Archives for February 2009

So I over-reacted and called the pediatrician…

Tonight while I was downstairs, my hubby told me to come upstairs because Hannah looked blotchy.  Of course I ran up the stairs to check.

Sure enough, her face was really blotchy, especially on her upper eyelids, and her eyes were watering like crazy.  She was acting like she wasn’t feeling that great.  Twenty minutes earlier, she was laughin and being herself.  Also, when I picked her up under her arms, I felt a slight vibration when she would breathe.

Usually, I would wait and ride it out for at least a few hours or the next morning before making it a concern.

Not tonight.  I immediately called Dr. B’s after hours line, and it turned out that he was on call tonight (out of 8 doctors, talk about luck!).  Of course, the answering service wanted to hook me up with the night nurse first, but I told them it would be a waste, and I needed Dr. B. directly.  It couldn’t have been more than 2 minutes after I hung up with the answering service that Dr. B. called. 

We went over what her symptoms were, asked me if I heard any wheezing or stridor in her breathing (we didn’t).  He thought it could be an allergic reaction to something, so he wanted us to give her a 1/2 teaspoon of benadryl to see if that would make a difference. 

Sure enough, 30 minutes after taking the Benadryl, she was sleeping comfortably and her face was back to normal.  It must have been a reaction to something.  But what?

I know I totally over-reacted, but I guess that is my new way of parenting with Hannah.  I just had in the back of my mind that swallowing issues are one of the next neurological symptoms to look for, and one of those symptoms are watering eyes from having trouble swallowing. 

Nope, not related to Gaucher’s Disease at all.  Just “normal” baby stuff.  So why do I still worry?

Balancing Family Life after a Diagnosis

My new Houston Examiner.com Special Needs Article…
Please take a moment to click on the link above to read the entry there.  The more page views I have, the more chance I have of becoming featured on their main pages!  But since this is Hannah’s story, I want the article here too.

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Even though Hannah is only 6 months old, I feel that the life that I knew before we knew she was ill has been gone for a much longer time.  Things that I enjoyed before Hannah was here (such as certain television shows, projects, etc.), I find very little interest in these days.  I would rather spend that time with different activities, mostly ones relating to creating awareness and finding a treatment for my daughter’s disease before it takes her away from us in a few years.

I have made a very conscious effort towards making sure our family life is as normal as it can be for our kids.  They know Hannah is sick.  They know she has a lot of doctor’s appointments.  They know that she gets her “medicine” (Cerezyme enzyme replacement therapy) every other week down at Texas Children’s Hospital.  But they don’t know the extent of her illness and what Hannah’s prognosis is.  To our kids, Hannah is just the baby sister who loves laughing when they make funny faces and loves to sit on their laps.

I have this rule that I do not do “Hannah stuff” when our two older kids are home.  It would be so incredibly easy to become completely obsessed with my new advocacy mission and work on it every waking moment if I could because there is still so much that I want to do. 

Disney Sing-It for WiiYesterday afternoon before my husband got home from work, the three kids and I were downstairs playing Wii Disney Sing-It Karaoke for almost two hours.  Hannah sat on my lap and watched as her brother and sister were playing the role of a rock star with the hip-hop moves and everything.  I even sang a couple of songs! 

It was all smiles during that time.  No thoughts of a little girl with a fatal disease.  No thoughts of a boy with ADHD.  No thoughts of money struggles.  Just fun, pure family fun.   After it was over, I realized how important these moments are for us.  These are the memories that I want my kids to have.  Heck, these are the memories that I want to remember! 

I need reminders like these more often.  I will not give up on working to save my daughter’s life, but I will also not give up on the fun family times that were the reasons that my husband and I worked so hard to create a family in the first place.   It is a balancing act that I am not yet experienced in, but in time, I know we will find the right balance.

What the previous post means…

I sent Dr. S. an email asking him what all that meant that I posted earlier this evening, and here was his response:

Dr. Futerman’s lab is doing the best scientific work on neuronopathic Gaucher disease and as you know much of it is supported by CGRF. What they say in this website is that they are working on the specific mechanism by which the accumulated glycolipid (fatty molecule) that in Gaucher disease causes problems in the brain. This work in critical in any case but may also lead to novel treatment approaches.

See THAT makes sense!   Thank you Dr. S.!  (We just love this man!)

Specific Gaucher’s Disease Type 2 and Type 3 Research

Disclaimer!  I have absolutely NO CLUE what this means, but this is the group that the Children’s Gaucher’s Research Fund is directly funding to work on GD2/3.   I will find out what this means and how it may affect Hannah!

Pathophysiology of sphingolipid storage diseases
We are attempting to delineate the molecular mechanisms by which sphingolipid accumulation in lysosomal storage diseases causes cell dysfunction, specifically in neuronal cells. We have shown that neuronal Ca2+-homeostasis is altered in models of Gaucher, Tay-Sachs (Sandhoff) and Niemann-Pick diseases, and we are currently attempting to determine the precise biochemical mechanisms by which sphingolipids alter Ca2+-homeostasis.  

Cultured hippocampal neurons that have accumulated GlcCer (right), using a chemical inhibitor of glucocerebrosidase, release more calcium from internal stores than their control counterparts (left).

Genzyme Oral Pill for Gaucher’s Succeeds in Trial

Genzyme Oral Pill for Gaucher’s Succeeds in Trial, Aims to Extend Key Revenue Stream

Genzyme (NASDAQ:GENZ) said this afternoon that its next-generation, oral drug for Gaucher disease passed a mid-stage clinical trial, providing a degree of assurance that the Cambridge, MA-based biotech powerhouse can sustain its franchise for treating the rare genetic disease.

The study, which included 26 patients, showed the oral drug was safe and effective. And the trial showed that the drug met its main goal in 91 percent of patients who took the drug over a year’s time. The results were presented today at the Lysosomal Disease Network World meeting in San Diego.

The trial represents an important test for the drug, although it will still have to clear another late-stage clinical trial expected to begin in mid-2009 before it can win FDA approval for sale in the U.S. This drug is strategically important to Genzyme. Imiglucerase (Cerezyme), the company’s current treatment for Gaucher, is its top-selling product that raked in $1.24 billion in 2008 sales, or more than a quarter of the firm’s total revenue of $4.6 billion. But two critical patents for the treatment expire in August 2010 and August 2013, according to regulatory filings.

“Given Cerezyme’s unique safety and efficacy profile, we set a high threshold for success, and the results were better than anticipated, indicating a potent, highly-specific and well-tolerated molecule,” said Geoff McDonough, a senior vice president with Genzyme, in a statement.

The oral Gaucher drug, tentatively called Genz-112638, would come with a longer patent life, and is also intended to be a more convenient option for people with Gaucher. About 10,000 patients worldwide have the disorder, and the current imiglucerase treatment is only available through intravenous injection.

The study of Genzymes’s oral Gaucher drug showed that the treatment decreased spleen and liver growth that is common among patients with the disease. The drug also proved effective in raising levels of hemoglobin, a protein that carries oxygen in the blood, and platelet cells, which help form clots, according to Genzyme. The study also showed lower levels of an antibody released in fatty tissues in patients who took the drug.

The company says that the there was a small number of patients who had mild adverse reactions to the drug early in the trial, but those adverse events did not require medical treatment. Of the 26 patients who enrolled in the trial, 22 completed the full year of treatment, and 20 chose to stick with the drug after the study ended, Genzyme says.

Becoming a Paranoid Parent

Hannah sleeping
I never really considered myself a paranoid parent or even an overprotective parent before. 

But last night I realized that I have become totally paranoid when it comes to Hannah, especially when she is sleeping.  She is a noisy sleeper.  You can hear her breathing loudly at times, as she sometimes even wakes herself up from sleep.  She sleeps with her eyes open a little bit (like in this picture), which honestly, is a bit freaky (like she is doing now!). 

She woke up at 3:30 AM this morning with a little cough, just a little too much saliva or something in her throat.  It only lasted a couple of seconds.  But it freaked me out a bit, as swallowing difficulties is one of the big symptoms to look out for with her. 

She’s still sleeping in the pack’n’play in our bedroom.  I wake up a few times a night for whatever reason just to make sure I still hear her breathing.  As much as I know we need to move her to her crib, I’m just so paranoid that something might happen.  What is ridiculous is that her room is literally right next door to ours, and we do have the monitors. 

So why am I so afraid to let her go?  I got to get over this.