The Laker/Lutz News

St. Joseph's Children's Hospital

Ending pandemic requires a unified effort

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Doctors are continuing to urge those who are eligible to get vaccinated, to mask up, to keep a social distance from others and to practice good hygiene — in a layered effort to stop the spread of COVID-19.

Doctors from the University of South Florida, BayCare and AdventHealth delivered that message in two separate virtual sessions held last week.

“As we opened the school year, it was truly what I call the perfect storm,” Dr. Christina Canody, pediatric service line medical director for BayCare said, during a Zoom call arranged by U.S. Rep. Kathy Castor, who represents Florida’s 14th congressional district.

“Last year, when we opened, we had mandate mask requirements, we had some of the lowest rates of infectivity, positivity and prevalence that we had seen during the pandemic,” Canody said.

“This year, we were at absolute opposite ends of the spectrum.

“We were at very high prevalence and positivity rates, and we continue to see a large number of children impacted,” Canody said.

She emphasized that despite the tremendous increase in pediatric admissions to the hospital, that children generally have a less complicated course of treatment and pediatric death rates remain low.

However, she noted that the hospital chain had 180 pediatric admissions in August, which was the highest number, by far.

“The majority of those are cared for at St. Joseph’s Children’s Hospital,” the pediatrician said.

“We have seen an uptick in our emergency room visits, and in general, we still have capacity,” she said.

But the increase in pediatric cases, coupled with the surge in adult cases, puts a strain on health care workers, she said.

Previously, many of the hospital’s pediatric staff had transitioned to help care for adults, she said.

The hospitalization of a child also takes a toll on families — both emotionally and financially, and disrupts their daily lives, she said.

She also talked about the importance of children being able to go to school.

She noted that the social isolation during last school year has had a lasting effect on some children’s mental health.

She also noted that many people are coping with the death of relatives, colleagues or friends.

Canody emphasized the need to educate people about the seriousness of the pandemic.

She put it this way: “It’s going to continue to circulate as long as it continues to be transmitted. Most pandemics last, on average, three years.”

She underscored these steps to help reduce the spread:

  • Become fully vaccinated, if you’re eligible.
  • Wear a face mask. “It’s more important if a person who is infected wears one, but if you wear one as well, you can decrease your risk of being exposed to the virus,” she said.
  • Practice good hand hygiene. “For little kids, we try to encourage them to keep their hands to themselves and keep their things to themselves, and also to wash their hands frequently.”
  • Stay home, if you’re not feeling well.

“We all have to take care of each other,” Canody said. “It is a little defeating sometimes, when people don’t heed the message. And, I can be honest with you that personally, I’ve had family members who have been affected by this virus. I know people personally who have passed away from this virus.

“The majority of our patients in the hospital are unvaccinated and the majority of the deaths we are seeing now are unvaccinated.”

Dr. Jason Salemi, of the University of South Florida, noted “nine or 10 weeks ago we had about six children being hospitalized every day in the entire state, with COVID-19.

“We’ve had a (more than) 10-fold increase, where more recently, over the past seven days, it’s been about 66 children being hospitalized every day, with confirmed COVID-19,” Salemi said.

The USF doctor also shared statistics regarding numbers of people who are not fully vaccinated in Florida. He said those figures stand at 1 million, among those ages 12 to 17; 5.5 million for those 18 to 64; and 800,000 among those 65 and older.

There’s also 2.8 million children in Florida who are younger than 12 who cannot be vaccinated, he said.

“The most heavily vaccinated group in our society is our seniors, and they are realizing the benefits of vaccination more than any other group,” Salemi said.

The Greater Zephyrhills Chamber of Commerce also hosted a Zoom session involving Amanda Maggard, president and CEO of AdventHealth Dade City and AdventHealth Zephyrhills, and Dr. Rodrigo Torres, vice president and chief medical officer for the two hospitals.

Maggard told those listening that “about 90% of our admissions have not been vaccinated. So, the science really is proving true that vaccinations save lives, vaccinations prevent critical illness, so we really want to get the word out in the community and try to increase vaccination. That’s going to be our best way to get through this virus.”

She added that wearing masks continues to be important.

She also touched on the availability of a new monoclonal antibody treatment for patients who are 12 or older. The treatment can prevent hospitalization or death in COVID-19 patients.

The state has opened a number of sites offering the treatment, including the Fasano Hurricane Shelter, at 11611 Denton Ave., in Hudson.

AdventHealth also is offering it at its Dade City campus. (Call the hospital or check its website for details.)

Torres gave a brief history on the pandemic and touched on various strains of the virus.

While much has been reported about the Delta variant, Torres said there’s another strain, known as the lambda, which is being carefully watched by the Centers for Disease Control and Prevention.

The lambda was identified in Peru at the end of last year, he said.

“It’s one that’s very virulent and it’s able to escape the mechanisms of how the vaccine works,” Torres said. “We believe that for the time being, we have a good control over this lambda variant, but this is one that actually concerns the CDC the most, out of all of these variants of interest.”

Torres also touched on the fact that the Pfizer vaccine has received FDA approval, and the hospital has recommended its staff get the third shot.

“The data has proven that on your third vaccine, you provide antibodies up to nine times the amount of what you normally would have produced just by keeping your two-vaccine regimen,” Torres said.

Published September 08, 2021

This teen strikes out batters — and cancer

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Jack Teeter was well on his way to another standout baseball season for Academy at the Lakes (AATL), up until the COVID-19 pandemic canceled virtually all sporting events.

The All-State athlete was leading the team with a .500 batting average through nine games. He hadn’t allowed an earned run in 14 innings pitched.

In the de facto final game of the season on March 12, the 6-foot-3, 250-pound junior left-hander had a no-hitter through four innings in a mercy-rule victory against Lakeside Christian — a contest not officially documented in online stats.

But, before he was racking up extra-base hits and striking out batters this season, Teeter was up against tougher opponent — cancer.

Jack’s parents, Renee and Brian Teeter, made him a custom-made hat, with the phrase, ‘I Struck Out Cancer.’ Jack was diagnosed with Hodgkin lymphoma in late September. After five rounds of chemotherapy and 14 targeted doses of radiation, he was pronounced cancer-free in January. (Courtesy of Brian Teeter)

The athlete was diagnosed with Hodgkin lymphoma in late September, at 16 years old.

In the months preceding, he had been having ongoing breathing and coughing issues. He had trouble completing routine baseball workouts. Doctors presumed it was a case of allergies and sports-induced asthma.

The full scope of the health issue wasn’t realized until Teeter caught a parasite while volunteering at a church farm in Clearwater during the summer.

His parents initially thought it was a bout of food poisoning, until weight loss and stomach issues persisted for days.

Eventually, his family suspected something more was going on.

Teeter first was taken to urgent care, then St. Joseph’s Children’s Hospital for a series of CAT scans and medical tests.

They showed lesions on his spleen and stage III lymphoma — meaning enlarged lymph nodes had spread on both sides of his diaphragm.

The teen immediately started treatment. After five rounds of chemotherapy and 14 targeted doses of radiation, he was pronounced cancer-free in January. He requires checkups every three months.

The initial shock of cancer didn’t fully hit Teeter until he awoke in a hospital bed about a week in.

“It’s surreal, if I had to describe it,” he said. “It was crazy to think that I was only 16 years old, being taken into a hospital because of cancer. It’s like, ‘Wow, this is really happening.’”

Motivation through baseball
As the Teeter family found out from doctors and nurses, Hodgkin lymphoma has a high treatable and survival rate in children.

It’s also something several pro athletes have overcome, including a pair of Chicago Cubs All-Stars in Jon Lester and Anthony Rizzo. Reading those stories helped fuel Teeter’s drive to get back on the field again: “I realized, ‘Oh, I can make it, I can get past this, and it’s something that I can overcome and still make it regardless of what I have.’”

While undergoing treatment, Teeter discovered just how much he cherished the game he began playing when he was just 4 years old.

Before the diagnosis, Teeter enjoyed a sophomore campaign that garnered him Class 2A Florida Athletic Coaches Association All-State honors after leading the Wildcats in hitting (.367 average, 18 hits, 11 RBIs) and pitching (1.48 ERA, 60 strikeouts in 42.2 innings).

He acknowledged that baseball is something he may have taken for granted previously, but now, he said he is “enjoying every moment” that he can.

He observed, “I didn’t realize how much I did miss it, how important it was to me because I kept getting calls from teammates and friends telling me that they miss me and hope I get through it OK. It just made me realize, ‘This is a real passion for me, I am important to the team, and I got to get through it all somehow.’”

In a way, baseball “brought him back to health,” said Renee Teeter, his mother.

“It’s given him motivation, excitement, something for him to look forward to and work toward,” she said.

Cancer also has given the teen a fresh perspective on life.

He makes a point to tell anyone who’ll listen to not take what they have for granted, particularly when it comes to health.

Teeter put it like this: “You never know how bad it can be until you’ve had something like I’ve have. It’s like sometimes when people complain about stupid stuff I just remind them, like, ‘C’mon, you have health, you have something that some people just don’t have and you just kind of need to appreciate it a bit more.’”

That newfound outlook is something his parents have picked up on, too.

“I think he got faced with his mortality a lot younger than most people do, and I think he appreciates what he has a lot more now,” said Brian Teeter, his father.

The experience also made Teeter’s parents even more aware of how capable their son is — in both fighting cancer and playing baseball at a high level again.

“I don’t know if he surprised me, because I always knew he was a very strong kid, but I’ve been impressed by him,” Renee said. “He’s handled this very well and dealt with a lot of things, but he doesn’t know any different.”

She added, “He’s done as best as he could be. He’s a trooper, not a complainer. He does what he has to do.”

Getting healthy, inning by inning
Since the diagnosis, Teeter’s first baseball outing came in mid-November, in a high school tournament at Saint Leo University.

The effects of ongoing treatment were evident. He was bald, thinner and noticeably weaker. His chemo port was still implanted, too.

Still, he mustered up the power to pitch one full inning, getting three outs on 25 or so pitches.

“I wasn’t 100% there,” Teeter said, “but, I was able to throw one inning and it was great to get back out there.”

His parents were emotional, as they watched their son back on the mound.

“I basically cried the entire time,” Teeter’s mother said.

After barely having the strength to walk, Teeter has progressed to running, weightlifting and taking part in regular baseball activities and drills.

Teeter pitched one inning during a fall baseball invitational, as he was still undergoing chemo treatments.

He’s happy to report that he can get through a 30-minute workout without feeling sick.

His hair, beard and strength are back, also.

Now cancer-free, he is focused on becoming a better ballplayer, with aspirations to pitch in college.

He’s leaned on the help and support of coaches like his father, as well as Academy at the Lakes’ pitching coach Tony Saccamanno, and Anthony Telford and Ruben Garcia, of the Florida Baseball Institute, in Tampa.

He’s working to perfect his pitch timing and mechanics, and notch his fastball up to 80 mph, adding to a repertoire that also includes a slider, curveball and changeup.

Teeter’s recovery brings a smile to the face of Academy at the Lakes’ head baseball coach Ken Akins.

“It’s just good to see him healthy — that’s the key,” said Akins. “I don’t think that I’ve ever seen him 100% healthy in the (two seasons) that I’ve been at the Academy, and that’s the part that I’m happy about, that’s the part I’m excited about, is to see him not have to battle anything, and really say, ‘OK, now’s the time to get at it.’”

When Akins first heard of Teeter’s Hodgkin lymphoma last fall, it brought back memories of another former player who had cancer.

“As a head coach, as a parent, as a person, you never want to hear that, especially that a young man at the age of 16 has to deal with something like that,” Akins said. “I think it opened up some eyes on some of the other boys.”

This summer, Teeter will be pitching from time to time for the Carrollwood Gators travel ball team. He’s also looking forward to his senior season because he believes he’ll finally be able to showcase his true skills and best self.

“I just a want a shot to have people see what I can be like when I’m actually healthy,” Teeter said.

He also hopes to inspire other youths battling cancer.

“There is a light at the end of the tunnel,” Teeter said. “You’re going to come back, and you’re going to come back better than you ever were before.”

Published June 03, 2020

Teen’s health struggle makes her a national voice

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When Mark and Kelly Dees of Land O’ Lakes decided to name their unborn daughter Hope, it was a sign of their unwavering optimism despite devastating news.

What was supposed to be an exciting reveal of their baby’s gender, soon became a moment of sadness after Hope was diagnosed with congenital heart defects.

Hope Dees, of Land O’ Lakes, sits next to her father, Mark, in the office of U.S. Rep. Gus Bilirakis in Washington D.C. The 13-year-old was among many youths who traveled to Capitol Hill to talk to lawmakers about policies to better help kids with health issues. (Courtesy of Amy Gall, BayCare Health System)

“We were told by the first doctor that she wouldn’t live to see her first birthday,” Kelly recalled.

But now, at age 13, Hope has far exceeded that grim diagnosis.

Not only has she undergone multiple operations, she also recently had the chance to make her voice heard by the nation’s lawmakers on Capitol Hill.

Still, it hasn’t been an easy path.

A fighting chance
After hearing the initial troubling news about their daughter, the couple went to St. Joseph’s Children’s Hospital in Tampa, where a second diagnosis showed a brighter outcome.

Hope had a 92 percent success rate of survival, according to Dr. James Huhta, who still cares for her to this day.

She was born eight weeks premature with not only a weak heart, but a mild form of cerebral palsy, among other health complications.

At just 2 months old, she had her first open-heart surgery and spent several months recuperating at All Children’s Hospital in St. Petersburg.

Also, her esophagus did not connect to her stomach and had an abnormal connection to her trachea. This resulted in her being tube fed. Because of her complex situation, doctors waited until she weighed at least 4 pounds before performing corrective surgery.

Hope underwent two more heart surgeries, the second at 9 months old and the last at age 10. These were performed at St. Joseph’s Children’s Hospital.

She had other health concerns, too.

When Hope was 18 months, her parents noticed she was walking unusually.

Hope Dees, 13, stands alongside U.S. Rep. Charlie Crist while on a trip to Washington D.C. She and her parents spoke to Florida legislators about health care coverage for kids with medical needs.

Over the years, she has had to go through extensive physical therapy and orthopedic surgery on her left leg and foot.

“As she grows, the bone grows faster than the muscle,” Kelly explained. “The bone is growing and the tendon is pulling in because it’s not as long as the bone.”

Although Hope uses a leg brace for stability, she still may need another surgery.

Being in and out of hospitals all her life and getting to know medical staff, especially at St. Joseph’s Children’s Hospital, has become routine for Hope.

“This has always been her normal,” Kelly said of her daughter. “For me, it’s nothing but gratitude for all that they’ve done for her over the years, and all they continue to do.”

Speaking aloud for action
BayCare Health System and the Children’s Hospital Association have been working in conjunction for years to bring kids with medical needs to Washington D.C., for the annual Family Advocacy Day.

Amy Gall is a regional communications coordinator for BayCare Health System and has become Hope’s friend.

“We’ve been bringing a family up to meet with the legislators every summer,” Gall said.

Because Kelly is an advocate for protecting Medicaid for kids, Gall knew that Hope would be the perfect candidate to go to Capitol Hill with her family from June 24 to June 27.

Like dozens of other youth from around the nation, Hope had the opportunity to meet with congressional representatives from their respective states, and perhaps help to influence policy.

At Capitol Hill, Hope had the chance to meet with U.S. Senators Marco Rubio and Rick Scott. Also present were U.S. Representatives Gus Bilirakis, Vern Buchanan, Kathy Castor, Charlie Crist, Darren Soto, Ross Spano and Greg Steube.

Along with Hope, Mark and Kelly helped address concerns about stabilizing health coverage for kids.

“As they are adults, taking responsibility of their own health care, it’s important that they have the coverage that they need and the assistance that they need,” Kelly said, in an interview with The Laker/Lutz News, after the family traveled to Washington D.C.

She said she wants assurance that when kids like Hope become adults, that they are guaranteed coverage and not discriminated because of pre-existing conditions.

Hope is currently on Children’s Medical Services, which falls under the Medicaid program.

There is a premium to pay, based on income, but the program has been helpful, Kelly said.

However, she said, a child must reapply annually, or the coverage will lapse.

One year, Hope’s paperwork was late, and she was without coverage for a month.

Changing that system was a topic presented to Congress.

“Some families can’t afford to just abruptly lose their coverage,” Kelly added. “It’s important that they are able to continue to afford their own coverage or doctor visits. It’s not cheap.”

Kelly said the reception offered by the federal lawmakers was sincere, and they appeared to be willing to see what could be done to help kids like Hope.

Still pressing forward
Even after everything Hope has endured, she still views herself as an average teenager, her mom said.

When she has free time, she practices the piano and goes swimming. And as she prepares to enter eighth grade at Dr. John Long Middle School, she plans to sing soprano in the choir.

While she was visiting Rep. Ross Spano’s office, he showed the family a sign engraved with the words: “Never give up.”

Kelly said she’s inspired by the same mantra — and, she added, that her daughter, Hope, has taught her the true meaning of those words.

Published July 24, 2019

Cancer survivor wins scholarships, offers prevention advice

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Cailyn Ruff was a senior at Sunlake High School, in Land O’ Lakes, when she felt an odd bump on her head.

That was about a year-and-a-half ago.

“It was like a big mole,” the 19-year-old said. “I saw it through my part line. It looked funny. It would bleed.”

As it grew, she became concerned and brought it to the attention of her dermatologist.

Next, came a biopsy.

Cailyn Ruff, who lives in Lutz, was a senior at Sunlake High School when she found out she had a rare form of melanoma. She underwent a successful surgery and is cancer-free, but she wants to remind others of the importance of wearing sunscreen and hats to protect themselves from too much sun. She wants to become a pediatric nurse practitioner and recently received some scholarships to help pay for her studies. (B.C. Manion)

“It was a good three weeks before we got the first results, saying they were inconclusive. It was not something they were used to seeing. So, they actually sent it to the USF (University of South Florida) doctors.

“The dermatologist said ‘You better get a second opinion.’

Her mom, Kim Carpintier, recalled how scary that was.

It took two weeks to get her into Moffitt Cancer Center, and when they did, they were told that the young woman needed surgery immediately.

“They were worried that it had spread to her lymph nodes,” Carpintier said.

If more time had passed, Ruff would have faced chemotherapy.

As it was, surgery was performed to remove the melanoma, the surrounding area and six of her lymph nodes.

“Moffitt told her that she’s one of two kids that they’ve ever seen with this form of melanoma,” Carpintier said.

After the surgery, Ruff said, “I was in pain for a long time.”

It took her about two months to regain full mobility in her head and neck.

Still, she knows how lucky she is.

“Nothing got infected,” she said. “By March, I was 100 percent myself.”

While they do not know what caused the melanoma to form on her head, Ruff and Carpintier suspect it could have been a result from being exposed to the sun for long hours, when Ruff was a cheerleader and when she ran cross-country.

Both mother and daughter said that schools may want to suggest that students who are out in the sun for hours wear a hat and protect themselves with sunscreen.

“No one thinks to wear sunscreen and a hat during school events because you get out of school and you change, and you go and do what you have to do,” said Ruff, who is now a student at the University of South Florida.

She plans to pursue a career as a pediatric nurse practitioner, and said that’s partially due to the excellent care she received from nurses at Moffitt.

Her career choice also has been influenced by her current job as a vision therapist at Walesby Vision Center, on State Road 54 in Lutz.

She has worked with both children and adults, both for both everyday issues and various disorders, she said. She works primarily with children, performing vision therapy with children experiencing challenges such as visual-motor and/or perceptual-cognitive deficiencies. Many of the children she serves have autism, attention deficit hyperactivity disorder or other medical conditions.

Ruff began working at Walesby to earn volunteer hours, but she was so good with children she was offered a job, Carpintier said.

Recently, Ruff received a $5,500 scholarship through an essay contest sponsored by Panera Bread and the Children’s Cancer Center. The awards were presented at the Palma Ceia Country Club in south Tampa.

Ruff’s mom was impressed by the event.

“It was beautiful. They went above and beyond,” Carpintier said. It honored youths who have dealt with cancer, ranging from 16 to 20 years old.

The stories that were shared were touching, she said.

Ruff also has received two other scholarships, one from a Greek organization, and another from an Italian organization.

She hopes to continue her education in USF’s nursing program, but realizes that it’s very competitive, so will be applying elsewhere, too.

Her goal is to work at Tampa General Hospital in the pediatrics unit, or at Johns Hopkins All Children’s Hospital or at St. Joseph’s Children’s Hospital.

Ruff lives with her mom, Kim, her dad, Don Carpintier, and her sister, Meghan Ruff, in Lutz.

She’s grateful for all of the help and support she’s received.

Besides the scholarships, she also has received support from her grandparents, Carol and Bill Little, and her aunt, Lois Zapert, who all live in Lutz and her grandmother, Michele Carpintier, who lives in St. Petersburg.

Published May 23, 2018