I want to share a story about our wonderful nurse coordinator, Georgia Wiltsie Tilford. Georgia consistently goes above and beyond to provide quality care for her patients and families. In her role as nurse coordinator for the Spina Bifida program and outpatient clinic, she makes herself available to help with whatever needs a family may have in providing the best possible care for their child with special needs. One recent example: a two-year old Spina Bifida patient with multiple congenital anomalies presented in clinical with a persistent sacral callous, which has been causing him pain when trying to sit. Although this was not an open wound, there was erythema surrounding the area and with continued pressure, could easily develop into a pressure sore. The skin overlies a bony prominence, and because of his physical disabilities, his main means of mobility is scooting on the floor on his sacrum. Georgia spent a great deal of time speaking with his mother in attempts to find a solution for this little boy to prevent skin breakdown and still allow him to be an active toddler. She phoned many medical supply companies in an effort to locate a diaper product which might provide additional padding to protect the sacral area from further injury. When this was unsuccessful, Georgia checked on-line sources. She did find a cloth-type diaper, which was latex-free and washable, but with no padding. Georgia did not stop there. On her own time and her own dime, she fashioned a cloth-covered, foam-filled pillow/cushion with Velcro fasteners which can be removed and washed and reused. She purchased two of the diapers and made two cushions for her little patient, so one could be used while the other is being washed. I believe this is a demonstration of excellence in terms of professional practice as well as an example of an innovative, resourceful and caring approach to her special kids.