How Nemours is Moving Ever Forward

New facilities, equipment, staff and partnerships keep Delaware’s hospital for children at the fore.


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Drs. Harry and Diane Chugani (from left), pictured with Dr. Roy Proujansky of Nemours Children’s Health System, have done pioneering work in epilepsy research and treatment. // Photo by Tom Nutter

 

Just about everybody has had the experience. Someone is sick. A doctor’s appointment is needed. The call is made, and the office representative delivers the bad news:

“We are scheduling people for three months from now.”

Which doesn’t help right now. Access to good medical care can be frustrating, even for those who have the best insurance plans. To Dr. Roy Proujansky and the rest of the administration of Nemours Children’s Health System, that is unacceptable. When a child needs to see a physician, he or she can’t wait weeks or months. It needs to happen now.

That’s why, no matter how much new equipment Nemours purchases, how many new specialists it adds to its impressive ranks and whatever new facilities it builds, service is always the most important thing. 

“Part of our culture and mission is our service to patients and their families,” says Proujansky, chief executive for Nemours in the Delaware Valley since July 2013. “We are committed to decreasing wait time and increasing transparency so we can increase patient and family satisfaction.”

There is a lot happening at Nemours in terms of research and care. But unless those who need to benefit from that can have easy access, they don’t mean much. Proujansky reports that 80 percent of new patients can see a physician in three days or fewer, a statistic that has helped boost happiness—and overall health—greatly. Nemours is in the 90th percentile nationally for patient satisfaction.

“We are patient- and family-centric here,” Proujansky says.

Though Nemours started as an orthopedic institute, it has since become a full-service children’s hospital, so it is looking at all times for ways to enhance the care it provides. There has always been a strong link between orthopedics and neuroscience at Nemours, and part of that relationship has involved children with epilepsy. As the treatments have matured and improved, Proujansky and other administrators began to think about the possibility of expansion in that area. 

“We started talking about an epilepsy surgery program to help children with the most difficult seizure problems,” Proujansky says. “We also wanted to look at behavioral problems and autism.”

That’s how Harry and Diane Chugani came to join the Nemours staff in the fall of 2015. The couple have done pioneering work in epilepsy research and treatment, and they have helped the hospital move into exciting new territory. Harry Chugani was last division chief of neurology at the Children’s Hospital of Michigan, where he established the nation’s first PET (positron emission tomography) center in a children’s hospital. Diane Chugani, a neuropharmacologist with an expertise in autism research, was last at Wayne State University. She will split her time between Nemours and the University of Delaware. 

The couple’s use of PET and MRI technology allows Nemours to be more proactive in surgery on children with the most difficult epilepsy cases. It also enables Nemours to increase its research and treatment in the areas of autism and behavioral health. The presence of the Chuganis has helped lead to the establishment of a new PET/MRI Center and a radiopharmaceutical center that will allow for brain imaging that can aid in epilepsy surgeries. 

“A PET scan can be used to study the metabolism in the brain, while the MRI gives you the anatomy,” Proujansky says. “When you combine the two pieces of equipment into one, you can do the two scans together and get overlapping images to find out where a functional problem exists in the brain. 

“For epilepsy, the combination can be used to find the part of the brain where the resistant seizures are. The MRI gives the picture of the brain, and the PET locates where the abnormality is.”

The technique provides an unprecedented look at where the surgeon can go to remove and repair anything that is causing particularly damaging and heavily recurring seizures, Proujansky says. The combination of scans can also help locate areas of the brain where metabolic changes have caused autism.

Nemours is only the third freestanding hospital in the country to have dual PET/MRI capability. It is now working to bolster treatment options so it can eventually provide comprehensive care.

Nemours also hopes to expand its behavioral health offerings. As the community at large becomes more aware of the various challenges children face in that area, Nemours is committed to providing leadership in addressing many different conditions.

“We will be working with families to help their children with anxiety, depression, school testing issues, ADD and also more complicated issues,” Proujansky says. “We are looking to expand these services throughout the state.”    

More than three years ago, Nemours began a strategic planning program aimed at meeting Delaware’s needs over the next five to 10 years. One result was the realization that Nemours needed to provide specialty care in lower Delaware.

“Many patients had to travel a lot, and some weren’t getting care,” Proujansky says. “Other children were seeing physicians who treated adults. Their parents had to drive them back and forth.” 

Nemours settled in Milford, which Proujansky terms “a perfect destination.” The goal was to shorten the trip for care, so families downstate wouldn’t have to head north to Wilmington late in the day, fight traffic or return home at late hours that were inconvenient for children. Though Proujansky reports that the Milford facility operates at a financial loss, providing convenience for patients, he says, is worth the sacrifice.

Another way to move Nemours forward was to improve its ability to do research. Though the hospital had provided a facility that allowed physicians to conduct biomedical experiments, it wasn’t of a quality that allowed for consistent, groundbreaking work. 

In January, the DuPont Co. announced a $200 million renovation of its century-old experimental station—one of the first industrial research laboratories in the world and a neighbor of the hospital—to allow for greater collaboration between the company and outside scientists such as Nemours researchers. The aim is to create an incubator that will lead to significant advancements in many disciplines, including medicine. 

“It’s going to be a great space,” Proujansky says. “We want to be a catalyst to bring more research to Delaware. This has a chance to be a real research park.”

One exciting aspect of the expansion will be the opportunity to form partnerships with entities such as the University of Delaware, and with biomedical companies that may be attracted to do research under the DuPont umbrella. DuPont will create new space for scientists to work that will spawn innovation. Proujansky says the hope is that the experimental station will attract start-ups and establish the state as the place to be for scientists.

“We’re talking about future businesses within the state,” Proujansky says. “It will be an important part of what we do here.”

One of the good things about Delaware’s size is that Nemours can expand its services to all areas without taxing its resources. By opening a center in Milford, cutting down the amount of time new patients wait to be seen, and increasing treatment and research in areas that are emerging as key for the future, Nemours can continue its status as Delaware’s pediatric care leader. New facilities, technology, staff and partnerships with outside businesses can help that become a reality.

“We want to continue to grow, so that our service to patients and their families remains among the best in the country,” Proujansky says.

Not to mention the fastest. 

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February 2018

A winter warm up of colorful, vibrant paintings. Marlene Dubin - bold mixed media abstracts; Elaine Lisle - regional landscapes in oil; Mary Ann Weselyk – whimsical animals and still life...

Cost: free

Where:
The Station Gallery
3922 Kennett Pike
Greenville, DE  19807
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Telephone: 302-654-8638
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Cost: Free with Museum admission

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Delaware Art Museum
2301 Kentmere Parkway
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The Philly Home + Garden Show will return to the Greater Philadelphia Expo Center at Oaks February 16-18. The show will feature highly-interactive exhibits including a full scale model smart home,...

Cost: 10

Where:
Greater Philadelphia Expo Center
100 Station Ave
Oaks, PA  19456
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Sponsor: MarketPlace Events
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By Simon Stephens (playwright of "The Curious Incident of the Dog in the Night-Time") Directed by Matt Pfeiffer REGIONAL PREMIERE! Amidst the bustle of a crowded London train...

Cost: Varies

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Delaware Theatre Company
200 Water Street
Wilmington, DE  19801
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The Rehoboth Beach Film Society in partnership with The Southern Delaware Alliance for Racial Justice are proud to present the inaugural Rehoboth Beach African-American Film Festival. The mission...

Cost: $10

Where:
Cinema Art Theater
17701 Dartmouth Drive, #2
Lewes, DE
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Sponsor: Rehoboth Beach Film Society
Telephone: 302-645-9095
Contact Name: Jeri Kaplan
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"Choir Boy" presents a complex look at race and sexuality. Shows are at 8pm on February 16 and 17; there is a 2pm matinee on Sunday February 18. Buy tickets online at www.WilmingtonDramaLeague.org.

Cost: $10-$15

Where:
Wilmington Drama League
10 West Lea Blvd.
Wilmington, DE  19802
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Sponsor: Wilmington Drama League
Telephone: 302-764-1172
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"What the water said…Flowers, Places, & Faces," an exhibition of watercolor paintings by Hugh Phibbs, will be on view in the Mezzanine Gallery from February 2-23, 2018. A free...

Cost: Free

Where:
Mezzanine Gallery
Carvel State Office Building, 2nd Floor
820 N. French St.
Wilmington, DE  19801
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Sponsor: Delaware Division of the Arts
Telephone: 302-577-8278
Contact Name: Roxanne Stanulis
Website »

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A winter warm up of colorful, vibrant paintings. Marlene Dubin - bold mixed media abstracts; Elaine Lisle - regional landscapes in oil; Mary Ann Weselyk – whimsical animals and still life...

Cost: free

Where:
The Station Gallery
3922 Kennett Pike
Greenville, DE  19807
View map »


Telephone: 302-654-8638
Website »

More information

By Simon Stephens (playwright of "The Curious Incident of the Dog in the Night-Time") Directed by Matt Pfeiffer REGIONAL PREMIERE! Amidst the bustle of a crowded London train...

Cost: Varies

Where:
Delaware Theatre Company
200 Water Street
Wilmington, DE  19801
View map »

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Cost: $15 adults; $10 UD faculty/staff/alumni & seniors; $5 students

Where:
Gore Recital Hall
110 Orchard Rd
Newark, DE  19716
View map »


Sponsor: University of Delaware Department of Music
Telephone: 130-283-12578
Contact Name: Megan Everhart
Website »

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"What the water said…Flowers, Places, & Faces," an exhibition of watercolor paintings by Hugh Phibbs, will be on view in the Mezzanine Gallery from February 2-23, 2018. A free...

Cost: Free

Where:
Mezzanine Gallery
Carvel State Office Building, 2nd Floor
820 N. French St.
Wilmington, DE  19801
View map »


Sponsor: Delaware Division of the Arts
Telephone: 302-577-8278
Contact Name: Roxanne Stanulis
Website »

More information

A winter warm up of colorful, vibrant paintings. Marlene Dubin - bold mixed media abstracts; Elaine Lisle - regional landscapes in oil; Mary Ann Weselyk – whimsical animals and still life...

Cost: free

Where:
The Station Gallery
3922 Kennett Pike
Greenville, DE  19807
View map »


Telephone: 302-654-8638
Website »

More information

Nanticoke Memorial Hospital will host a four-session diabetes educational program, The Diabetes Connection, on February 6, 13, 20 and 27 from 9:30 am to 11:30 am. Pre-registration is required. As...

Cost: Call for cost.

Where:
Nanticoke Memorial Hospital
801 Middleford Road
Seaford, DE  19973
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Telephone: 302-629-6611 x2288
Contact Name: Nanticoke's Diabetes Education Department
Website »

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By Simon Stephens (playwright of "The Curious Incident of the Dog in the Night-Time") Directed by Matt Pfeiffer REGIONAL PREMIERE! Amidst the bustle of a crowded London train...

Cost: Varies

Where:
Delaware Theatre Company
200 Water Street
Wilmington, DE  19801
View map »

More information

Show More...
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"What the water said…Flowers, Places, & Faces," an exhibition of watercolor paintings by Hugh Phibbs, will be on view in the Mezzanine Gallery from February 2-23, 2018. A free...

Cost: Free

Where:
Mezzanine Gallery
Carvel State Office Building, 2nd Floor
820 N. French St.
Wilmington, DE  19801
View map »


Sponsor: Delaware Division of the Arts
Telephone: 302-577-8278
Contact Name: Roxanne Stanulis
Website »

More information

A winter warm up of colorful, vibrant paintings. Marlene Dubin - bold mixed media abstracts; Elaine Lisle - regional landscapes in oil; Mary Ann Weselyk – whimsical animals and still life...

Cost: free

Where:
The Station Gallery
3922 Kennett Pike
Greenville, DE  19807
View map »


Telephone: 302-654-8638
Website »

More information

This community-curated exhibition brings together three painters—Alan Soffer, Brian Dickerson, and Moe Brooker—who are attuned to harmonies and contrasts in abstract forms. Each artist...

Cost: Free with Museum admission

Where:
Delaware Art Museum
2301 Kentmere Parkway
Wilmington, DE  19806
View map »


Website »

More information

FREE COMMUNITY EVENT: MID-WEEK WORD REFRESHER Come join us at the Mid-Week Word Refresher every Wednesday at Faith Victory Christian Center from 11:00am - 12:00pm. Refreshments will be...

Cost: FREE

Where:
Faith Victory Christian Center
301 Commonwealth Avenue
Claymont, DE  19703
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Sponsor: Faith Victory Christian Center
Telephone: 302.354.6726
Contact Name: Alvin Walker
Website »

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By Simon Stephens (playwright of "The Curious Incident of the Dog in the Night-Time") Directed by Matt Pfeiffer REGIONAL PREMIERE! Amidst the bustle of a crowded London train...

Cost: Varies

Where:
Delaware Theatre Company
200 Water Street
Wilmington, DE  19801
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Cost: $20 members; $30 non-members

Where:
Delaware Center for Horticulture
1810 N. Dupont Street
Wilmington, DE  19806
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Sponsor: Delaware Center for Horticulture
Telephone: (302) 658-6262
Contact Name: Ruth Arias
Website »

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Clearing the mind and learning to think not thinking is Zen awareness. Taking the appropriate action in this moment is Zen. Once you know this in your body, walking, standing, sitting down,...

Cost: Free

Where:
Unitarian Universalist Fellowship of Newark
420 Willa Road
Newark, DE  19711
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Sponsor: UUFN
Telephone: 302.368.2984
Contact Name: Richard Field
Website »

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"What the water said…Flowers, Places, & Faces," an exhibition of watercolor paintings by Hugh Phibbs, will be on view in the Mezzanine Gallery from February 2-23, 2018. A free...

Cost: Free

Where:
Mezzanine Gallery
Carvel State Office Building, 2nd Floor
820 N. French St.
Wilmington, DE  19801
View map »


Sponsor: Delaware Division of the Arts
Telephone: 302-577-8278
Contact Name: Roxanne Stanulis
Website »

More information

A winter warm up of colorful, vibrant paintings. Marlene Dubin - bold mixed media abstracts; Elaine Lisle - regional landscapes in oil; Mary Ann Weselyk – whimsical animals and still life...

Cost: free

Where:
The Station Gallery
3922 Kennett Pike
Greenville, DE  19807
View map »


Telephone: 302-654-8638
Website »

More information

This community-curated exhibition brings together three painters—Alan Soffer, Brian Dickerson, and Moe Brooker—who are attuned to harmonies and contrasts in abstract forms. Each artist...

Cost: Free with Museum admission

Where:
Delaware Art Museum
2301 Kentmere Parkway
Wilmington, DE  19806
View map »


Website »

More information

By Simon Stephens (playwright of "The Curious Incident of the Dog in the Night-Time") Directed by Matt Pfeiffer REGIONAL PREMIERE! Amidst the bustle of a crowded London train...

Cost: Varies

Where:
Delaware Theatre Company
200 Water Street
Wilmington, DE  19801
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More information

This community event invites attendees to sample healthy dishes prepared by local restaurants and vote for the most creative, tastiest, and best preparation. The first 200 registrants may also sign...

Where:
STAR Health Sciences Complex
540 S. College Ave
Newark, DE  19713
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Website »

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Explore connections between people and plants in these four inspiring presentations. Special thanks to Whole Foods Market for sponsoring this  year’s refreshments. Individual lecture pricing:...

Cost: $20 members; $30 non-members

Where:
Delaware Center for Horticulture
1810 N. Dupont Street
Wilmington, DE  19806
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Sponsor: Delaware Center for Horticulture
Telephone: (302) 658-6262
Contact Name: Mackenzie Knight-Fochs
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Tickets are $15 adults; $10 UD faculty/staff/alumni & seniors; $5 students. Tickets are available at the door. Cash or check only.

Cost: $15 adults; $10 UD faculty/staff/alumni & seniors; $5 students

Where:
Gore Recital Hall
110 Orchard Rd
Newark, DE  19716
View map »


Sponsor: University of Delaware Department of Music
Telephone: 130-283-12578
Contact Name: Megan Everhart
Website »

More information

Show More...
Show Less...

"What the water said…Flowers, Places, & Faces," an exhibition of watercolor paintings by Hugh Phibbs, will be on view in the Mezzanine Gallery from February 2-23, 2018. A free...

Cost: Free

Where:
Mezzanine Gallery
Carvel State Office Building, 2nd Floor
820 N. French St.
Wilmington, DE  19801
View map »


Sponsor: Delaware Division of the Arts
Telephone: 302-577-8278
Contact Name: Roxanne Stanulis
Website »

More information

A winter warm up of colorful, vibrant paintings. Marlene Dubin - bold mixed media abstracts; Elaine Lisle - regional landscapes in oil; Mary Ann Weselyk – whimsical animals and still life...

Cost: free

Where:
The Station Gallery
3922 Kennett Pike
Greenville, DE  19807
View map »


Telephone: 302-654-8638
Website »

More information

The area’s largest sale of gently used books has been scheduled by the Wilmington branch of the American Association of University Women. The 49th annual Dollars for Scholars Used Book Sale, to...

Cost: free

Where:
Concord Mall
4737 Concord Pike
North Wilmington, DE  19803
View map »


Sponsor: American Association of University Women
Telephone: 302-428-0939

More information

This community-curated exhibition brings together three painters—Alan Soffer, Brian Dickerson, and Moe Brooker—who are attuned to harmonies and contrasts in abstract forms. Each artist...

Cost: Free with Museum admission

Where:
Delaware Art Museum
2301 Kentmere Parkway
Wilmington, DE  19806
View map »


Website »

More information

Glory of Stories introduces young visitors to art and the Museum through a story reading followed by an interactive tour of relevant works of art and a studio art project. This program encourages...

Cost: Free to Members, $5 per child and one adult free for Non-Members

Where:
Delaware Art Museum
2301 Kentmere Parkway
Wilmington, DE  19806
View map »

More information

By Simon Stephens (playwright of "The Curious Incident of the Dog in the Night-Time") Directed by Matt Pfeiffer REGIONAL PREMIERE! Amidst the bustle of a crowded London train...

Cost: Varies

Where:
Delaware Theatre Company
200 Water Street
Wilmington, DE  19801
View map »

More information

Meeting every Friday, Bayhealth Kent General Hospital, 640 s. State Street, Dover, 7:30 pm., Private Dining Room #3 in the basement. For those who have, or think they may have a gambling problem....

Cost: 0.00

Where:
Bayhealth Kent General Hospital
640 S. State Street
Private Dining Room #3
Dover, DE  19901
View map »


Telephone: 800-855-2CALLGA
Website »

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Show Less...

A winter warm up of colorful, vibrant paintings. Marlene Dubin - bold mixed media abstracts; Elaine Lisle - regional landscapes in oil; Mary Ann Weselyk – whimsical animals and still life...

Cost: free

Where:
The Station Gallery
3922 Kennett Pike
Greenville, DE  19807
View map »


Telephone: 302-654-8638
Website »

More information

The area’s largest sale of gently used books has been scheduled by the Wilmington branch of the American Association of University Women. The 49th annual Dollars for Scholars Used Book Sale, to...

Cost: free

Where:
Concord Mall
4737 Concord Pike
North Wilmington, DE  19803
View map »


Sponsor: American Association of University Women
Telephone: 302-428-0939

More information

This community-curated exhibition brings together three painters—Alan Soffer, Brian Dickerson, and Moe Brooker—who are attuned to harmonies and contrasts in abstract forms. Each artist...

Cost: Free with Museum admission

Where:
Delaware Art Museum
2301 Kentmere Parkway
Wilmington, DE  19806
View map »


Website »

More information

Ronald Barron was principal trombonist of the Boston Symphony Orchestra from 1975 until 2008. He joined the orchestra in 1970 after being a member of the Montreal Symphony Orchestra, and also...

Cost: Free

Where:
Gore Recital Hall
110 Orchard Rd
Newark, DE  19716
View map »


Sponsor: University of Delaware Department of Music
Telephone: 130-283-12578
Contact Name: Megan Everhart
Website »

More information

Celebrate the 12th Annual Chinese New Year at the Delaware Art Museum! This celebration includes traditional Chinese art activities, artist demonstrations, a lion and folk dance, a Chinese yo-yo...

Cost: Free; donations accepted

Where:
Delaware Art Museum
2301 Kentmere Parkway
Wilmington, DE  19806
View map »


Website »

More information

By Simon Stephens (playwright of "The Curious Incident of the Dog in the Night-Time") Directed by Matt Pfeiffer REGIONAL PREMIERE! Amidst the bustle of a crowded London train...

Cost: Varies

Where:
Delaware Theatre Company
200 Water Street
Wilmington, DE  19801
View map »

More information

For this Saturday’s activity, visitors will have fun with fluid dynamics and hydraulics - Pascal would be proud! Visitors of all ages are invited to discover solutions to science and engineering...

Cost: Free with admission; Adults: $14, Children 6-14: $5, Children 5 and under: Free

Where:
Hagley Museum and Library
200 Hagley Creek Road
Wilmington, DE  19807
View map »


Telephone: 302-658-2400
Website »

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Lights of Life Goes Disco Nights is Delaware’s premier breast cancer fundraiser to benefit the local programs and services of the Delaware Breast Cancer Coalition. Join us for a glamorous, fun...

Cost: *VIP $125.00; *Silver Mirror Ball $50.00

Where:
Dover Downs Hotel
, 1131 North Dupont Highway
Dover, DE  19901
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Sponsor: Delaware Breast Cancer Coalition
Telephone: 302-778-1102
Contact Name: Eliza Mohler
Website »

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The Newark Symphony Chamber Orchestra presents a performance of Johann Baptist George Neruda, Trumpet Concerto in E flat, with Wendell Banyay, Trumpet.  Also to be featured will be Gabriel Faure,...

Cost: 0 - $20

Where:
Newark United Methodist Church
69 E. Main St.
Newark, DE  19711
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