Former patients Landon DeFriez, 9, left, and James Kish, 14, pose after using a hammer to hit a wall in the entrance to the pediatric services area at Dignity Health’s St. Rose Dominican Hospital, Siena campus on Thursday, Nov. 17, 2022, in Henderson. The ceremonial wall demolition, which took place instead of a groundbreaking, marks the kickoff of a $2.4 million project to expand children’s ER services. (Chase Stevens/Las Vegas Review-Journal) @csstevensphoto