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Nogales, AZ

Spring 2009

Volume 12, Issue 1

St. Andrew's Children's Clinic 35 years of service to impoverished Mexican children

­­Ted Estrada, Executive Director noble cause often starts small and despite obstacles and difficulties, gains success by tenacity, hard work and love of the cause. That is the history of St. Andrew's Children's Clinic, which began when one of the founders was seeking help for her son, who had a neurological deficit. In her quest, she found many other Mexican children with similar problems, and without medical care. In 1973, four brave women, Coca Romero, Amanda Ast, Elsa Bugolas and Nancy Sumner, began crossing the border into Nogales, Son., Mexico. Seeing destitute, impoverished and ill children, they rented a small house and began providing first aid medical care. When children with complex medical problems­ mainly orthopedic­­began to came to the clinic, Dr. Mark Frankel, an orthopedic surgeon in Tucson, came, too. Children requiring surgery were taken to St. Joseph's Hospital in Tucson, at no charge, thanks to the hospital and the Sisters of St. Joseph of Carondelet. Later, when the clinic outgrew itself, it moved to an orphanage called Asilo de Madre Conchita

in Nogales, Son. Mexican health authorities soon declared that American doctors could not practice medicine in Mexico, and the clinic closed. Thus, the clinic moved to Nogales, Ariz. in 1976 when the generous offer to house the clinic was made by the newly-founded St. Andrew's Episcopal Church. Over the years, what was begun by a handful of brave dedicated women has grown into St. Andrew's Children's Clinic, made up of hundreds of volunteers, medical and ancillary, support from local hospitals, the Shriners, Children's Surgery International, airline companies, and local and national foundation donors. Continued next page...

35 Years of Service... The volunteers who join together on Clinic Day, the first Thursday of each month except July, see approximately 250 children. Some families have traveled for several days from remote Mexican towns and villages to reach the Clinic. St. Andrew's Children's Clinic is here today because volunteers and donors share its dedication to improve the quality of life of impoverished Mexican children.

Welcome, Dr. Hayes ¡Bienvenido Dr. Hayes!

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ith sadness we received notice of Catherine's sudden death on April 30th in Beaumont, Texas, where she was visiting relatives. Catherine had a long and distinguished career in healthcare: B.S. in pharmacy, M.S. in pharmaceutical science, and an R.N. degree. She accompanied her husband, an oil company executive, to Latin America and Asia, and could speak several foreign languages. She worked as an emergency nurse, and upon retirement worked as a volunteer with St. Andrew's Children's Clinic for the past ten years. Although frail in health, Catherine never missed a Clinic Day, where she volunteered in the pediatric department. Fluent in Spanish, Catherine was an asset in communicating with the children and their parents. We all loved and admired her dedication to helping the children who came to the Clinic. Catherine is survived by many relatives, who ask that donations in her memory be made to St. Andrew's Children's Clinic. Exemplifying the devoted volunteer, Catherine, having completed one career in working and raising a family, began a new one: volunteering to help those unable to help themselves--the impoverished Mexican children who come to St. Andrew's Children's Clinic.

t. Andrew's Children's Clinic has a new medical director: Dr. Jim Hayes. With wife Sharon, Jim retired to Green Valley, and found the Clinic. Feeling fortunate, his assignment is both rewarding and personally satisfying. He is especially impressed by the many volunteers who serve the Clinic children. The greater part of Jim's career as an orthopedic surgeon was spent in private practice in Springfield, Illinois. He also taught at Southern Illinois University School of Medicine, appointed as Clinical Associate Professor, Department of Surgery Division of Orthopedic Surgery. He was an active member of the Orthopedic Surgery Residency training program. Jim served as a consultant to the Illinois Elks Crippled Children's Foundation and the Division of Services for Crippled Children, State of Illinois. Active in local, state and national medical organizations, he chaired the Department of Orthopedic Surgery, Memorial Medical Center, Springfield; was president of the Illinois Orthopedic Society; was appointed to the Board of Councilors of the American Academy of Orthopedic Surgeons; and served as chairman of the Midwestern Membership Committee for the American Academy of Orthopedic Surgeons. He has published medical papers in orthopedic surgical journals and textbooks. On Clinic Day, stop by Orthopedics and say hello and welcome to Jim Hayes.

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A Rewarding Afternoon Tarde Placentera

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n a lovely Sunday afternoon in Green Valley, April 26, 2009, the musicians of Kingfisher String Quartet brought their best Mozart and Hayden to Valley Presbyterian Church. The Spring Fundraising Concert­­a first, and a celebration of the Clinic's 35th anniversary­­ dedicated all proceeds to the Clinic. St. Andrew's Children's Clinic is now in its th 36 year of a unique journey, providing volunteer medical service to impoverished Mexican children.

Pronto las actividades de la clínica llamaron la atención de las autoridades de salud Mexicanas, quienes argumentaron que los médicos norteamericanos, no podían ejercer medicina en México y que la clínica debía cerrar. Así que de nuevo, la clínica se trasladó a Nogales, Arizona, y la oferta generosa por parte de la recientemente fundada Iglesia Episcopal St. Andrew's, para alojar la clínica fue aceptada, y el resto es historia. A través de los años, lo que inició con un puñado de mujeres valientes, la Clínica ha crecido incluyendo a cientos de voluntarias, médicos y auxiliares, apoyados por hospitales locales como Shriners, Children's Surgery International, compañías aéreas, fundaciones de donadores locales y nacionales, pero lo más importante son las voluntarias quienes se reúnen el primer Jueves de cada mes, para ver doscientos cincuenta niños aproximadamente, algunas de las cuales viajan por varios días desde pueblos muy lejanos de México para llegar a la Clínica. St.Andrew's Children's Clinic existe gracias a las voluntarias y donadores quienes comparten nuestro amor de mejorar la calidad de vida de niños Mexicanos pobres.

Sirviendo a Niños Mexicanos Pobres por 35 años

Un viejo adagio nos dice que una noble causa siempre inicia en pequeño, y que además de obstáculos y dificultades, el triunfo se obtiene por la tenacidad, trabajo duro y amor por la causa. Esta es la historia de St. Andrew's Children's Clinic, aún cuando no fue ese su nombre en los inicios. De hecho, el origen de la Clínica se debió a que una de sus fundadoras buscaba ayuda para uno de sus hijos con déficit neurológico, y durante ese tiempo, se dio cuenta de que existían muchos niños mexicanos con problemas similares, quienes no recibían servicio médico. En 1973, cuatro mujeres valientes, Coca Romero, Amanda Ast, Elsa Bugolas y Nancy Summer, cruzaron la frontera adentrándose a la ciudad de Nogales, Sonora, y viendo niños indigentes, empobrecidos y enfermos, rentaron una casa pequeña y comenzaron a brindar servicio médico de primeros auxilios. Fue así como la noticia se propagó, y comenzaron a llegar niños con problemas médicos serios, principalmente ortopédicos. El Dr. Mark Frankel, Cirujano Ortopédico de Tucson se unió al grupo para valorar a los niños, y aquéllos que lo requirieran, serían trasladados al Hospital St. Joseph de Tucson para cirugía, sin costo, gracias a la generosidad del hospital y de las hermanas de St. Joseph de Carandolet. Después de varios años de la apertura de la Clínica, así como del aumento de niños que requirieron de consulta, el local se hizo insuficiente, tuvieron que mudarse a un orfanato llamado Asilo de Madre Conchita en Nogales, Sonora.

Ted Estrada

GIFTS OF THE HEART -- Patricia Martinez, original Board member, says, "The Clinic is my life. At the beginning it was hard to do, because I hate to see sick children. But when you see such results, every time, it makes it all so worthwhile. Those who work here are like a family. I've made friends with many volunteers. People give me money, they volunteer and work on other days during the month, including my husband. There are a lot of people in Mexico who help as well. I dedicate a week of every month to preparations, and have been doing this for 35 years. I've only missed six Thursdays!"

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MY Clinic Story / Mi Historia Sobre la Clínica

­­Fr. Ed Gustafson, Executive Director Emeritus

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t was 1988 when Fr. Ed Gustafson was called as rector of St. Andrew's Episcopal Church in Nogales, Ariz. The "Crippled Children's Clinic" had been operating there for years, and he could choose to be involved, or not. In just days, at the first of many miraculous Clinic Days to come­­he was hooked. In 1993, Fr. Ed became Executive Director of the Clinic and served until 2003. In the beginning the Clinic budget was around seven to eight thousand dollars per year. If there were financial needs for particular projects, the churchwomen located special donations. As the Clinic grew, it was clear in late 1989 that there was a need to incorporate and separate the operations (and concomitant liabilities) of the Clinic from St. Andrew's Episcopal Church. Fr. Ed went to the churchwomen again and said, "We need to have a Board of Directors for the Clinic." Members of the first Board were Patricia Martinez, the late Dehlia Darymple, Marcia Clark, Earl Vance and Peggy Cumming. Early and indispensable volunteers were Drs. Mark Frankel and Don Spear, orthopedics; Janis Wolfe Gasch, hearing; Sharon Hendrickson-Pfeil, speech; Barbara Tracy, physical therapy; Marcia Klein, nutrition; the late Dan Leal, and now, son Dennis, prosthetics/orthotics; and Coca Romero, patient coordinator. After incorporation, the Clinic budget was $18,000. Formal solicitations began as a 501 (c) (3) nonprofit organization, and the budget increased to $26,000 the first year, typically doubling every year after to $600,000 in 2008. There are endless stories about fundraising miracles. "Often the names would come to me totally out of the blue­­answers to prayer, if you

will. For example, Bobby Bracker helped acquire a large grant from the CEO of University Medical Center: $10,000 toward MRIs and Cat Scans, and the promise of free such tests from that day forward. Today the grant is $25,000. In Green Valley, St. Francis in-the-Valley Episcopal Church, and the Lutheran and Presbyterian churches also stepped up. "There was no conception that the Clinic would go where it has gone today. I do believe God was in this from the beginning," said Fr. Ed.

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Quiet Heroes / Heroes Calladas

­­Barbara Gray, volunteer

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s with most organizations, the beginnings of St. Andrew's Children's Clinic depended a lot on people who have remained nameless over the years. The (mostly) women of St. Andrew's Episcopal Church fit into that category. Some of them are still present to tell the story. At least two continue to work hard on Clinic Day, supporting and quietly serving the clinic they helped found. Marcia Clark was on the original Clinic Board of Directors, serving for 11 Peggy and Marcia -- two of our quiet heroes...... years. In fact, she and Peggy Cumming were working in the St. Andrew's kitchen accounts (said with a laugh)! For 35 years Peggy with other churchwomen the day Fr. Ed Gustafson has brought brownies and three dozen empanadas came in and shook the ground under their feet by to Clinic Day. They are made by her helper, Teresa announcing that they needed to incorporate and Parra (a long-time housekeeper for many in the St. become an official "organization." Andrew's church family). "It was the only way to raise grant money for the Adele Sorenson, another churchwoman, and kids," he told them. That was all they needed to be Peggy were instrumental in building the ramada at able to say, "Sure­­we'll be glad to help." Marcia the rear of the church, "opened" in mid-80s. Peggy still works in the kitchen. That's more than 20 years was ECW president (Episcopal Church Women) at of every-month faithfulness to the Clinic and its the time, and insisted that the money be put aside children. for that use. It's now lovingly referred to as Peggy's Marcia tells the story about her husband, Buck, Ramada. who invited Eddie Basha (owner of Nogales Food Peggy loves to point out that it was Fr. Ed who City) to visit the Clinic when Eddie was running for saved the Clinic many times. "He would point us governor in 1994. Buck thought it would be a good people we should `court'," she said. "Inevitably his way for Eddie to meet people, but it ended up being judgment was right on, and visitors would present a much more than that. The visit brought tears to his sizable check for Clinic before they left!" eyes, and he asked Buck, "What can I do?" He has Other important names from those early days made a monthly donation every year since that day. must include Lou Clapper, former Board member, He is another one of those quiet heroes. Thelma Montgomery, and Sharon HendricksonPeggy Cumming was on the Clinic Board for Pfiel, who started out with the School for the many years. She used to do all the shopping for Handicapped in Nogales, Son. Continued next page... the Clinic until she was told there were too many

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Quiet heroes... Sharon made a contact with the Clinic, and has been a part of its operation ever since. There are many others who have served long hitches, such as the Kruegers: Laurel is the Patient Meals Organizer on Clinic Day; Kim was a Board member for 15 years, then a van driver and tour leader. St. Andrew's Episcopal Church is not only the host on Clinic days. Its members were and are instrumental in the Clinic's continuing success. Many of its members have served as quiet heroes and continue to do so to this day.

MY Clinic Story Mi Historia Sobre la Clínica

-Barbara Blake, Board President Emeritus

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y first visit to St. Andrew's Children's Clinic occurred about 10 years ago. Father Ed Gustafson and Earl and Beverly Vance kept after me to please come visit the "Clinic of Love." When I did, I could not believe my eyes. In all my charity work I had never seen anything like this clinic. The love, pain and devotion were overwhelming. It is truly a miracle how it all flows. Once a month, more than 200 children and 200 volunteers meet to share in healing these beautiful children, who, without us, would never have a chance for a healthy life. The question I am most often asked when I am raising money for the Clinic is: Why should we help children across the border in Mexico? My answer always is: Children have no borders, and without us these children would not have a chance. When you see their faces light up the first time they hear or see or walk, your heart jumps for joy. It's hard, hard work. It tugs at the heart when I tour people­­we never make it without tears. However, when the day is over you feel so fulfilled, as if you have really given back. We continue to grow and survive, but we do need your support and help. Please come visit. I promise that you will never forget the experience.

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Ruben Meets Shriners Ruben conoce a los Shriners

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team of medical staff and personnel from the Shriners Hospital, Spokane, travel to St. Andrew's Children's Clinic regularly to help children and families from Mexico who do not have access to, or the financial ability to pay for, highquality orthopedic care. On one such trip, Dr. Glen Baird, orthopedic surgeon, had the opportunity to evaluate Ruben Renteria, a 17-year-old from Nogales, Son. Ruben was in considerable pain, unable to walk or talk, following a tragic accident as an infant. At 18 months, Ruben, then a healthy and normally developing toddler, swallowed some pesticide causing brain damage and resultant musculoskeletal deformities. After evaluation, Dr. Baird determined that orthopedic surgery would help relieve the relentless pain Ruben had to endure daily. He and his mother, Argelia, were transported to Shriners in Spokane in May. Following surgery, Ruben and his mother then spent two months at the hospital while he recovered. Ruben already had a wheelchair, but it was much too small and did not support his body properly­­it actually contributed to further pain and physical challenges. Shriners found a donated wheelchair for Ruben, but it needed major repairs and modifications to meet his special needs. Four local community groups joined Shriners to transform it into a chair with a custom molded seating system to support Ruben, make him far more comfortable and allow him to be out of bed for longer periods of time. Inland Medical and Rehab staff donated time and all necessary parts at cost, and People to People Student Ambassadors, Rotary International and Life Center Church donated $2,000 for the new and improved wheelchair for this very special young patient from Mexico. "Thank you so much from Ruben and his family," his mother told the Clinic. "Ruben will use this every day. We have been missing this for a

Ruben and his mom receive the Cadillac of wheelchairs.

long time." The gratitude on Argelia's face and in her smiles and hugs made it all so worthwhile for everyone involved.

GIFTS OF THE HEART-- Lynne Albright, Vision Department, former Board member, has been volunteering for nearly eight years. Here is her story: I had retired, but felt that I still had the ability to help these children. I learned what a joy it is to provide even minimal help to needy and grateful families. One of my high points was providing a closed circuit TV reader to a high school student from Navajoa, Mexico. Traveling to Clinic only by bus, however, the family couldn't take delivery on the machine. So...when I planned a stop in Navajoa on my way to Mazatlan, an arrangement was made. They met me at our motel, arriving early. There were smiles all around as they put the CCTV into their truck. Before they left, Uziel ran back and said, "Thank you!" in English, and with a big smile. I smile whenever I remember that.

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MY Clinic Story Mi Historia Sobre la Clínica

­­Janet Gasch, Hearing Department have been volunteering at St. Andrew's Children's Clinic since 1977. I started at the request of the speech pathologist, Sharon Hendrickson, who was screening some children and found that many of them failed. I used to walk around the waiting room and randomly took kids back to the sacristy to test them. The sacristy used to be the quietest room in the Clinic. Now we are one of the busiest Clinic departments, and the sacristy is no longer quiet. Fortunately, several years ago the Midtown Sertoma Club of Tucson purchased and donated a used trailer that has two sound suites. Now the initial evaluations take place there, and my staff and I fit the kids with hearing aids, monitor their progress and see them routinely for cleaning and follow-up. So what is it that has made me drive down to Nogales the first Thursday of every month for almost 30 years? THE KIDS and their families. The children and their parents are so appreciative of our services, and they work hard to earn the money for bus fare, some by making and selling tortillas. Some travel 10 to 15 hours to get to the Clinic. They arrive with happy faces. The best reward is a huge smile from a child after being fitted with hearing aids... and hearing her or his own voice for the first time. Volunteering at the Clinic is a very humbling experience. I always feel very blessed, on the drive home, knowing that I have helped a child live a more productive life...but I also appreciate my family, my children and the blessings in my life that are so easy to take for granted. I keep coming back, because it makes me feel so good.

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GIFTS OF THE HEART -- Laurel Krueger, Patients Meals Organizer, says: Knowing that these indigent children from Mexico would have no other chance for any type of medical help for their serious afflictions is all the reason any person would need to volunteer. I've been volunteering in the kitchen, helping organize the patients' lunches for about 16 years; it never ceases to amaze me how dedicated and loyal the volunteers are, from the kitchen workers to the unconditional time the doctors donate. What a joy to see the successes!

GIFTS OF THE HEART -- Kim Krueger, Laurel's spouse, also began volunteering in 1991, serving as Board member for 15 years, 12 as treasurer. When Fr. Ed Gustafson said, "Come on down," Kim did so, looked and lost his heart. As general "gopher" around the Clinic, he also drove the van to "la linea" to fetch families, and became a tour leader. When 8-year-old Teresita from Caborca arrived with spina bifida and both legs amputated near the knees, Kim found himself writing a check for $1,000 for prostheses, not the requested $100, after a pitch by...Fr. Ed.

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MY Clinic Story Mi Historia Sobre la Clínica

­­Dr. Francisco Valencia, Orthopedic Department

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hen Francisco Valencia, M.D., attended his hometown high school in Nogales, Ariz., he knew he wanted to help children with disabilities. He had badly hurt a knee during a basketball game. Francisco received orthopedic attention in Tucson from a Dr. Mark Frankel. "I needed more therapy, and Dr. Frankel told me he could treat me in Nogales at St. Andrew's Children's Clinic, where he served as an orthopedic Dr. Valencia,second from right, discussing treatment with specialist. At the Clinic, young Francisco Shriner Representatives from Spokane was "amazed because of the labor that everybody, doctors, volunteers, organizers were GIFTS OF THE doing. I just wanted to help." Being bilingual, he HEART -- Jim soon became a volunteer interpreter for Dr. Frankel Fitzsimmons is and the other doctors. Facilities Manager "I really loved the interaction between doctors at the Country Fair and patients. This is what made me want to do this." White Elephant in Francisco went on to become Dr. Valencia, with a Green Valley, and has subspecialty in pediatric orthopedics. He coordinated been volunteering in the Clinic's Orthopedics Department for many years, the same capacity at in association with contributing doctors nationwide, the Clinic since 2001. and continues to serve while maintaining his private He reports: I volunteer at St. Andrew's practice. Children's Clinic because it serves children who have no While a student at Stanford and the University other hope except to just survive. And I enjoy working of California at San Diego, Dr. Valencia always with a tremendous team of volunteers who do a lot of volunteered at the Clinic during vacations. At the work behind the scenes that nobody ever sees. Every year University of Arizona, Dr. Valencia, specializing in the Country Fair White Elephant gives away $1.4 million general orthopedic surgery, knew many professors to local Santa Cruz and Pima County charities, including who were Clinic volunteers. Returning to UofA, he a generous donation to St. Andrew's Children's Clinic. pursued his subspecialty. " It's special for me being a native of Nogales (to Please note: Jim's wife, Vicki Fitzsimmons, also is a continue volunteering). Helping at La Clinica makes long-time dedicated volunteer for our Clinic, and was for me feel that I'm helping my community, and it's many years the volunteer writer/photographer/producer of the Clinic newsletter­­"a labor of love." A singer, a way to honor my parents, who are from Sonora, Vickie has given several recitals to benefit the Clinic. Mexico."

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St. Andrew's Children's Clinic

Board of Directors

______________________ Jaime Chamberlain -- President Karen Sykes -- Secretary James Hayes, M.D. -- Medical Director Richard DeLong Lourdes Araiza Montijo Maria Eugenia Piña, M.D. Barbara Blake -- President Emeritus Mark Frankel, M.D. -- Medical Director Emeritus ______________________ Ted Estrada -- Executive Director ______________________

We're rolling! ¡Seguimos caminando!

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ood luck continues to favor us. Recently, Peg DeConcini and her father-in-law, Leonard DeConcini, stopped by our office: Mr. DeConcini wanted to donate to the Clinic a 2004 Chevrolet van. The gift was a true and timely miracle. We were in need of a new van, because of the need to transport patients to and from Tucson hospitals, doctors' offices, the airport and more. Thank you, Peg and Jim, devoted volunteers, and Mr. DeConcini for the wonderful gift!

GIFTS OF THE HEART -- Margie Ruse, Food Distribution, began volunteering in August 2001, and Fr. Ed Gustafson encouraged her and others at St. Andrew's Episcopal Church. Margie has a special memory: "Early on we were asked to take 2-year-old Rodrigo and his mother Consuela, of Nogales, Son., to the airport, for a flight to Shriners hospital. One of Rodrigo's legs was not right, and it was to be amputated. He was so sweet, and his mother and I formed an instant bond. We volunteered to pick them up when they returned three months later. Rodrigo came running off the plane on his new leg! We've been friends ever since. We seek each other out every month."

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Please Come Visit!

You are invited to visit the St. Andrew's Children's Clinic the first Thursday of every month (except in hot July), in Nogales, Ariz. To arrange a morning tour, please call the Clinic office at (520) 648-3242, or e-mail [email protected] standrewsclinic.org

GIFTS OF THE HEART -- M.D. pediatrician, Ed Spenny volunteers for three main reasons: "The children we see are medically needy; they have medical needs that are greater, with complex histories. Some have been abandoned or given up on by their Mexican medical providers as too expensive or too difficult to help." Secondly, as "wealthy Americans," I feel we have to share with those who have less. As medical providers, we individually have had sponsors and teachers who have gone before us­­sacrificing themselves to bring us where we are today. "Payback time" with energy from our riches and knowledge to serve others is part of our professional values. Thirdly, as a Christian, I believe in modern miracles that can be a blessing. Faith in God and Christ allows us to witness and serve those who are our neighbors. Our sacrifice to help and serve them is small compared to what God has done and given us. It's our duty and delight to volunteer."

Clinic Wish List

GIFTS OF THE HEART -- Doug and Joyce McQuiggin volunteer at St. Andrew's Children's Clinic. Doug says, "I keep coming back because the children are beautiful and so polite. It is a pleasure to be with them. They are sweet and very clever." Joyce decided to volunteer after taking the tour and says that she comes back each month to "make the children happy" at the crafts table. "I encourage them to be creative, and applaud them when they make something of their own."

To donate any of the items below, please call the St. Andrew's Children's Clinic office at (520) 648-3242. Benefiber Blenders (used ok, if in good condition) Breakfast drinks (powder or can) Disposable bibs Disposable diapers (especially newborn size) Eyeglass frames (children's, used) Ground flaxseed meal Hearing aids (used) and batteries Milk of Magnesia Peanut butter Pediasure (generic accepted) Physical Therapy exercise balls (45cm & 55cm); Physio rolls "peanut balls" (30cm & 40cm) Powdered milk Prune juice (small cans only) Receiving blankets Umbrella strollers (available at Wal-Mart) Vitamins, adult Vitamins, children's chewable with iron Wheelchairs (child-size only)

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Clinic Calendar

The Clinic meets on the first Thursday of every month except hot July. June 4 August 6 September 3 (Back-to-School Clinic) October 1 November 5 December 3 (Christmas Clinic)

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