Panache Privee

Sending in the Clowns
Red-nosed healers brighten the days of young patients.


Above: clown rounds with Joel Jeske (Dr. Yadontsay) and Jeff Smithson (Dr. Bombafu) at Yale-New Haven Children's Hospital in September.

Nine-year-old Clara Kohrn sat in a waiting room at Yale-New Haven Children's Hospital, eyeing a red-nosed guy whose frayed lab coat bore the badge “Dr. Bombafu.”

“You're a clown!” she exclaimed.

“I am not! I'm a lawyer! Now let's get back to business. So, you say your name is Banana?” the “doctor” said, as the little girl dissolved into giggles.

Clara had just had an MRI at the Connecticut hospital. “We're here for a follow-up for some treatments she underwent,” said her dad, Stanley Kohrn. “That's serious, so this is a nice counterpoint. It definitely brightens the day.”

Dr. Bombafu and his colleague, Dr. Yadontsay – a.k.a. veteran clowns Jeff Smithson and Joel Jeske – are part of the Big Apple Circus Clown Care Program, a community outreach effort celebrating its 20th birthday in 2006. The brainchild of circus co-founder Michael Christensen, a longtime clown himself, Clown Care prescribes laughter for hospitalized children in 17 pediatric facilities nationwide. The circus estimates the clown doctors make more than 250,000 bedside visits a year.

Christensen said his brother's death from pancreatic cancer deepened his commitment to service, inspiring him to create Clown Care. “In the beginning, as professional clowns working in children's hospitals, we relied on our talents, our experience, our instincts and our hearts, all informed by the medical realities of a hospital,” he said. “Twenty years later, with our hearts even more present, we've created significant artistic and administrative support structures to sustain and nourish our efforts.”

Clown Care is one of several circus outreach projects. All are made possible, in large part, by the annual Opening Night Gala, which raised more than $1million in 2004 and takes place this year on November 4. The family event kicks off the circus's 28th season running through January 8 – featuring a new production, Grandma Goes to Hollywood – at Lincoln Center's Damrosch Park.
“Clown doctors from our national network of host hospitals join us for a Parade of Big Apple Circus Clown Care Clown Doctors right before the start of the Gala performance,” said Gala vice-chairman Edward Adler. “The audience – young and old alike – just loves ‘em!”

Clown Care's seasoned performers conduct daily clown rounds, visiting patient rooms, pre- and postoperative wards, even emergency rooms. On a recent afternoon, Smithson and Jeske played tag with a waiting room full of children, blew bubbles over tiny patients in the emergency room and did 15 minutes of shtick entirely in Spanish for one appreciative crowd.

Unlike the circus tent, the hospital setting forces abrupt changes. Minutes before belting out La Bamba for one giggling group, Smithson quietly played Twinkle, Twinkle, Little Star on a xylophone for 11-month-old Grace Coble in the pediatric treatment center, where children receive transfusions, chemotherapy and other care.

“It's not all about laughs. Sometimes it's just the power of your presence in the room,” said Jeske.
David Spiro, M.D., who works in Yale's pediatric emergency room, said the clowns offer everyone a break. “They're great because this is a situation where there can be a lot of sadness, a lot of stress,” he said. “The experience goes better for little kids when there are a couple of bubbles in the air.”

Nearing the end of their rounds, Smithson and Jeske strolled to the primary care waiting room, which is usually filled with sick children and their families. Turning a corner, they were shocked to find not one child in the room. Jeske laughed loudly. “Now this? This is a good sign!”

MEREDITH GUINNESS

Photo credits:
www.digitalrailroad.net/sarahshatz

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