

“This topping out ceremony is a symbolic moment of the progress we have made thus far on our new health care campus in the Town of Prosper. Serving families across Collin and Denton counties and beyond, our new medical center is designed with the child in mind,” said Rick W. Merrill, president and CEO of Cook Children’s. “When families enter these doors they can expect an experience that’s completely centered around them. The care that will happen inside and outside these walls will be done with great care and compassion, keeping in mind every need of the child.”

The new inpatient pediatric hospital, of which the final beam was just placed, will open in phases. Phase I will include a 10-bed emergency room with capacity to grow to 22 rooms as needed. The pediatric intensive care unit will have 10 beds and there will be 14 medical/surgical beds. The hospital will also have four operating rooms, three procedure rooms, an infusion center, pharmacy and lab. In addition, Cook Children’s Teddy Bear Transport will provide medical transport services.

“The topping out event marks a major milestone in our Promise to improve the health of every child,” said Kevin Greene, assistant vice president and administrator of Cook Children’s – Prosper. “Through our comprehensive network of urgent care, primary care and specialty care clinics, our Cook Children’s team has already seen more than 160,000 patient visits in the northern region since opening our doors in October 2019. Come December 2022, Cook Children’s Medical Center - Prosper will be the next chapter in our commitment to bring world-class pediatric care close to home for so many of our patients and families.”

Because Cook Children’s offers so many different services, families don’t have to worry about keeping track of medical records. Our integrated system allows physicians from across the network to access patient records, and even pick up the phone and consult with one another to determine what is best for the patient. Telehealth appointments are another convenient feature offered at the new campus. Using the latest telehealth technology, video equipment and a 65-inch TV, patients at the Prosper campus are able to be seen by their physicians at Cook Children’s in Fort Worth.

Specialty services currently available at Cook Children’s – Prosper include:

• Cardiology
• Ear, Nose and Throat
• Endocrinology
• Gastroenterology
• Hematology and Oncology 
• Nephrology
• Neurology and neurosurgery 
• Pediatric surgery 
• Pulmonology
• Sports Medicine 
• Urology 
• Psychology 

Cook Children’s will be hiring more than 120 positions for the Prosper medical center, which is expected to open in December 2022.

**You may be wondering why a tree adorned the final beam. The tree is a symbol that signifies construction has reached the sky without the loss of life or injury and is good luck for the future inhabitants of the building. 

Luke Waggoner’s epileptic seizures were getting worse, striking multiple times a day sometimes in back-to-back clusters that sent him to the hospital.

The seizures caused the 13-year-old Arlington boy to jerk or jump uncontrollably. He might fall backward so forcefully that he’d bruise. Other seizures left Luke mute, confused and unresponsive.

Luke has Lennox-Gastaut syndrome, a rare type of difficult-to-control epilepsy. His seizures are medically refractory, having failed many medications and other non-pharmacological treatments. Even with five different medications taken multiple times daily, Luke was still having breakthrough seizures, the erratic misfires between neurons in his brain. These seizures often resulted in trips to the emergency room and frequent admissions to the hospital. The medications and frequent seizures also make it hard for him to think and speak clearly.

In the midst of the setbacks came a new treatment option: deep brain stimulation (DBS), a surgical therapy that utilizes electrodes, wires and a generator to modulate the brain’s abnormal electrical impulses. The movement disorders team at Cook Children’s has been utilizing DBS for dystonia since 2007 in children as young as 7 years of age. DBS was recently approved by the U.S. Food and Drug Administration (FDA) for adult patients with Lennox-Gastaut syndrome.

Luke was facing the prospect of undergoing a corpus callosotomy for his epilepsy. This irreversible neurosurgical procedure permanently severs most of the connections between the two halves of the brain to prevent drop seizures, the most dangerous and disabling seizures often seen in Lennox-Gastaut syndrome. Based on extensive experience with pediatric DBS, the movement disorders and epilepsy teams collaborated with Luke’s family about the potential to offer DBS to Luke as an alternative to callosotomy. If the DBS did not work, callosotomy remained an option.

After much discussion and planning, the decision was made to implant temporary electrodes in two sites on each side of Luke’s brain to assess the impact on his seizures and potential unwanted effects. In April 2021, Luke had the temporary leads implanted. After several days of continuous monitoring on the specialized epilepsy unit trying different stimulation settings, the sites for permanent leads were chosen in consultation with Luke and his family. A detailed proposal including the data from the trial was used to get insurance approval for the placement of DBS.

Then in a two-part landmark surgery at Cook Children’s – on July 8, when electrodes were implanted in his thalamus; and on July 14, when wires were placed through his neck to the generator in his abdomen – Luke became the first pediatric patient in North Texas to undergo DBS for intractable epilepsy since the FDA approved the treatment. He also became the first child in the United States to receive the newly approved sensing lead technology DBS system for epilepsy.

“Deciding to do the DBS and for Luke to be the first pediatric patient at Cook Children’s for epilepsy was a very difficult decision, and we did not take it lightly,” said his mom, Ami Waggoner. “We just knew we had to do something to try to help him.”

Cynthia Keator, M.D., medical director of the Epilepsy Monitoring Unit at Cook Children’s, expressed optimism about the potential to mitigate Luke’s seizures for years ahead. Other desired outcomes from the ongoing brain stimulation? Better cognitive function, fewer meds, greater independence and a more normal lifestyle.

“Our hope is that not only will this immediately start to show improvement in his seizures, but give him a chance to have a better quality of life, to be able to go back to school in person, to be able to go outside and not worry about falling down or having a seizure, and to be able to taper off of some of his medications,” Dr. Keator said.

Since 2007, the Jane and John Justin Neurosciences Center at Cook Children’s has established a record of excellence in deep brain stimulation, providing the surgical therapy to almost 150 patients with a movement disorder called dystonia, currently FDA-approved for pediatrics. Luke is a pioneer in DBS because of his underlying condition … epilepsy rather than dystonia.

Ami and Tim Waggoner said their son already has made big strides since his two DBS surgeries in July. His seizure count is down from the pre-surgery norm of five to 10 per day, she said, and the seizures that still occur aren’t the dangerous variety that requires additional “rescue” medications. Luke is able to read, play with Legos and his beloved trains, and go for short trips in the car. He started weaning off one of the drugs he takes. They are amazed at the change.

“You can just look in his eyes and see he’s more with it,’’ Ami said. “This is all really, really exciting. He knows he’s feeling better.” And from Tim: “I’m seeing more energy, fewer seizures, clearer speech and he is able to do more! It is just amazing the difference in just over a month since turning on the generator.” 

Let’s take a closer look at epilepsy facts, the precision involved in deep brain stimulation, and the route Luke took to becoming the first patient to undergo this new treatment for childhood epilepsy.

Epilepsy explained

The U.S. Centers for Disease Control and Prevention estimates that 3.4 million people nationwide have epilepsy, including 470,000 children. There is no cure and often no identifiable cause. Epilepsy is a chronic disorder that results from sudden intense bursts of electrical activity in the brain, manifesting a range of seizure types.

Someone who’s having a seizure might collapse, twitch or spasm, stiffen, blink rapidly, stare blankly, or lose consciousness depending on the type. Medication successfully controls the seizures in up to 80% of children with epilepsy.

Luke was diagnosed at age 5 with generalized epilepsy, which affects both hemispheres of his brain. Big sister Lexi didn’t know what was happening when she witnessed the first seizure.

“He couldn't hear me. And he started walking in a circle and then he just fell over and turned blue. Seeing that freaked me out,” Lexi remembered. “The first few years were really hard for me to understand and get used to it. But now it's to the point where it's just a part of our everyday lives.”

Medications helped at first, his mom said, but the seizures started getting more dangerous and debilitating about three years ago. Ami, who is a nurse, could administer the rescue medications at home when the seizures got especially bad. But even then, about twice a month Luke required hospitalization and intravenous therapies to stop the back-to-back clusters.

Dr. Keator said electroencephalography on Luke found the two distinct patterns of brain waves indicative of Lennox-Gastaut syndrome, (slow spike-and-wave complex and generalized paroxysmal fast activity). A vagus nerve stimulator, which uses a pacemaker-like device implanted in his chest, worked for a while for Luke, but the seizures and hospital stays kept recurring.

Game-changer potential

Warren Marks, M.D., director of the Movement Disorders Program at Cook Children’s, visited Luke’s hospital room in February 2021. Dr. Marks mentioned the prospect of deep brain stimulation, which had been approved by the FDA since 2018 for adults with epilepsy. Cook Children’s anticipated that the FDA’s green light for DBS in epileptic children was on the horizon, and Luke seemed like an ideal candidate.

“Dr. Marks just really believed he could help Luke. He gave us a spark of hope,” Ami recounted. “We were on board from the beginning because of the trust I have in the physicians and Luke’s neurology team. They're just amazing. They have never, ever given up.”

Dr. Marks explained that DBS sends small electrical impulses to targeted areas of the brain to alter the abnormal movements seen in dystonia as well as tremors and Parkinson’s disease. Results were encouraging in the almost 150 dystonia patients who underwent DBS in the past 14 years at Cook Children’s. Dr. Marks thought the therapy held promise for epilepsy patients too.

Collaboration between the Cook Children’s movement disorders and epilepsy teams had already been underway to adapt technology and share expertise, Dr. Marks said. The next step was a weeklong trial in April to gather data on Luke’s tolerance for different electrical amplitudes. And the doctors needed to know exactly where to implant the DBS devices.

“We recorded and stimulated different places in the brain to decide which seemed to be beneficial, but also which didn’t cause him unwanted side effects,” Dr. Marks said. “When you stimulate the brain in these areas, sometimes you get thing that you don’t want. We were trying to find one target that would give us the best chance of success.”

Not only did the April testing phase produce essential data, but during that practice run Luke spoke more clearly and felt better than he had in years, his mom said. So DBS was scheduled for July. John Honeycutt, M.D., medical director of Neurosurgery at Cook Children’s, is the surgeon who implanted several electrodes bilaterally in the centromedian nucleus of Luke’s thalamus, the relay center for transmitting signals in the brain.

The DBS system consists of three main components:

• Leads (pronounced “leeds”) – tiny electrodes embedded deep in the brain to deliver the electricity directly to the target area. They’re held in place by caps screwed into the skull.
• Generator – a mini-computer under the skin of the chest (the abdomen, in Luke’s case). Wires run through the neck to connect leads to a generator. In some cases, the battery is rechargeable.
• Programmer – a tablet that talks to the generator, regulating the strength and frequency of electrical impulses per second. Settings can be adjusted based on the patient’s response via Bluetooth connection.

Dr. Marks described DBS as flexible, specific and less invasive than other surgical approaches. Primary candidates are the patients like Luke whose seizures originate in both halves of the brain. “This has the potential to be an absolute game-changer,” Dr. Marks said. “It’s essentially like delivering medication without all the medication side effects. That’s one way to think about this. We are directly targeting the area of interest without bathing the rest of the brain with unwanted chemicals.”

The mechanism of action of a DBS in epilepsy is not fully understood. Scientific studies have supported that certain thalamic nuclei of the brain, specifically the centromedian nuclei, are generators of the slow spike-and-wave complex and paroxysmal generalized fast activity seen in patients with Lennox-Gastaut syndrome. Studies have shown favorable seizure reduction over time possibly through modulation of network excitability through stimulation of the centromedian nucleus of the thalamus. 

Doctors will continue to monitor Luke and adjust his settings as needed. Dr. Keator hailed Luke’s patience, good humor and cooperative attitude. He considers the medical team at Cook Children’s his best friends and ploy for pranks. “He’s just a trooper, and he lets us try new things with him, which we appreciate,” Dr. Keator said. “He’s just ready to get his life going, and he’s motivated. And that makes our job a lot easier.”

Luke said having epilepsy “can be a little tough at times.” He’s glad for all the care he received at Cook Children’s and the chance to potentially pave the way for DBS in other children who have seizures. “And I hope I get better so I can go on beach vacations and go places to ride lots of trains,” he said.

His parents look forward to the possibility of Luke’s epilepsy improving to the point that he can go to school, sleep over at a friend’s house, or travel without having a seizure. They are cautiously optimistic that deep brain stimulation will provide long-term relief for Luke and other children with epilepsy. And they hold out hope that this latest twist in Luke’s journey can blaze a trail for wider options in epilepsy care.

“I prayed a lot about it. I believe a lot of things happen for a reason. I think Luke is here to show us a story, to teach us something, to show us how brave he is,” Ami said. “His attitude the whole time has been basically ‘I just want to do this to help other kids.’”

Cook Children’s Medical Center has something to smile about these days.

Despite the toll of a lengthy pandemic, the hospital system hit two milestones since the inception of its Save a Smile program—it reached a 100,000-oral-screenings mark at the end of the 2020-21 school year in August, as well as tallied more than $10 million in value dentistry completed by private practice dentists who volunteered their services.

“It’s huge! I’m so proud we hit these milestones in such a difficult year,” says Tonya Fuqua, DDS, director of Child Oral Health at Cook Children’s. “And then to know that we were the only ones who went the extra mile to make things really happen (in oral screenings) and we didn’t give up.”

Instead of shutting down during the pandemic, the team suited up in personal protective equipment (PPE), created new safety protocol and procedures with the help of Cook Children’s infectious disease specialists, and took every precaution to safely enter schools, conduct screenings and treat children in need of oral health care.

“We were going to be at dental screenings where kids’ mouths would be open, so all of a sudden, it was like, ‘We have to rethink how we do this and do it safely,’” Dr. Fuqua says.

Other similar programs within the state paused operations during the pandemic, Dr. Fuqua says, but Save a Smile was boosted by “the generosity and quick thinking of a lot of people within our system,” including Cook Children’s leadership, infectious disease team, Children’s Oral Health Coalition, The Center for Children’s Health and legal department. The program also received funding for two new vans, which allowed the Save a Smile community health workers to offer free and safe transport for patients (and their accompanying parents) to dentists’ offices when needed for treatment.

“It took all of us together to make this happen…knowing we were going to do this effectively and safely for all—not just for our team, but for the kids and families and the schools’ staff, as well,” Dr. Fuqua says.

And our volunteer dentists didn’t say no either, she says. About 100 area dentists participate in Save a Smile, including Dr. Fuqua, who is in private practice while overseeing the program on a part-time basis.

“The dentists could have said, ‘It’s too scary out there right now…we’re not going into schools. Or my practice was impacted, and I’m not going to do free dentistry.’ But they didn’t do that. They didn’t tell us no,” Dr. Fuqua says. “I’ve always thought, ‘Wow. These dentists already do so much’—but to do it through a pandemic? It just makes me that much more proud to know they really feel there’s a need and that our program is worthy. That the kids are deserving of the treatment.”

The school-based, grassroots program has been part of the Promise that’s guided Cook Children’s Medical Center’s efforts to connect children in our communities with the care they need, says Chris Pedigo, senior vice president for System Planning, Health Analytics and The Center for Children’s Health.

“We’re beyond proud of the work Save a Smile has done in addressing the oral health of our children, especially during challenging times,” Pedigo says. “It’s fulfilling our Promise to the families we serve, and it’s what sets Cook Children’s apart.”

Save a Smile, which began in 2003, targets 21 elementary schools that are Title I schools (where at least 80% of the student body receive free and reduced-cost lunches) in Tarrant County. The schools are in Fort Worth, HEB and Keller school districts, respectively. Throughout the school year, the program’s team screens students to determine the level of urgency for immediate and potential oral health needs.

The program’s community health workers also help families determine if they are eligible for oral health care under Medicaid or CHIP coverage and get them connected to an appropriate provider. Students’ families who may not be eligible for those programs—but still can’t afford the cost of oral health care—are helped through Save a Smile.

The coordinated care and social service component of the program is the key element, Dr. Fuqua says, to ensuring children receive the dental care they most desperately need to be happy, healthy and productive in school.

“This is not a decision our administrative team takes lightly,” said Stan Davis, Chief Operating Officer at Cook Children’s Health Care System. “Elective surgeries are not synonymous with cosmetic or unnecessary procedures. These are children who require surgical intervention to improve their health and wellbeing. We are doing everything in our power to ensure every child who needs us is taken care of.”

In addition to rescheduling elective surgeries, we are having to divert patients away from Cook Children’s when beds are not available. This does not just affect children with COVID-19, but kids with all sorts of medical issues from traumatic accidents to new diagnoses. new onset diabetic ketoacidosis. Children’s hospitals across the state are experiencing a similar situation. To do our part, Cook Children’s is also taking patients from other regions whenever possible.

“It’s unfortunate that we are physically unable to care for all of the children who need us right now. If we have to divert a patient away from Cook Children’s, we ensure we find them an appropriate facility, though that may be several hours away from home or even in another state,” said Cheryl Petersen, Chief Nursing Officer at Cook Children’s.

Right now, we’re asking for patience and understanding as we work to handle the burden COVID-19 is weighing on our health care system. But we need your help. Please get the COVID-19 vaccine for yourself and all eligible children. It is safe and effective. In fact, half of the COVID-19 patients we have treated since the vaccine was approved for children 12 and up have been unvaccinated teenagers. To date, we have not treated a single vaccinated patient for severe COVID-19.

Here are some other steps you can take to help us slow the spread of this virus:

• Send your child to school in a mask. Ask them to keep it on at all times unless outside or eating.
• All children in school over age 2 should be masking indoors. School districts should strive for universal masking right now.
• Quarantine all children who come in contact with a COVID+ child if unmasked and for longer than 15 minutes indoors.
• Please keep your sick children home from school.
• Postpone indoor gatherings.
• If you have to gather, go outside.
• Limit the number of people who can attend sporting or theatrical events at schools so there can be spacing between families.
• Stay at least six feet away from others outside of your immediate family.

For 103 years, our community has supported Cook Children’s to ensure the children in our care have the very best medical treatment. We need your support now more than ever. There is no way out of this dark time without your help.

“This is an incredible achievement and demonstrates our unwavering commitment to providing the very best service to our more than 160,000 members,” said Karen Love, president of Cook Children’s Health Plan. “This recognition from NCQA distinguishes us as a premier provider with the continuous goal of keeping our members engaged in improving their health.”

In order to receive NCQA accreditation, health plans must support care that keeps members at optimum levels of health while also controlling costs and meeting government and purchaser requirements. NCQA standards are a roadmap for improvement—organizations use them to perform a gap analysis and align improvement activities with areas that are most important to states and employers, such as network adequacy and consumer protection.

Standards evaluate plans on:

• Quality Management and Improvement.
• Population Health Management.
• Network Management.
• Utilization Management.
• Credentialing and Recredentialing.
• Members’ Rights and Responsibilities.
• Member Connections.
• Medicaid Benefits and Services.

NCQA standards also provide a framework for improving key health plan performance in care coordination, access and member connections, availability of health resources such as wellness services and self-management tools for chronic disease management. NCQA is the most widely-recognized accreditation program in the United States and most comprehensive evaluation in the industry.

About Cook Children’s

Cook Children’s Health Care System embraces an inspiring Promise – to improve the health of every child through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.

Our not-for-profit organization encompasses nine companies – a medical center, two surgery centers, a physician network, home health services and a health plan. It also includes Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet their unique needs.

We’ve worked to improve the health of children from across our primary service area of Denton, Hood, Johnson, Parker, Tarrant and Wise counties for more than 100 years. Based on the exceptional care we provide, patients travel to Cook Children’s from around the country and the globe to receive life-saving pediatric care built on leading technology, extraordinary collaboration and the art of caring.

For more information, visit cookchildrens.org and cookchp.org.

The new minimum wage takes effect on Oct. 10 and directly impacts approximately 630 employees. This is the second time Cook Children’s has increased its base pay in the past 18 months. In February of 2020, the health care system moved the minimum wage to $13.25 from $11 per hour.

“Our employees are the reason Cook Children’s is such a trusted and beloved organization. Day in and day out, they put their commitment to our Promise above themselves and do whatever it takes to ensure our patients and their families receive the best care possible,” said Rick W. Merrill, president and CEO of Cook Children’s. “This is one of the many ways we aim to recognize their hard work and sacrifices.”

“We’re excited to be able to once again raise our minimum wage,” said Keith Holtz, Chief Administrative Officer. “This decision demonstrates our commitment to attracting top talent, providing a stronger living wage and remaining an employer of choice, as well as a leader in fair and equitable compensation.”

In addition to competitive pay, Cook Children’s also offers the following benefits:

• Robust benefits package (medical, dental, vision, disability coverages and more)
• Opportunity to work in a supportive culture and make a difference in the lives of patients and families
• Access to Occupational Health physicians for treatment of certain work-related conditions at no cost to the employee
• Wellness program including complimentary fitness center and access to CareATC locations for primary care and sick visits
• Employee Assistance Program (EAP)
• Excellent retirement savings plan and company matching
• PTO sellback
• Professional development opportunities
• Tuition assistance
• Employee discounts at the Camelot Court, on-campus retail pharmacy, Mirror Mirror Hair & Nail Salon, Build-a-Bear Workshop, and Enchanted Castle Gift Shop
• Advancement opportunities

About Cook Children’s

Cook Children’s Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.

Our not-for-profit organization encompasses nine companies – a medical center, two surgery centers, a physician network, home health services and a health plan. It also includes Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet their unique needs.

We’ve worked to improve the health of children from across our primary service area of Denton, Hood, Johnson, Parker, Tarrant and Wise counties for more than 100 years. Based on the exceptional care we provide, patients travel to Cook Children’s from around the country and the globe to receive life-saving pediatric care built on leading technology, extraordinary collaboration and the art of caring.

For more information, visit cookchildrens.org.

In an email to more than 8,000 Cook Children’s employees, President and CEO Rick W. Merrill attributed the decision to the increasing rates of COVID-19 in Tarrant County. Public health officials in the region say community spread of the virus is once again considered ‘high’ due to the surging delta variant.

“The delta variant is very contagious and many of our patients are vulnerable to COVID-19 because they can’t get vaccinated at this time,” said Merrill. “I personally received the vaccine in December, as did more than 95% of our physicians and two thirds of our employees. Given how close we are to critically-ill children, we know this is the right decision for our system and ultimately our patients.”

The number of COVID-19 cases among patients at Cook Children’s has increased dramatically over the past few weeks. There are currently 24 children being treated at Cook Children’s Medical Center for COVID-19. The rate of positive cases seen across the health care system over the past week is now 11.3%. On June 2, that rate was 1%.

With the mandate in place, Cook Children’s joins several hospital systems in Dallas-Fort Worth and dozens of health care institutions across the U.S. requiring COVID-19 vaccination for its workforce. Such mandates regarding the COVID-19 vaccine and health care workers are supported by organizations such as the Children’s Hospital Association, American Hospital Association, American Nursing Association, American Medical Association and Texas Nurses Association.

About Cook Children’s

Cook Children’s Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.

Our not-for-profit organization encompasses nine companies – a medical center, two surgery centers, a physician network, home health services and a health plan. It also includes Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet their unique needs.

We’ve worked to improve the health of children from across our primary service area of Denton, Hood, Johnson, Parker, Tarrant and Wise counties for more than 100 years. Based on the exceptional care we provide, patients travel to Cook Children’s from around the country and the globe to receive life-saving pediatric care built on leading technology, extraordinary collaboration and the art of caring.

For more information, visit cookchildrens.org.

Eric Hubli, M.D., FACS, FAAP, is officially the first person to hold the title ‘Surgeon-in-Chief’ at Cook Children’s Health Care System. In his new role, Dr. Hubli will act as the presiding administrative leader over all surgery and procedure-related matters. Dr. Hubli leads the Pediatric Plastic Surgery program, specializing in craniofacial and cleft surgery, at the health care system. Since joining Cook Children’s in 2008, he has also served in administrative roles facilitating innovation and process improvement initiatives. In addition, Dr. Hubli spearheaded efforts to verify Cook Children’s as the first Level I Children’s Surgery Center in North Texas. The certification is sponsored by the American College of Surgeons.

“Dr. Hubli is a service-driven leader who has a demonstrated commitment to our mission, as well as in-depth knowledge and experience in the operating room,” said Rick W. Merrill, president and CEO of Cook Children’s. “Having a Surgeon-in-Chief will allow Cook Children’s to further open the line of communication and identify opportunities for surgical advancement, ultimately leading to an even better experience for our patients and their families.”

Dr. Hubli has more than 30 years of experience as a surgeon. He received his medical degree from Tufts University School of Medicine and later obtained a master’s degree in Health Care Management from Harvard University. He is also a father who knows what it’s like to have a child in the hospital.

“I know firsthand, from when my own son spent time here, that Cook Children’s provides stellar treatment and service from all levels and in all corners of the hospital,” Dr. Hubli said. “My son, like every patient that comes to us, expected the most up-to-date interventions. What he received went a step beyond, in that he was truly cared for. I’m hopeful more people will learn about the incredible legacy of excellence we have here.”

Dr. Hubli has also served in roles at The Lahey Clinic, Brigham and Women's Hospital, Boston Children's Hospital, Boston University and Boston City Hospitals.

Hyperinsulinism is a rare genetic disease in which the pancreas produces too much insulin, driving blood sugar levels dangerously low and depriving the brain of important fuels it needs to function. It affects about 1 in 20,000 to 30,000 newborn babies each year.

"The treatment of congenital hyperinsulinism is very complex," said Paul Thornton, M.D., medical director of Cook Children's Hyperinsulinism Center. "It's really important that patients with rare diseases have access to multidisciplinary teams such as are at Cook Children's Hyperinsulinism Center where the approach and the experience of the team members caring for these patients results in better outcomes with shorter lengths of stay, getting the patient's home to their families as fast as possible."

The Centers of Excellence designation comes on the heels of Cook Children’s Hyperinsulinism Center’s 10^th anniversary, which was celebrated in November 2020. Dr. Thornton built and leads the program at Cook Children’s, which includes a team of physicians specialized in endocrinology, pediatric surgery, neonatology, neurology, gastroenterology, pathology and radiology. The team is supported by a dedicated CHI nurse practitioner, social worker, clinical therapist, child life specialist, nutritionist and feeding and speech therapists.

“There are some superb institutions known for providing excellent HI care and participating in groundbreaking research, yet until now there has not been a review process or certificate awarded to these institutions for the care of those with HI,” said Julie Raskin, executive director of Congenital Hyperinsulinism International.

The awarded centers are:

• Hyperinsulinism Center at Cook Children’s Medical Center in Fort Worth, Texas
• Congenital Hyperinsulinism Center at the Children's Hospital of Philadelphia, PA
• Great Ormond Street Hospital Congenital Hyperinsulinism Service in London, in the United Kingdom
• Charite-Universitatsmedizin Berlin and the University Children's Hospital Duesseldorf partnership in Germany
• Collaborative Alliance on Congenital Hyperinsulinism headquartered in Magdeburg, Germany
• Northern Congenital Hyperinsulinism Service in Manchester and Liverpool, in the United Kingdom

Cook Children’s Health Care System is among 33 hospitals in the world to receive the coveted Lantern Award from the Emergency Nurses Association (ENA). The group recognized Cook Children’s Emergency Department (ED) for demonstrating exceptional and innovative performance through leadership, practices, education, advocacy and research. The award is given to health care institutions both in the U.S. and internationally, and is a visible symbol of commitment to quality, safety and a healthy work environment.

“Despite dealing with the challenges of the COVID-19 pandemic, our emergency department leadership carved out time to showcase the preeminent and pioneering work their teams are doing each day,” said Rick W. Merrill, president and CEO of Cook Children’s. “This uniquely special award is a testament to this team’s daily commitment to excellence; and on behalf of our entire leadership team, we are extremely proud of this accomplishment.”

Some of the key initiatives that helped Cook Children’s win the Lantern Award include:

• Implementation of a sepsis-screening process
• Suicide-risk assessments for all ED patients over the age of 10
• Enactment of a COVID-19 command center response team
• Routine disaster drills, including participation in community exercises
• Critical stress management training to help build resiliency for ED staff before and after stressful events
• Improvements in the blood culture process

“We’re proud to have an emergency department staffed with nurses who go above and beyond every day to do the very best for the children and families in our care,” said Cheryl Petersen, Vice President and Chief Nursing Officer at Cook Children’s. “This is the first time we have received this award, but I can truly say our staff has a long history of exceptional performance. We’re simply excited to know leaders outside of Cook Children’s are taking notice of their great work.”

The ENA Lantern Award is named in honor of Florence Nightingale, who worked to improve and change nursing in the 19^th century. A list of all 33 Lantern Award winners can be viewed here.

The videos, which are part of the Lifeguard Your Child initiative, feature simulations of some of the most common drowning scenarios we see, including children falling into swimming pools unnoticed and teens drowning in open water.

“Too often we see drowning patients who have fallen into water either at a pool party or after a swimming event when everyone is packing up to leave,” said Sharon Evans, trauma injury prevention coordinator at Cook Children’s. “We’re really hoping these videos illustrate the importance of 100% supervision and layers of protection, such as pool fences and locks.”

Cook Children’s launched Lifeguard Your Child in 2015 after a record number of child drownings. Sadly, 2021 is on track to surpass recent years. Already this year, 35 children have been admitted to our hospital for drowning injuries. Two have died – both in May.

Of the 35 drownings this year, 22 occurred this month making this the worst June on record since 2016. The majority of the drownings we see occur in swimming pools, including the two recent deaths. With the holiday weekend ahead of us, our experts urge everyone to practice vigilance around water.

“Everyone is so eager to get back into a normal routine and have those gatherings as COVID-19 decreases,” said Dana Walraven, manager of community health outreach for the Center for Children’s Health, led by Cook Children’s. “We’re just hoping for a heightened sense of awareness. When people are so happy to get back together, there may be distractions.”

Walraven and Evans encourage adults to take turns as designated watchers, fully attentive and within arm’s reach of kids in the pool. Designated watchers can spot trouble before it turns into tragedy.

“They don’t talk, they don’t drink, they don’t look at their phones,” Evans said. “You have to have that person in charge of watching. That is your job for 10-15 minutes, then you pass it off.”

Highlights for drowning prevention include:

• Young children should know to never get in the water unless an adult is within reach and watching. Learn to swim and swim with a buddy.
• Teens should be alert for hazards lurking in murky lake water. No horseplay or risky stunts. Wear U.S. Coast Guard approved life jackets.
• Caregivers should create barriers to the pool, such as four-sided fencing. Don’t lose track of the kids during the transition from swimming to the next activity (a trip inside to the bathroom, loading the car, etc.).

The Lifeguard Your Child initiative has distributed 1,296 life jackets this year in drive-through events and through six loaner stations at area lakes. The program recommends only those life jackets approved by the U.S. Coast Guard. Proper fit is essential too.

For more information about steps to prevent drowning, go to www.lifeguardyourchild.org.

Fort Worth, Texas – Cook Children’s Physician Network (CCPN) is pleased to announce the appointment of its new president, Matthew Dzurik, M.D. Throughout his 14 years at Cook Children’s, Dr. Dzurik has proven himself as a leader. He is the medical director of the Cardiac Catheterization Laboratory and has served on the CCPN Board of Directors since 2017. He will now oversee the health care system’s network of more than 460 physicians. Dr. Dzurik assumes the role following the retirement of Britt Nelson, M.D., who became CCPN president in 2009.

“Dr. Dzurik has distinguished himself as an outstanding clinician and an excellent physician leader during his time at Cook Children’s,” said Jim Cunningham, M.D., executive vice president and chief medical officer at Cook Children’s. “He has proven himself to be an excellent leader and has provided steady and compassionate leadership to the organization. He is well-respected by his peers and has been a strong advocate for our staff, CCPN, the Medical Staff, our Board, and the Health Care System. Under his leadership, I believe the organization is poised to continue to grow and develop along the trail that Dr. Nelson has blazed.”

Dr. Dzurik plans to continue his clinical medicine role at Cook Children’s because he believes it will allow him to stay relevant with both his patients and his peers.

“I want to help Cook Children’s continue to do the fantastic work we do here, but also I think a fresh perspective on things is good. The word I would use is evolving. The times are changing,” Dr. Dzurik said. “Physicians are changing. Generations are changing. I think that will make a big impact on our network. It will be vital to meld the old and everything that we’ve done well here with new ideas to help us move forward. We want to take the best of both worlds and move forward together.”

Dr. Dzurik is already looking ahead to the challenges that await him, including addressing physician burnout.

“I believe that to be my key initiative in the first few years here,” he said. “We’re hiring a physician wellness champion with whom I’ll work closely to implement changes. We’ve all felt burnout. Having experienced it in my career, I think it will give me a good perspective.”

Dr. Dzurik is a native of Louisiana and completed medical school and pediatrics residency at Louisiana State University. He attended Vanderbilt University for his training in pediatric cardiology and arrhythmia.

About Cook Children’s

Cook Children’s Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.

Our not-for-profit organization encompasses nine companies – a medical center, two surgery centers, a physician network, home health services and a health plan. It also includes Child Study Center at Cook Children's, Cook Children's Health Services Inc., and Cook Children's Health Foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet their unique needs.

We’ve worked to improve the health of children from across our primary service area of Denton, Hood, Johnson, Parker, Tarrant and Wise counties for more than 100 years. Based on the exceptional care we provide, patients travel to Cook Children’s from around the country and the globe to receive life-saving pediatric care built on leading technology, extraordinary collaboration and the art of caring.

For more information, visit cookchildrens.org.

In addition, access to the Medical Center and the Dodson Specialty Clinic will be restricted beginning at 5 a.m. Monday morning. Anyone entering the medical center, with the exception of badged Cook Children’s employees, will be screened for COVID-19 exposure. This screening will be used to determine the level of restriction for access to our facility.

Beginning at 7 p.m. on Monday, public entrance will be prohibited at all doors to Cook Children’s Medical Center except for the Emergency Department and Pruitt St. Employees with badge access will be able to use any accessible doors. These measures will remain in place for the foreseeable future. Click here to see a map of the medical center campus.

We’re also asking families to thoughtfully limit the number of people attending appointments at all Cook Children’s primary, urgent and specialty care clinics as well as the neighborhood clinics located across the DFW metroplex and throughout Texas. We know this may be difficult for many families, so we are asking primary caregivers to use discretion when deciding who should attend visits at Cook Children’s locations in lieu of enacting a strict policy at this time.

Also in an effort to reduce the risk of COVID-19 infection, we have cancelled all events and meetings that would bring outside visitors to Cook Children’s Medical Center campus for the next 30 days. All weekend camps for patients and siblings that are hosted by or in conjunction with Cook Children’s have been cancelled through the end of May.

We know these measures may pose a great inconvenience to patients, caregivers, staff and many others who touch the Cook Children’s organization. As always, the health and safety of our patients is our highest priority and we are taking these steps out of an abundance of caution. It is vitally important that we protect our patients from COVID-19, as well as our workforce. Our employees are the core of Cook Children’s, and they are at an elevated risk of becoming severely ill from this virus. We must be diligent in taking every precaution to keep our employees well so they can continue to deliver the excellent standard of care our patients deserve and expect from Cook Children’s. We ask for your patience and understanding as we work through these changes. With your help, we will get through this difficult time together.

The new minimum wage, which begins Feb. 2, 2020, will directly impact 200 current employees, who will see their pay immediately increase to $13.25 per hour next month, from the current Cook Children’s minimum wage of $11 per hour.

“Just as we are committed to improving the health of every child, we are as committed to the well-being of our workforce, who help us fulfill our promise to patient families,” said Rick W. Merrill, President and CEO, for Cook Children’s Health Care System.

Read the full press release here.