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Friendship Across Rare Diseases

Jennifer Sills • Aug 25, 2022

Ava and Coral

In Baltimore, Maryland, August 4-7, 2022, four rare disease groups (CSNK2A1 Foundation, SETBP1, MED13L, HIVEP2) came together with Simons Searchlight to learn, connect, and participate in research. Even though our four rare diseases are different, our journeys are strikingly similar. There is great comfort in numbers. Bringing the four groups together gave us strength in numbers and shared experience. This is one OCNDS mom’s account of her family’s experience.


By Melanie Kretas


When I walked into the hotel where the 2022 OCNDS was being held, I felt a mixed bag of emotions. I felt incredibly blessed to be part of a community that felt like family. I was excited to meet new families and see many of the “old” families that I had met at the previous conference, as well as through regular phone discussion sessions and a very active Facebook group. It would be so nice to see them in person rather than on a Zoom screen! I was anxious to learn about the new research that had been done and what that would mean for our children and families. I also felt an overwhelming sense of hope for our children and the sense that everything would turn out okay.


As I walked through the front door of the hotel, I already felt comfortable, welcomed, and not alone. After settling into our hotel room, my family and I went to the floor where the conference activities would be held, where we would mingle, socialize and dine on some fabulous meals together.


I had surely thought the first family I would meet would be an OCNDS family like ours. Instead, to my surprise, it wasn’t. We were greeted by a 17-year-old bubbly, smiling, and spunky girl with a different rare disease called MED13L. After a long, wonderful introduction, I felt as if we had known this girl, Coral, and her mother for a long time. They both were so lovely, warm, and welcoming. My daughter Ava, who is 11 and just as spunky, immediately hit it off with Coral, and within a few hours, they were already planning to stay in touch after the conference, exchanging phone numbers and ROBLOX names. They laughed uncontrollably at each other’s antics and jokes and even danced to music they played on their phones. At night they begged us not to head upstairs to bed so they could spend more time together.


Ava and Coral stuck together throughout the long conference weekend. One night Coral was hanging out with some kids from her MED13L group. She invited Ava to join them, and they all ran around, chasing each other, their laughter and screeches filling the air. It was like they had known each other a long time, rather than a few days. There was an incredibly heartwarming moment when they came together for a group hug.


On the last night, there was a huge dance party. Ava and Coral were all over the dance floor, rallying people from every corner to join the dancing. They even danced with Dr. Okur and Dr. Chung- some very memorable, happy moments!


Ava and Coral were like two puzzle pieces that fit instantly together. Their puzzle was whole now that they had met each other -a connection that I hope will last long after the conference ends. While the girls were doing their thing, I had many opportunities to talk with Coral’s mother. We talked about things we typically wouldn’t discuss with parents of neurotypical kids: eating habits, toilet, menstrual issues, and especially how their quirky personalities impact their ability to make and keep friends. We shared our hope that they would always find a way to fit in with friends who can truly understand them.


Throughout the weekend, we continued to meet new families and reconnect with old friends. Each family shared a special place in my heart.
I know that this rare community, this rare world I now live in, is far broader than I ever imagined. This weekend confirmed that and I am forever grateful. Near and far, I now have a beautiful and diverse rare family. As we walked through the doors of the hotel to head home, we each had so much more than we had when we had walked in a few days ago.


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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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