What we’re thankful for this year: 2019

The  physicians, nurses, staff and patients that make up the CHOC Children’s healthcare community have much to be thankful for this year. In addition to celebrating our 55th anniversary, expanding our Primary Care Network and preparing to open the Thompson Autism Center, we’re grateful to be able to offer best-in-class care to kids in Orange County and beyond. A few members of the CHOC community share what they are most thankful for this year.

KimberlyChavalasCripe
Kimberly Chavalas Cripe, president and CEO, CHOC Children’s

Kimberly Chavalas Cripe, president and CEO, CHOC Children’s

“I have the privilege of experiencing the magic of the holidays through the eyes of our patients.  Their courage, strength, and optimism inspire our team year-round, and drive us to push the limits of what is possible to ensure the very best outcomes for our community’s children.  From bringing preventive care closer to home, to expanding access to mental health services, CHOC’s mighty brigade is dedicated to keeping kids happy and healthy. And for that, I am especially grateful.”

chris-furman
Chris Furman, chairman, CHOC Children’s Board of Directors

Chris Furman, chairman, CHOC Children’s Board of Directors

“I am grateful for serving as chairman of CHOC’s board of directors.  It’s incredibly heartwarming for me and the entire board to help CHOC’s physicians, staff, volunteers and donors preserve the magic of childhood for thousands of children in Orange County and beyond.”

Emma_Sandhu
Emma Sandhu, vice president, administrator and chief nursing officer, CHOC Children’s at Mission Hospital

Emma Sandhu, vice president, administrator and chief nursing officer, CHOC Children’s at Mission Hospital

“I make an effort to live each day with gratitude. I am especially thankful for my family and for having the opportunity to be together this Thanksgiving. I am grateful for the things that I learn each day that help me to be the leader that this amazing organization deserves. Anyone that knows me knows how much I love CCMH and how blessed I feel to be a part of CHOC Children’s. A mighty brigade of passionate associates working side by side each day to serve our most precious gifts, our children.”

Isabella Valdovinos
Isabella, age 10

Isabella Valdovinos, age 10, CHOC Children’s patient

“I’m thankful for my mom, and the nurses and doctors at CHOC who took out my appendix and took such good care of me. I’m looking forward to a healthy and happy Thanksgiving with my family – especially the mashed potatoes and gravy.”

Liz_Hawkins
Liz Hawkins, volunteer, Mental Health Inpatient Center

Liz Hawkins, volunteer, Mental Health Inpatient Center

“As the first volunteer in CHOC’s Mental Health Inpatient Center, I’m humbled to be of service in the simplest of ways, be it a warm smile, a cup of juice, a compassionate ear or a shared laugh with our patients, families and staff. I’m grateful for all of the little things that I experience with our patients; from painting nails, to working on a puzzle, to learning a new game and even just acting silly by rolling around in the grass in our outdoor play area. I’m honored to be embraced so warmly by our patients and incredible staff as a part of the MHIC “Dream Team.” My husband Ryan and I are thankful for our entire MHIC’s dedication to treating our patients with dignity and respect every day and resetting the standard of care for pediatric mental health in this country. We are making history every day at CHOC. Lastly, I am grateful for all of the lessons our MHIC patients teach me: to face challenges head-on, to develop resiliency and self-awareness, to remember that you are never alone and most importantly, that the little things are always the big things. ”

Sterns
Ralph and Sue Stern, CHOC Children’s supporters

Sue and Ralph Stern, CHOC Children’s supporters

“As the grandparents of 10 grandchildren ages 5 – 17 years and all residing in Orange County, we are so grateful to have CHOC in our backyard. To us CHOC is not just a children’s hospital, it’s a healthcare system staffed by superb physicians, along with caring and attentive nurses, technicians and administrative staff. Each time one of our grandchildren has been admitted to CHOC Children’s Hospital as a patient, he or she has been discharged in much better condition. Our gratitude to Kim Cripe, CHOC’s president and CEO, for providing outstanding leadership and to Kara Kipp , CHOC Foundation assistant vice president, and Brianne Ortiz, manager of the Cherese Mari Laulhere Child Life Department, and the rest of the child life team for the impact of their work.”

Liam Katz
Liam, age 5

Liam Katz, age 5, CHOC Children’s patient
“I am thankful for CHOC, child life, the playroom, the treasure chests, all the doctors and nurses, and the wonderful families and friends we have met.”

dr-tom-megerian-choc-childrens
Dr. Tom Megerian, pediatric neurologist and medical director, Thompson Autism Center at CHOC Children’s

Dr. Tom Megerian, pediatric neurologist and medical director, Thompson Autism Center at CHOC Children’s

“I am so grateful for the opportunity that the CHOC executive leadership team and the Thompson Family Foundation have given us to open a state-of-the-art autism center. This will allow us to provide a medical home for families and children suffering from Autism Spectrum Disorders. My team and I are thankful that we will be able to promote early diagnosis, treatment of co-occurring disorders, education and research for families suffering from ASD.

I am especially appreciative for the gift and privilege of working with colleagues across the CHOC healthcare system in helping make the Thompson Autism Center a reality. Everyone from rehabilitation services, CHOC Children’s Specialists, neurology, psychology, information services, project management, the CHOC Foundation, marketing, and my newfound family within the Thompson Autism Center who have been so supportive and single-minded in their dedication to our patients. Finally, I am grateful to the families who, every day, put their faith and trust in us to care for their children. Thank you for enriching our lives by helping us aspire to be better clinicians, caregivers and citizens.”

Kimberly Burks
Kimberly Burks, charge nurse, neonatal intensive care unit (NICU), CHOC Children’s at Mission Hospital

Kimberly Burks, charge nurse, neonatal intensive care unit (NICU), CHOC Children’s at Mission Hospital

“As we near the end of 2019, I feel so thankful for my CHOC Children’s at Mission Hospital family. Each member of the team — from our volunteers to our managers — is an integral part of our goal to provide excellent patient care. When things get busy, our team pulls together and works hard to get the job done. I am thankful to work in a neonatal intensive care unit (NICU) that values patient- centered care and infant developmental care so much.”

chief residents
2019-2020 chief residents

Dr. Timothy Hicks, Dr. Stephanie Lee, Dr. Majid Husain, Dr. Amanda Schafenacker, chief residents

“For the past three years we have had the honor and privilege of learning from the incredible patients, physicians and medical staff at CHOC Children’s as part of the UC Irvine-CHOC Pediatric Residency Program. This year, we are thankful to be serving as the Pediatric Chief Residents. We are especially thankful for our 90+ residents who serve as the frontline providers taking care of the children of Orange County and beyond, our attending physicians and administrative staff for their commitment to education and teaching, and CHOC leadership for their unyielding support and dedication to our training program. Lastly, as pediatricians, we are grateful have the opportunity to partake in CHOC’s mission to nurture, advance and protect the health and well-being of our children.”

Jessica Ochoa, emergency department admitting representative

“I am thankful for the opportunity to work here at CHOC. I am thankful for all of my coworkers and all of the nurses because without them we would not be able to make a difference in these families’ lives. I am thankful for all the wonderful families that I have been able to meet while working here and last but not least, I am thankful for all the children that come in and continue to brighten our day with all of their little personalities. Happy Thanksgiving to all CHOC employees and CHOC families.”

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Honoring the Veterans Among our Mighty Brigade

This Veterans Day, CHOC Children’s wants to acknowledge the military veterans among our mighty brigade of clinicians and staff, and extend our heartfelt thanks for their service to our country.

We asked our veterans to share how their history of service impacts their work at CHOC, and how it contributes to our mission to nurture, advance and protect the health and well-being of children.

Here are a few of their responses.

Bill Rohde

  • Sergeant (E4), U.S. Air Force
  • Vice president, finance, CHOC Children’s

“Veterans understand what it truly means to defend and protect, making them well qualified to be defenders of childhood and protectors of the health and well-being of children.”

Bill_Rhonde_CHOC

Teela Hernandez

  • Hospital corpsman, pediatric unit, U.S. Navy
  • Registered nurse, multispecialty unit, CHOC Children’s

“Because of my service, I know how to multi-task and roll with the punches. I work well under pressure.”

Teela Hernandez

Daniel Holloway

  • Petty Officer, U.S. Coast Guard
  • Marketing project manager, CHOC Children’s

“I joined the Coast Guard and served active duty for six years because I aligned with the mission to protect lives and the environment, provide life-saving care to those in distress and promote safety through law enforcement. Military service taught me teamwork and discipline to see things through. Transitioning to CHOC was a great fit for me as its mission and values are in alignment with protecting the health and well-being of children and everyone who comes through our doors. I am grateful to work in partnership with the most wonderful people doing incredible, life-saving work within our community. I am a proud veteran and CHOC employee.”

Daniel Holloway

Cortney McKinney

  • Medic, U.S. Army
  • Registered nurse, outpatient infusion center, CHOC Children’s

“While I was a medic in the Army, I found my love for medicine and helping people. I knew I wanted to be a nurse. The Army helped me realize that God gave me the heart of a servant. I now continue my service as a nurse caring for my patients here at CHOC.”

Courtney McKinney

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From CHOC mom to CHOC employee

“You look like you could use a good cup of coffee,” Maria would say from time to time to a tired parent at CHOC Children’s at Mission Hospital. “Oh yes!” they’d reply as she’d make them a cup.

Maria understands that a warm cup of coffee doesn’t just help sustain a parent who’s running low on sleep, but also gives them back a small sense of normalcy while their child is hospitalized.

Maria, a former department assistant in the administrative offices of CHOC at Mission who recently transferred to the laboratory at CHOC Children’s Hospital in Orange, knows this all too well. Her son Nehemiah, who is now a happy and healthy 11-year-old boy, was born with a heart condition and spent the first four months of his life at CHOC.

“If I see a mom struggling, I would try to do my best to be there for them because I understood what they were going through” she says. “They’re comforted knowing that someone understands.”

Delivering next door to CHOC

Thanks to a prenatal ultrasound, Maria and her husband Juan knew there was a problem with their son’s heart. But doctors told them they wouldn’t know the extent of the problem until he was born. Maria chose to deliver her son at St. Joseph Hospital in Orange so that they’d be next door to CHOC, and he would have close access to any specialized care he might need.

Shortly after Nehemiah was born, doctors performed an echocardiogram, a common and safe procedure that helps doctors look at how the heart is working. Dr. Anthony Chang, a pediatric cardiologist who is today CHOC’s chief intelligence and innovation officer, was present at Nehemiah’s birth.

“I was so scared for my son, but I felt like he was in good hands,” recalls Maria. “Dr. Chang explained Nehemiah’s condition and that he needed to be transported to CHOC for emergency surgery. He said it was a race against time.”

Nehemiah was born with interrupted aortic arch and ventricular septal defect, a condition with a large hole in the heart and blockage of the main artery feeding the body. Normally a hole in the heart would be considered bad news, but that hole helped him live because it allowed blood to circulate until corrective surgery could be done.

When Nehemiah was two days old, he underwent his first in what would become a series of heart surgeries, performed by Dr. Richard Gates, CHOC’s medical director of cardiothoracic surgery and co-medical director of CHOC’s Heart Institute.

After Nehemiah recovered from surgery in the cardiovascular intensive care unit (CVICU), he was transferred to CHOC’s neonatal intensive care unit (NICU). He had a feeding tube to help him eat, but as a step towards going home, he needed to work on eating on his own.

Nehemiah spent his first Christmas in the hospital, and his parents weren’t sure when they would be able to bring their baby home.

The day after Christmas, Nehemiah’s condition worsened when he contracted a blood infection called septicemia. Babies under 3 months can contract this because their immune systems haven’t developed enough to fight off overwhelming infections that originate elsewhere in their body. Once he was stabilized, his care team opened his chest so they could administer a vacuum-assisted closure (VAC) to help soak up the infection. A suction pump device connected to a tube with a foam sponge on the end, which was placed into Nehemiah’s chest to soak up the infection. His dressings were changed regularly for several weeks until the infection was gone. Once he recovered, his care team closed his wound and he was transferred back to the CVICU.

It takes a village

It would be another few months before Nehemiah would be able to go home. During that time, CHOC became home for his family. Juan would shuffle back and forth between hospital and the family’s home, bringing Nehemiah’s siblings Ethan and Giovanni, who were 3 years old and 10 years old at the time, to visit their baby brother. Maria’s mom would help the family and visit as well. During Nehemiah’s months-long hospitalization, Maria stayed by his side and never went home.

“It took a village to get my little guy through this ordeal,” Maria said.

A four-month hospital stay

Before Nehemiah was discharged after more than four months in the hospital, his parents received education and training from his doctors and nurses, so they would be able to care for him at home. He was discharged with a feeding tube, oxygen tank and medication.

“We were so excited to finally bring him home. In a sense, it was like we all got to finally go home,” Maria recalls. “My other two kids had essentially been living with their grandma, I had been at the hospital, and my husband had been going back and forth. We were finally together under one roof.”

Nehemiah’s heart was fragile, so as he grew up he would sometimes get sick more easily, and more severely, than his brothers and friends.

“If he would get sick with just a little cold, he would go from zero to 10,” Maria says.

Sometimes that would include seizures, which lead to two hospitalizations.

A second heart surgery

Nehemiah has undergone one additional surgery to repair a blockage that developed between his heart and great aortic artery, called a subaortic membrane.

“After his last heart surgery, his seizures stopped, and he started becoming normal,” Maria said.

These days, Nehemiah, who loves sports and music, visits CHOC every six months for check-ups with Dr. Chang to see how his heart and arteries are progressing as he gets older.

“His team always wants to know as he is growing, are the arteries growing with him? Eventually, he’ll need another procedure someday,” Maria said.

Despite semi-frequent trips to CHOC, Nehemiah is not afraid of doctors because for him, doctor appointments are second nature, according to Maria. Nehemiah has spent so much of his life in and out of CHOC that he refers to it as “My CHOC.”

A few years ago, when Maria was looking for a new job, her personal connection to CHOC was a big factor in her search, she says.

“I felt like CHOC was somewhere I’d want to work because I had so many positive experiences here as a mom. Everybody was very friendly. The nurses were good with all my kids, and with me too,” she said. “I remember that little things went a long way, and I try to bring that to my work here now.”

Learn more about the Heart Institute at CHOC Children's

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A day in the life of a pediatric hospitalist

By Dr. Georgie Joven-Pechulis, pediatric hospitalist at CHOC Children’s

What is a pediatric hospitalist? We are your general pediatricians when your child is admitted to the hospital. I like to think of hospitalists as air traffic control in the busy whirlwind of a child’s hospitalization. There are many clinicians on your child’s care team, but we help direct the flow of traffic and unite everyone in communication and management. CHOC Children’s Hospital and CHOC Children’s at Mission Hospital provides 24-hour hospitalist coverage to provide the best care for our patients.

5:30 a.m.― Alarm goes off. I may or may not be already awake depending on how my three kids ages 5 and under slept that night. So, my alarm is either my cellphone’s gentle tune or a screaming toddler. Dress, feed, and tend to all kids as we all fluster to get ready for the morning. In between walking our family’s dog and making school lunches, I brew my coffee and pack my “to go” breakfast. On my drive to CHOC, I listen to a pediatric podcast to get into the work mindset. 

7:30 -8:00 a.m.― I arrive at CHOC. My team covers CHOC Children’s Hospital in Orange and CHOC at Mission, but today I’m rounding in Orange. When I arrive, I obtain my list of patients from my night-shift colleagues and learn about the patients ’conditions and overnight events.  We usually talk over tough cases and run things by each other for discussion. One patient had increased seizures and required emergent anti-epileptic medications. One patient developed increased respiratory distress and needed to be switched to high-flow oxygen. Another patient was vomiting and unable to tolerate his diet, so IV fluid hydration needed to be established. I look over my patient list and make a plan for what order to visit patients that morning. I also review lab results for my patients and any imaging they’ve recently had done.

8:00 a.m.  – 12:00 p.m. ― Every morning, our team does bedside rounds to learn about our patients’ overnight and current events. The care team is made up of doctors, pharmacists, bedside nurses, social work, nutrition, and case management. With bedside rounds, we visit every patient’s room (and sometimes have to search for them in playrooms), examine them and establish our plan for today and for discharge. Parents are encouraged to participate in family-centered rounds. They ask great questions, and some need emotional support. Some of the children we see during rounds are not feeling well, and others require playful interactions to break the ice. I make silly faces, tell horribly bad jokes, and discuss Elsa’s upcoming Frozen 2 movie to gain trust from the little patients to perform a physical exam. Usually I can reach some sort of common ground and I work hard to get there. Diagnoses of the patients we see can range from pneumonia, bronchiolitis, gastroenteritis, and seizures to even more complex cases with elaborate medical histories. Our patient lists can run from a handful of patients to over twenty during the busy winter season.

12:00 p.m. – 1:00 p.m. ― Time for lunch, and a chance to go over the day’s events with my fellow hospitalists.  We talk, and I listen to everyone’s expertise. We manage to also chit-chat about life and hopefully share a laugh or two to lighten the mood. A few times a year, I also teach noon conference or morning report to our pediatrics residents. We are a training hospital, so we help teach the next generation of pediatricians through case report presentations and specific pediatric lectures.

1:00 p.m. – 3:00 p.m. ― This afternoon I spend a couple hours in meetings, including multidisciplinary care rounds (similar to this morning’s rounds but with a variety of specialists), meetings with patients’ parents, and medical staff committees. I help run the Morbidity and Mortality cases every month, where we discuss ways to improve patient care. I make a few calls to pediatricians in the community whose patients I am caring for while they’re hospitalized and update them on their status and plan of care. I also spend some time circling back to rooms and families from the morning. A baby in my care develops a fever and requires a lumbar puncture, also called a spinal tap, to rule out meningitis. This is a procedure we routinely do where we draw fluid from the spine in the lower back. Another patient is developing a worsening rash, so we reevaluate their antibiotic regimen to make sure it is adequate. Lastly, an emotional teenager having a tough time needs some one-on-one sit-down advice. I pause, take a breath, and tackle each task one by one. Statuses of patients can change so quickly while they are admitted, and it keeps me on my toes.

3:00 p.m.- 5:00 p.m. ― I spend time updating patients’ charts and reviewing their plans of care. Part of this includes collaborating with other specialists and discussing certain cases. During this time, we also receive a few new patients from the emergency department. Some have obvious diagnoses and others were admitted to determine the root cause of their illness. Sometimes patients are admitted from our hospital’s emergency departments or transferred from others via ambulance or helicopter. Often times the work of a hospitalist feels like the TV show “House” because we are solving medical puzzles. Medicine is fascinating and thought-provoking, and part of the reason I love what I do so much.

5:00 p.m. – 8:00 p.m. ― Just like the morning frenzy, my evenings are a rush to pick up my kids, cook and eat dinner, pick up around the house, and walk the dog. These precious hours, although very busy, are a chance for me to spend some quality time with my family and learn about how their days went. We end our nightly family time with bedtime stories and lullabies. 

8:00 p.m-10:00 p.m. ― By this time, my house is finally quiet. This is my chance to get out my yoga mat and do some flow yoga. My husband and I watch our favorite binge show of the season. After he goes to bed, I stay up a little later to check in on what’s going on with my patients and read to keep up to date with current articles in medical review journals.

I go to bed feeling thankful and to be able to do this every day as “work.” Often people tell me, “I can’t imagine doing your line of work,” but I can’t imagine doing anything else. I love who I work with and am grateful to be part of such an amazing place as CHOC Children’s.

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A day in the life of a mental health nurse

The CHOC Children’s Mental Health Inpatient Center is an inpatient psychiatric center exclusively dedicated to the treatment of children ages 3-17 with mental illness who are in immediate risk of hurting themselves or others. It is the only inpatient facility in Orange County that can treat patients younger than 12. Our doctors and care team are all specially trained to treat children and provide the very best patient- and family-centered care 24 hours a day, seven days a week.

During a child’s stay, he or she engages in daily multidisciplinary therapeutic groups and receives individual therapy, family therapy, brief psychological testing and psychiatric care.

In observance of Mental Health Month, follow along for a day in the life of Madeline, a clinical nurse in CHOC’s Mental Health Inpatient Center.

5:15 a.m. – After fighting my snooze button, I wake up, shower, and drink some much-needed coffee.

6:30 a.m. – My cat yells his goodbyes to me as I give him a treat and leave for work. On the way, I vibe out to music to get pumped up for the day. I’ve worked at CHOC for over a year now. Last year, I was accepted into CHOC’s Registered Nurse Residency program. As a new nurse, I felt called to work in a mental health setting. I am beyond proud to stand alongside the brilliant CHOC team on the frontlines of mental healthcare.  

7:00 a.m. – I join my team in our conference room for a daily briefing report. Together, we review any newly admitted patients, our current population of patients, and any safety concerns. One of the ways we keep kids safe is through trauma-informed care. Upon admission, we work with patients and their families to determine any triggering situations or actions the patients may have, and then learn how strong emotions may manifest outwardly; such as pacing, shaking, or becoming very quiet. This information helps us to rapidly identify when patients are struggling and may need extra support or encouragement to utilize their coping skills. One of my favorite environmental adaptations we can provide for patients is our sensory room. It helps stimulate a few of our five senses to help kids cope and be more present in the moment. Sometimes, just hearing the rhythmic movements of the bubbles can be soothing and have a great calming effect.

7:30 a.m. – Once I have an understanding of our environment, I walk the unit to check on the patients. Most are still asleep, so I then look up my patient’s medications, while verifying medication consents. All pediatric psychiatric medications need parental consent obtained by the patient’s psychiatrist.

8:15 a.m. — Our medication room has a barn door, so I can efficiently and safely administer patients’ morning medications, preform a quick mental status check-in, and obtain vitals.

9:30 a.m. — One of my patients is currently taking a new medication. In order to better understand her body’s acceptance and tolerance of the drug, we need to run labs. Before drawing her blood, I numb a small area of her skin using a J-Tip®. During the blood draw, a child life specialist and I help the patient cope by offering her modeling clay and a hide-and-seek activity book.

10:00 a.m. — Throughout the day, our patients are divided into groups based on age to attend group sessions. This creates a structured environment that promotes the development of coping and social skills they can utilize when they go home. The sessions focus on our various themes of the day that can range from problem solving or emotional regulation to nutrition and wellness. These sessions are led by our team of nurses, social workers, child life specialists, plus and art and music therapists. This morning’s group session is focused on gross motor skills. Our group leaders soak up some sunshine in our beautiful outdoor area while supervising patients socializing and joining in on a game of handball.

11:00 a.m. — I sit down with one of my patients to discuss their day so far and check in on any thoughts of self-harm that we can work through together. Afterwards, as part of the patient care team, I meet with that patient’s psychiatrist Dr. Lavanya Wusirika, and social worker Gaby, to discuss the patient’s care plan.

12:30 p.m. – It’s time for the patients to have lunch. Our patients eat together, so I assist with passing out lunch trays and pouring drinks. One of our licensed vocational nurses, Brenda, has become our unofficial DJ, and she plays music during lunch to help create a fun, therapeutic environment.

1:00 p.m. – I receive a call from a patient’s parent. After addressing their questions, I update them on their child’s plan of care, medications and current temperament.

2:00 p.m. – I use my own lunch break to catch up with my coworkers. We spend a lot of time together, and I’m lucky to have such an amazing work family.

3:00 p.m. – It’s time for one of our patients to head home. Upon admission to the unit, our team begins organizing outside resources and planning ways to increase safety and support at home. This information is built upon throughout their stay and is incorporated into an individualized safety and coping plan. After our social workers discuss the plan for home with the patient and their parent, I review current medication information and additional discharge instructions. Staff members and fellow patients send off their peer with warm wishes and words of encouragement.

4:30 p.m. –As a nurse, it’s my turn to lead one of our nursing groups. After the patients participate in a discussion about favorite coping skills and we do a check-in of their current emotions, we follow a painting tutorial to practice our theme of the day, mindfulness.

6:00 p.m. – I spend time updating my patients’ charts, including their mental status assessments and treatment plans. This way our whole team can see the patient’s progress and any concerns.

6:45 p.m. – During daily community meetings, all of our patients join together, and our staff leads a check-in to summarize what has been learned from our theme of the day. Patients take turns sharing their high and low of the day and how we can build on these experiences for tomorrow.

7:00 p.m. – As our night shift nurses arrive, we take turns giving a report of their patient’s day and mental status. We share new triggers that we have learned from the patients as well as new coping skills that were helpful. Knowing how we can best care for patients before, during and after a crisis or stressful situation is fundamental for trauma-informed care. By caring for every patient as a whole, not as a diagnosis or as someone defined by their trauma or maladaptive behaviors, we are able to better understand and care for them.

8:00 p.m. ― Get home and share a delicious meal with my husband. A long hug and many kisses are bestowed unto my cat Boots. The three of us will cuddle up and watch a show before we head to sleep and start again.

Stay Informed about Mental Health

CHOC Children’s has made the commitment to take a leadership role in meeting the need for more mental health services in Orange County. Sign up today to keep informed about this important initiative and to receive tips and education from mental health experts.

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