Interview with Genzyme Horizon’s Reporter

Genzymes Horizon Newsletter

Genzyme's Horizon Newsletter

I had my first official interview regarding Hannah and Gaucher’s 2/3 Friday afternoon.

A reporter from Genzyme’s (the people who make Cerezyme, Hannah’s enzyme replacement therapy) called to get “Hannah’s story” for their upcoming newsletter, Horizons.   This newsletter will go out to the entire Gaucher community (types 1, 2, and 3), clinicians, etc. 

It was a very easy process, as the reporter was very genuinely interested and easy to talk to.  He explained the first part of the article will be an explanation of GD23, and the second part would be about Hannah and our fight for her.

What was most interesting (but not surprising to say the least), the reporter admitted that this is the first GD23 story that he has done.  I have a feeling that it is possibly the first GD23 story to be in one of their newsletters! 

I don’t think Genzyme was trying to shy away from GD23, but GD1 is really all that has been touched on in their previous newsletters.  Like with so many other Gaucher type 1 families (95% are type 1), our form of the disease is kind of like the “forgotten” type of Gaucher’s since there are so few of us.  But Genzyme has really been awesome in trying to help me connect with other families and in trying to get our story out there.

The reporter is going to send me a copy of it before it goes to print.  I really hope it gets people’s attention to realize that our children (Hannah and the other GD23 kids) are fighting a losing battle right now, and that we really need their help to save our children’s lives!

Meeting with a Parkinson’s Neurologist

Dr. William Ondo

Dr. William Ondo, Associate Director of the Parkinson Disease Center at Baylor, Houston

About a month ago, I sent an email to the Baylor Department of Neurology’s Parkinson’s group asking if I could meet with one of their clinicians to have Hannah’s symptoms evaluated.  I explained that Hannah has neuronopathic Gaucher’s disease, and I wanted to talk with someone regarding the possible commonalities between the two diseases.

Yesterday afternoon, I got a phone call from the scheduler for this department saying that Dr. William Ondo, Associate Director of the Parkinson Disease Center and Movement Disorders Clinic is willing to consult with us and evaluate Hannah!   Because she is a patient at Texas Children’s Hospital (Baylor’s pediatric hospital), all of her records and patient information was already accessible to him.

We meet with him in early July, right before we leave for NIH.  The timing for this appointment is actually perfect, even though it is about 5 or 6 weeks away because it gives me more time to learn more about the disease processes of Gauchers and Parkinson’s.

Toy Shopping for Hannah

After meeting with the occupational therapist this week and watching Hannah playing with her toys, I realize that we need to get her some more “advanced” toys for her birthday in July.  All of the ones she has are very, very basic, and that she is ready for some more interactive toys that will help her develop her fine and gross motor skills. 

So I went shopping on Toys R Us online tonight, and I went through at least 600 to 700 toys.  Out of all of those, I only found 11 toys that I thought would be really beneficial and helpful to Hannah.  That is it!  Of course, I am no therapist, so I’m hoping that some of my special needs moms can share their opinions on these toys.   I put them all together on a list, so I can do some more research into these.  If you have any familiarity with these, please do share your thoughts, good and bad!

Hannah’s lack of blinking reflex

When we went to see Hannah’s ENT doctor a week or so ago, we were in the elevator on the way down, and one of the doctors going down said “Hey, your daughter doesn’t blink.”   He didn’t say it in a concerned way, just more like he found it somewhat amusing that she kept her eyes wide open the entire way down. 

So I had experimented with her for the rest of the afternoon.  Sure enough, she can go for over 10+ minutes without blinking.  I got tired of watching at that point!  She isn’t having a seizure or anything, as she just goes about her day when this happens, playing with toys, drinking a bottle, taking a walk, etc.  She has no problems interacting and has no changes in her personality when this happens.  We also have no idea when this started because we had never noticed it before!

She will close her eyes if you touch her eyelash, and when she gets tired she will close her eyes (most of the way) to sleep. 

So we shared this at our pediatrician visit, and he was just amazed at this symptom.   So we now give her eye drops a couple of times a day to make sure her eyes are lubricated.

This is where it gets very interesting…

I asked Dr. Sidransky at the NIH about this new symptom, and her response was “That is very interesting and not typical of the eye movements in type 3 GD. It will be interesting to see what our neuro ophthalmologist thinks!

I did some research into this, and you know what disease lack of blinking is a symptom of?   PARKINSON’S DISEASECheck it out, 1st on this list from MedicinePlus Encyclopedia/NIH.  You can NOT tell me that these two diseases do not have a definite commonality of some sort in their disease process!  

Hannah, who has a never-before-seen genetic mutation of neuronopathic Gaucher’s disease, has developed a symptom that is not a symptom of her Gaucher’s disease but IS a symptom of Parkinson’s disease, the very same disease that last week a 10-year-study and a second study solidifed the genetic link between the two diseases

There is a VERY STRONG connection here!!   Something that DESERVES to be looked at!  Hannah and the other GD23 children truly MAY hold a key to understanding Parkinson’s disease, yet we can’t seem to get them to notice! 

Thank you, Debra!

Just like my friend, Heather, and her husband, Jim, helping us raise money for Hannah’s fight (Makdan publishing), my friend, Debra, has offered to donate 30% of all sales of her absolutely adorable teddy bears and stuffed animals for Hannah’s cause!

For my Canadian friends, please take a moment and consider Bears N Buddies.  She has been around for awhile, and she has such a huge heart.  She donates often to causes she cares about, and I want to thank her and support her anyway I can!

See the cute teddy bears and stuffed animal kits!  Thank you, Debra, for everything!

Yes, I DO raise my kids differently

Out of the hundreds of wonderful and supportive comments and emails I receive, every once in a while I apparently piss someone off with something I share.  Instead of writing back to this one person, I decided to share my response here in case anyone else felt the same way. 

When I mentioned a few days ago that I raise Hannah differently than I do Abby and Ethan, a mom of 4 kids was “disgusted” with me and felt horrible for Hannah having me as a mom.  She felt that by not planning for Hannah’s future like we do with Ethan and Abigail that I was “giving up” on my child.

I admit I don’t plan for Hannah’s future when it comes to going to school, getting a job, or falling in love and getting married some day.  I don’t even let myself plan for her to go to the elementary school that Abigail and Ethan go to.  I don’t stress about Hannah not hitting the milestones that she should at “that appropriate age and timeline” because it isn’t important to me.   If I start letting myself think about it, I get incredibly angry, depressed, and sad.

Unless we can find a treatment for Hannah’s disease, there is a strong chance she may not make it to elementary school.  If, by the grace of God, she does make it to elementary school, will she be in any physical or mental condition to go to regular elementary school?   We know what the future holds if we can’t find something — tracheotostomy, feeding tubes, seizures, and just a horrible, horrible … I don’t even want to describe it.

Hell, I’m scared to death that she is not going to make it to her second birthday! 

As parents, our role is to love and prepare our children for their lives as adults.  Teaching them responsibility, individuality, community, etc.   With Abby and Ethan, we do this every day and every moment.  We talk about the future — schools, colleges, their careers (right now Ethan wants to be an architech or actor and Abigail wants to be a singer or doctor).  We teach them how to do things on their own, and we try to motivate them to reach for the stars.  There is no limit for them.

Hannah, as of right now, is very limited.  She wasn’t given the gift of a healthy life.  She was given an incredibly cruel, debilitating, painful, and extremely rare disease with not even a treatment.  A disease that threatens to take her away from us when she is just a baby.

So, if she wants to fall asleep cuddled next to me every night and naptime instead of learning to fall asleep by herself in her crib, so be it.  If she wants to not practice solid food eating after 2 minutes of trying, so be it.  If she wants mommy every single minute which may take me away from household chores, so be it.  Hannah gets what Hannah wants, right then, right there. 

We continue with all her therapies because we want her to improve as much as she can before it is taken away.  For most people, therapy is a means to learn skills to adjust to the future.  Therapy, for us, is solely for us to have Hannah learn as much as she can before it can be taken away by the neurodegenerative brain portion of this disease.  The more skills Hannah can learn now in terms of physical, occupational, and speech therapy, the longer it will take to lose them, and the longer we can keep her with us in hopes of finding a treatment.

If Hannah’s condition changes, and God I hope it does, then we will start teaching her to fall asleep by herself, etc.  It will be harder to do at an older age than it would at this age, but heck, I will take on that role in a heartbeat!  I would absolutely deal with cries and tears because she is made she has to sleep alone to fall asleep if that meant she would be able to be here with us for a longer time.

My husband and I both agree that our role as parents for Hannah is to keep her happy and keep her comfortable (and to leave no stone unturned in trying to find a treatment).  That’s it.  We aren’t going to plan for her future, because when the truth stares in our face, it breaks our heart.  We don’t want to plan for THAT future.  Unfortunately, that is the future that this disease brings. 

So yes, we will continue to raise Hannah differently than Abigail and Ethan.  In our hearts, we would love to raise them the same.  Reality isn’t giving us that option.