Game Changer

It’s been a crazy to think back over the whole arch as we finish the final time point for this trial. I was taken back to when we were first diagnosed. We were given paperwork for a disabled parking permit and Make A Wish and sent home. All the doctors and specialist that filled the schedule while we searched for the answer were suddenly a thing of the past. Everyone knew that there was nothing that they could do for us.

When we enrolled in the trial part of the appeal was in getting to go back to a place where there were doctors that were trying to help. I’ve been nervous to step back outside of that as we wrap up this process. There is an odd comfort that comes from being involved with medical professionals. It’s a false comfort as they weren’t actually treating Claire, but it felt good.

I wish I could better describe the last 10 days or better yet, what we’ve experienced over the last year and a half. All I can come up with is that I’ve changed. Claire’s changed. Jared and Chloe have to. We got to try to do something to help Claire. Three years ago, that option wasn’t on the table. IMG_5088

Today we are on our long journey home from the hospital. Claire is peaceful and proud of what she’s done. Seven years ago we would have never dreamed that she would be able to do anything for herself, much less be part of changing the course for Rett syndrome. Until we started the trial we only knew a Rett syndrome that took.

Today I see the potential for a life with Rett that can get better. The game is changing. I’m not sure what to do with that, other than to keep dreaming. This has been hard but it’s not time to give up. Not yet.

Boston Doesn’t Suck but Rett Syndrome Does

I really wanted to beat Rett syndrome. I wanted to out plan it. I didn’t realize it at the start but I feel confident saying that as I look back. When we signed up for the trial I was hopeful that this could be an empowering experience, that we would be able to soar to new highs as world changers. I wanted to give Claire back some of what was stolen from her with this mutation.

The thing is, Rett syndrome isn’t something to win against. It’s an ever-present part of our reality that frankly makes it much more complicated. I want to look back on this process and see it as a series of adventures but honestly it feels more like a repetitive ass-kicking. That said, I’d do it again, in a heartbeat.

We didn’t sign up to get treatment for Claire, that’s not what clinical trials are for. We hope that this will be part of a process that will lead to treatment for Claire and all the girls in Rettland. Most importantly, we wanted to enable Claire to be part of her solution. We wanted her to feel like she made a difference… and she has.

The best part of this process has been seeing her transform outside of the effects of the drug. Claire has developed a confidence that transcends words. She has a peace about her that stems from doing what she could. There is a smirk on her face as she rolls through the airport terminal that subtly says “you’re welcome world”. She has loved getting to leave her mark and I am so glad that we’ve done it.IMG_4905

I promise it hasn’t been all hard, there have been many highlights and that will be my next post. Today I’m taking a moment to realize that even awesome things, when tainted with Rett syndrome become incredibly challenging. We love Boston and being able to be here but it wasn’t an escape from Rettland, more a change in location.

What Makes it Bearable

I’ve got so much that I want to say about this trip but I just can’t wrap my brain around the words yet. It has been very emotional and I hope to write about it soon.

The last few days have been an adventure in every sense. We were up late washing loads of vomit laundry just hours before our ride to the airport came at 3:30 am Monday morning. Following that, Claire slept for two days, which was a scary way to start the trip. Wednesday Jared had a lot of work to get done so I planned to take Chloe to learn about research while he got to business. The only problem, I spent most of the night with a migraine and hugging the toilet, so when it came time to go, I was in bed, trying not to move.

It wasn’t how things were supposed to go. Jared (aka Captain Awesome) fed the girls and got them to the appointment by 8am and brought a plate of food up to the room for when I was ready for it. He managed to work while the girls watched High School Musical in one of the autonomic recordings and Chloe was a superstar with all the changes to the plan, she rolled right with it.

By the afternoon I had my feet back on solid ground and we went out to meet another family in the trial for dinner. After that we decided to walk the 2.5 miles back to the hotel and it was nothing short of pure joy. Claire giggled as she rolled over the bumpy sidewalk and her sweet smile finally graced us for a while. I listened to the gentle breeze rustling the leaves on trees. Chloe talked non stop about all the things she observed and Jared grinned. IMG_4636I’m finding that Boston is just life condensed. There are days when it all goes wrong and others when it goes all right. The thing that makes it bearable are the people I’ve got with me on this adventure. I’m thankful that Jared and I can be doing this together. I’m grateful for the bond that Claire and Chloe share and how everyone agrees, the priority right now is doing our part to help Rett syndrome.

More to come on the many other very interesting aspects of this trip. This is my lengthy way of saying, I couldn’t do it without my awesome crew.

The Why

Yesterday we had a fairly routine visit to Katie’s Clinic for Rett Syndrome. We met with multiple specialist who all agreed that we were doing everything correctly that we could control, which was very nice to hear. Claire got special time with Dr. Mary who is like the Lorax of Rett syndrome, she speaks for the girls. It was her guidance when we were first diagnosed that gave us hope that we could learn to live and that Claire could thrive, I love Dr. Mary. As we prepared to leave we got to looking at old photos, because the awesome volunteers there can just pull up cute pictures of Claire over the last 6 years on a moments notice because they are amazing like that. It was a trip to see her when she was so little and vibrant, before Rett had broken her spirit. It took me back to how hard those days were, when I would feel horrible for crying when she was still smiling because she didn’t see the girls behind her twirling in their dresses. We are so much better now. I can look back and see just how far we’ve all come and it’s remarkable. 11248877_10152879358585880_1274897502766773184_n

We gathered ourselves up but before we left, we had the opportunity to meet a family that lived just over an hour from us. I nearly lost my breath at the sheer joy that exploded from this little girl as she and Claire connected through their eyes. I looked to the mom and could see it, the struggle to breath, the overwhelming grief from the recent diagnosis nearly crushing her. We spoke through a translator and she asked a few questions about Claire. As I looked at her precious daughter I saw so much hope my throat nearly closed and I got goosebumps.

The travel to Boston has been wearing on me. We’ve been in the trial so long that I had lost sight of the why and there she was sitting in front of us, tiny and wide eyed. It’s likely that this girl will have the option of IGF-1 (assuming that the data continues to show what it did in phase 1)before she is Claire’s age. That’s why all this crazy makes sense.

It’s a game changer.

With each generation the story is getting better. Before we were diagnosed Katie was and her parents made a clinic so that others didn’t have to go through what they went through. We have the benefit of the clinic so Claire is making her way through the IGF-1 trial. I don’t know what is coming next but I can see the trend and it excites me. Rettland is becoming a better place, still hellish in nature but the reprieve more accessible.

Hope

You know that week when it’s all so much more than you can handle that you just shut down, I’m having that week. Participating in the trial is taking it’s toll on all of us; we’ve been in our new home for a month while construction is almost done; and it’s summer, the absolute hardest time of the year for our family.

With my thoughts in too much of a mess to sort, I have taken to asking Chloe a lot of questions. I worry about her with the high levels of crazy, so asking her questions seems like a good idea. Last weekend we saw the new movie Inside Out, so lately our discussions have been a lot more about emotions.

Twice this week Chloe has sat over her sisters ashen face and sang to her while she waits for her to resume breathing. I waited a little before I asked what emotion she felt driving, would it be fear, anger or sadness? No. It was hope. Chloe went on to tell me how she felt “hopeful that Claire will start breathing again and hopeful that doctors will make a medicine so she can talk”. She was so certain. She knew her sister would return soon and she is certain that treatment is coming. Sidenote: I am dreading the inevitable emotions when that doesn’t happen and trying to relish her innocent conviction.

I hadn’t realized it until she said it, but I had stopped hoping. I was just pushing because that’s all I felt like I had in me, putting one foot in front of the other. Today I am so thankful of the little voice that reminded me to hope. It’s so easy to forget among the medication logs, multiple appointments and constant readiness for seizures.

Today I’m enjoying everyone breathing and remembering that is what gave Chloe hope. I’m aware that my fatigue from travel is giving others hope tonight as they take comfort in knowing trials are happening and progress is being made. I’m hoping with Chloe that the doctors will come up with something because that would be rad. photo

Well Done Captain Awesome

Things have been fairly eventful and I’ve wanted to write but haven’t had the time and energy in the same moment. Eventually I will get back to stories from our adventure but today I need to take a moment today to say how over the top fabulous Jared aka Captain Awesome is.

It’s Father’s Day. I know that there are a lot of great dad’s out there but I want to shine the light on Jared because he would never step into it himself. He has fathered so much bigger and better than I ever dreamed when I was swooning over him in high school math class.

It hasn’t been an easy road. He’s loved the girls so hard that he’s already gotten his heart-broken a few times, Rett syndrome will do that. That hasn’t kept him away. When the seizures and questions about death stop he’s right there to play pirates and get sparkly glitter tattoos while reading stories about fairies. When he walks in the door both the girls perk up because dad being home makes everything better.

He’s not a superhero for what he does day in and out any more than I am. We are both doing our best as most of you out there in Rettland. It’s gnarly and complicated and beautiful and rewarding. It’s real and it’s our life and I am so glad to have you with me Cap’t. You are doing one hell of a good job! IMG_1695

No Safe Adventures

Can’t believe that I am already sitting here, on the plane, on the last leg of our 10 day adventure to Boston. After all, time flies when you are having fun, or trying to just keep your head above water. We knew that it wasn’t going to be a vacation and it wasn’t. It was an adventure on every level. While we were away I saw this quote from Jon Acuff. photoWhen I saw this a giant light bulb went off in my head. This trip is anything but safe and somehow I had been overlooking that. I wanted it to be smooth and easy. It hasn’t been. It has been an adventure, which is what we had signed up for at the start. We enrolled in the trial because I dreamed big enough to believe that with time, there might be a treatment for Rett syndrome one day, not because we wanted to play it safe.

Trials are hard, it sounds obvious but somehow it is glazed over. We signed up for a commitment of over 70 weeks and 7 trips across the country for something that might not help Claire or ever be approved for Rett syndrome. We didn’t sign up for a treatment for her, we signed up for the process of learning and experimenting and we are happy to be doing it. But it isn’t safe and we are at this point very tired.

I wish I had some fabulous update about all of our adventures that went perfectly smooth but that isn’t this story. So here are some of the ups and downs with pictures.

We were so excited to leave on this adventure. We even made it to the airport early enough to take a picture of us all smiling.
We were so excited to leave on this adventure. We even made it to the airport early enough to take a picture of us all smiling.
Our first day of appointments was St. Patrick's Day and Chloe was feeling fairly festive.
Our first day of appointments was St. Patrick’s Day and Chloe was feeling fairly festive.
As much as this trip was all about Claire we tried to make it fun for Chloe. Tea time at the American Girl store was just that. Or as Chloe put it, "Best day ever!"
As much as this trip was all about Claire we tried to make it fun for Chloe. Tea time at the American Girl store was just that. Or as Chloe put it, “Best day ever!”
Chloe was resistant to the new time zone, so we hid in the bathroom until she fell asleep.
Chloe was resistant to the new time zone, so we hid in the bathroom until she fell asleep.

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While Claire and I had appointments Jared and Chloe kept themselves busy at the science museum, the Boston public library and the museum of fine art.
While Claire and I had appointments Jared and Chloe kept themselves busy at the science museum, the Boston public library and the museum of fine art.
Claire was very happy to be back to work with some of her favorite people.
Claire was very happy to be back to work with some of her favorite people.
Claire also was very fancy using her hands to show off for the testing. I may have been doing backflips as I watched on the screen.
Claire also was very fancy using her hands to show off for the testing. I may have been doing backflips as I watched on the screen.
The amazing chef at breakfast took note when I passed on juice for Claire. She can only drink coconut water. The next morning he had some for her along with special pancakes which she enjoyed tremendously.
The amazing chef at breakfast took note when I passed on juice for Claire. She can only drink coconut water. The next morning he had some for her along with special pancakes which she enjoyed tremendously.
It was my birthday so Jared took the girls to the science museum while I took some time to breath deeply.
It was my birthday so Jared took the girls to the science museum while I took some time to breath deeply.

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Chloe zipped Claire all over the solar system.
Chloe zipped Claire all over the solar system.
It snowed. Chloe was over the moon excited.
It snowed. Chloe was over the moon excited.
We learned about shoveling and the importance of appropriate footwear when we got to the house we were staying at while we had a few days off.
We learned about shoveling and the importance of appropriate footwear when we got to the house we were staying at while we had a few days off.
Captain Awesome was a great sport about having to wear my shoes for his first time ever shoveling snow. It was memorable, very memorable.
Captain Awesome was a great sport about having to wear my shoes for his first time ever shoveling snow. It was memorable, very memorable.
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Claire got a horrible cold half of the way into the trip. With two seizure filled days she got a lot of sleep and is still trying to kick the super annoying cold.
Chloe got to make her first snow man. She wasn't phased by a lack of gloves.
Chloe got to make her first snow man. She wasn’t phased by a lack of gloves.
We nearly froze in the process of learning a little history.
We nearly froze in the process of learning a little history.

I won’t go into all the boring details of the many mistakes of Captain Awesome and Miss Amazing. But I did get out at the airport at the completely wrong area with both girls and all the luggage so we took the full “tour” of Logan Int’l. By the time this happened it was pretty much par for the course.

We made the most of it the best we could but it was a hard trip. Seeing Claire sick is really hard. Dealing with that not at home is a whole new level of nuts. But that’s why we are doing this. Because what Claire has is hard and it isn’t going to change itself.

I try to embrace the adventure, I really do. But right now, I’m happy to be heading back to the safety of home. It was good. I am so glad that we can be doing this. But I am very tired.

Rare

Today is Rare Disease Day and this year’s theme is: Day-by-day, hand-in-hand. I personally love that there is a strong movement of many coming together, from all corners, representing thousands of different diseases, all raising their voice together.

Rare disease is a very big part of my life and it’s not something that I have ever been particularly happy about. At 19 years of age I was diagnosed with Chrons Disease, the first of the rare in my family. Everyone felt bad for me. It was very hard to at that young age be dealing with debilitating pain as well as the financial issues that come with needing a lot of medical help. My case was extra special and the normal approaches at the time didn’t work. I was given the chance to enroll in a clinical trial at Mayo Clinic which I happened to live very close to. I am grateful for that opportunity as it was a turning point in my care. Sure, it was hard sitting in the infusion center with a bunch of very old cancer patients but I started to feel better and that made it worth it.

The next rare bird in my family is my mom. 9 years ago she had a massive stroke which lead to the discovery that she had Primary Amyloidosis, another rare disease, often featured on the show House as the worst case scenario. My mom was given a few months to live. Then there was an option to try a new combination of meds that might be helpful and they were. After a few years of that, a phase 1 trial started for a promising new drug, NEOD001. Next week, we will meet up with my parents after their trial visit at Stanford.

A year after my mom’s stroke we noticed that something was off with Claire. A few months later she became a card carrying member of the rare disease club when she was diagnosed with Rett syndrome. At the time there was no intervention. Today that is technically still true but I believe that Rett syndrome is going to be the next of the rare that is treated in our family.

Through all of this many people have expressed their sympathy, for me and for my mom as well as Claire. What we have is hard, it’s true. It is hard to live under a label that comes with many negative outcomes. That is why today, I am happy to celebrate being rare. 16516_784066991676588_6209312330877528079_n(1)

I hadn’t thought about it until I saw this graphic that was made by curerett.org. It is so easy to lose your identity to a diagnosis. I don’t want to see Claire as a Rett girl or see myself as a Chrons patient. We are rare, unusual, infrequent, remarkable, precious.

My mom has had more than 8 years more than what was expected past diagnosis. I have been able to do much more than was originally expected because of the treatments I have received resulting from clinical trials. Now Claire is in a clinical trial for Rett syndrome and we are hopeful that this is the beginning of a treatment to improve quality of life for her.

Together, day-by-day, hand-in-hand we are making the world a better place for people with rare diseases. I urge you, if you live rare and you have the opportunity to advance research by participating in a clinical trial, there isn’t a faster way to get treatment and the ability to create a better world for people like you gives back more than you will ever imagine.

Giveaway, the People of Rettland

It’s the middle of January, the glitter from the holidays is all gone and I am in the trenches of Rettland. Between seizures and appointments trying to organize food for the family and be responsible with our finances. It would be easy to get down but then I look around. I see close friends, therapist, teachers, researchers and many others that all make this crazy life the beautiful mess that it is. One of those people is Kaycie, a designer that created a beautiful functional scarf for her niece that has Rett syndrome. It is often the little things that make a big difference. For us, having a cute scarf for Claire to wear out has given her great confidence, like any girl would feel rocking some new hot fashion. Kaycie has generously offered to to let us giveaway a certificate for an Angel-Scarf.

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How can you win? Simple, tell me about somebody that you’ve met on your adventures in Rettland. Maybe a new friend, another mom, a doctor that has changed your life, a stranger that was compassionate beyond expectation. Just share your story of the people in Rettland.

-If you blog about somebody post it to the wall on facebook

-Tweet or Instagram your story with the #rettland

-Comment on this post

Whatever you do, share it by midnight on Saturday January 24th. I will pick the top three stories and Kaycie will then pick a winner to be announced the following Tuesday. I can’t wait to hear about the great people from many different corners of Rettland.

Disclaimer: I’ve never done this before, if I have left something out or if there are any problems, email me at colleen@rettland.org

Holiday Madness

With Thanksgiving behind us it seems that the holiday madness has firmly set into Rettland. It’s been a hard week for a lot of families dealing with scoliosis, seizures and the reality that growing up is different when you or your sister has Rett syndrome. We deal with this stuff all year but come December, it morphs into a new level of madness.

It is my theory that this is because magically, the day after Thanksgiving society starts screaming two messages at us all:

1. You are not enough, you do not have enough.

2. Everyone is very happy and bursting with love and joy.

Really it is insanity and it gets most normal people down. While we are a lot stronger living in Rettland, we are also more vulnerable. So when we are hit with this on top of the issues with feeding and school and staying alive on a day by day basis, it is hard, really really hard.

Earlier this week I collapsed on the floor crying my eyes out because I couldn’t think of what to cook for dinner. The fridge was empty and so was the pantry. I hadn’t cooked because my Chrone’s had me in a world of pain. The stress of the seizures from Thanksgiving had led me to lose track of space and time and suddenly it was Monday night, I was exhausted, already home before I realized the situation. At that moment figuring what to make for dinner felt like moving a mountain (truly it was as easy as microwaved rice with canned pumpkin stirred in) and it crushed me.

All week I’ve been talking with others in similar situations. I’ve talked with people not living with Rett syndrome and they feel the holiday madness as well but seem to be able to cope. I’ve talked with others dealing with things like depression, disability, grief and health challenges and it just seems like too much.

I wish I had an answer or a magic wand. I wish that all of the pain didn’t compound at years end but it often does. All I can do is keep going. I can put one foot in front of the other on days that I can. I can smile at strangers and be vulnerable and honest with those that love me. Hang in there. Only twenty some odd days to go before we resume typical insanity and I can’t wait. 54309040061