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Rare Disease Day 2024

Keri Ninness • Feb 29, 2024

a family is posing for a picture while sitting on a fence

Rare Disease Day 2024 by Keri Ninness


This day always brings a mix of emotions for our family. Feelings of frustration, defeat, and exhaustion at the hands of rare disease coexist with immense trust and faith in a good plan for our son. We know with every fiber of our beings that nothing is wasted in Thomas’s story or ours.


This year, I am thinking about the parents who have just received a diagnosis for their child. Maybe, like us, there was some relief in having an explanation for your child’s struggles. Maybe, also like us, the diagnosis day was worst day of your life. If I could go back 7 years and talk to the young mama falling to her knees in her son’s preschool bathroom as the geneticist confirmed her worst fears, I would have so much to share.


I would gently tell her:


Thomas will be okay. You will be okay. Your family will be okay. Take one hour at a time.


It’s okay to grieve what you thought His life would look like. But, truly, no parent knows what the future holds for their child. His story is still unique and beautiful.


Access every ounce of early intervention you can. Sit on hold for hours with insurance companies and resources for help. It is maddening but each minute matters. Use school based therapies and private ones if you can. Waiting rooms will become a second home but miracles happen in those PT/OT/Speech/ABA sessions.


Take care of yourself. You cannot pour from an empty cup and you will undoubtedly have to pour out more than many mamas. Make time for exercise, for time alone, for friendships, for nurturing your relationship with your spouse. Get up early if you can. Those quiet mornings when noone needs you will fill your soul quickly.


Let people in. If someone offers you a meal or to take your other children for the day or to bring you coffee, accept their offer. In the Christian faith tradition, a man named Simon helps Jesus carry His cross. Many days rare disease is indeed a cross. You will need help carrying it.


Spend time with your child doing things that have nothing to do with therapy or doctor’s appointments. Take him to a park, play a game with him, delight in who He is. He needs to know He is more than a diagnosis.


Let the waves of grief crash as often as you need. But also leave space for glimmers, those soft, quiet whispers of hope and joy. Look for them in the everyday victories. Celebrate the first time he steps off a curb without falling and when he communicates his needs independently. Cheer him on when he ties his shoes or offers to help a sibling with homework. Be intentional about looking for the joy. You’ll find it.



To Thomas’s mama of 7 years ago, wailing on that bathroom floor, take heart. Your boy will climb Everest day after day. The sheer heroism of his grit and perserverance will astound you. You will bear witness to many miracles. The therapists and teachers who pour into your son will become like family, themselves heroes. Your other children will grow in compassion and patience and thoughtfulness. Your husband will carry you when you grow weary.  Thomas will make it, mama. And so will you.


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Newborn Genetic Screenings
By Penelope Gatlin 05 Oct, 2023
By Penelope Gatlin October 2023 When our son was born in 2012, he was hypotonic, severely jaundiced, had feeding difficulties and features such as epicanthic folds and small low set ears. We were told immediately that doctors had suspicions of a genetic syndrome. At that time, genetic testing was limited and once abnormal karyotype, Trisomy 21, and Fragile X were ruled out, we left the hospital with an 8 day old and no diagnosis. While no testing was available at that time to identify the ultra-rare syndrome my child had, because it wouldn’t even be identified until 4 years later, I can only imagine the difference it would have made to our journey to have such an answer sooner. Instead, we were unprepared and actually unaware that just because a diagnosis hadn’t been made then that it didn’t mean there wasn’t in fact a rare disease present. Instead, we dealt with issues as they came and worried and wondered what would be next. From feeding issues and reflux and constipation, to low muscle tone and delayed walking, to speech delay, social and emotional delays, toileting delays, diagnoses of developmental delay, anxiety, situational mutism, sensory processing disorder, and autism, until finally genetic testing that revealed the diagnosis that we’d waited 7 years to find out. While receiving a diagnosis can seem scary, not having an answer but knowing there must be one is even more so. In 2019, the day I clicked onto the portal to see the test results, the largest word on the page was POSITIVE. My heart stopped for a second. For the first time, I read the words “Okur-Chung Neurodevelopmental Disorder.” A roller coaster of emotions ensued, including sadness that we hadn’t known this from birth because it would have made us as parents more prepared, and given us more understanding about what might arise next. Relief that we had an answer, grateful that this syndrome had been identified and that he was among one of the first hundred diagnosed with it in the world, and glad we had the privilege to have access to the testing. Excitement that we can participate in future research. Fright that there’s so much we don’t know about OCNDS, and happiness that there is something that we do. A feeling that we are no longer shooting in the dark and have a small but supportive community to rely on and learn from. I am hopeful that one day, all newborns with features like my child will be tested at birth, so parents can have access to the answers, support, and interventions and therapies that can best help their child as soon as possible.
Autism Diagnosis
By Terri Jordan 23 Aug, 2023
For 16 years, my child displayed numerous symptoms that left us searching for answers, but a genetic diagnosis remained elusive. I considered having my child evaluated for autism to shed light on their situation. However, when I reached out to teachers, doctors, and therapists, I received frustrating responses: “Your child is too friendly to be autistic.” This statement made me doubt the possibility of autism because my child was sociable. “Your child can transition from one activity to another – they are not autistic.” Hearing this, I questioned whether my child’s ability to shift activities invalidated the need for an autism evaluation. “Your child can look me in the eye and answer questions – they are not autistic.” Observations like this made me second-guess the idea of autism, even though my child faced various challenges. “Getting a diagnosis that does not apply to your child would be a big waste of money.” Despite my persistent concerns, this cautionary advice about the evaluation costs left me hesitant. We finally pursued an evaluation when my son turned 20, and it confirmed that he is indeed on the autism spectrum (severe side). Looking back, I regret not taking this step sooner. I should have pursued the autism diagnosis before we received the genetic diagnosis. There are several benefits we could have gained as a family if we had pursued an early diagnosis: “Early Support Is Crucial:” I now realize that early intervention could profoundly impact my child’s development. We could have accessed the right services and therapies much earlier with a diagnosis. “Understanding My Child Better:” I struggled to comprehend my child’s behaviors and communication difficulties. An earlier diagnosis could have provided insights into their unique needs and thought processes. The education could also help me explain how to react to my child’s behavior to family members. “Tailored Guidance and Resources:” A diagnosis could have opened doors to specialized resources and guidance, enabling me to provide the best possible support for my child. “Connecting with Others:” Being part of the autism community might have connected us with other parents who understand our experiences. Sharing and learning from each other could have been invaluable. “Planning for the Future:” Knowing more about my child’s strengths and challenges could have helped me better plan their future, including education, career, and overall well-being. Depending on your location, many states offer funding and support if your child has an autism diagnosis. I wish I listened to my voice instead of being swayed by experts who didn’t fully understand my child’s situation. Ultimately, I know this decision is significant, requiring careful consideration by parents. Looking back, I wish I had trusted my instincts and sought an evaluation sooner to improve my child’s life.
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