Dr. Francisco Pernas, a resident in Otolaryngology, says hello to Tilly before her birthday party started on Friday, Nov. 9.  Tilly, a female Cavalier King Charles Spaniel, works in UTMB's Acute Care for the Elders Unit.  Tilly turned 8.  Deven Cockerell, Assistant Nurse Manager on the ACE, coordinated Tilly's birthday celebration.