Blog post originally written by the AllStripes community team. AllStripes was acquired by PicnicHealth in 2023.
Blog post originally written by the AllStripes community team. AllStripes was acquired by PicnicHealth in 2023.
Like so many parents in the rare disease community, Cindy and Mike Parseghian spent years chasing a diagnosis for their son Michael. After their first pediatrician thought Michael was probably just a bit clumsy, Cindy and Mike, a physician, weren’t convinced and kept searching. Eventually, they traveled from their home in Arizona to Columbia University in New York City, where they first learned that Michael might have a rare genetic neurodegenerative disease that leads to the progressive deterioration of the nervous system. Back home, all four of Cindy and Mike’s children — Ara, Michael, Marcia and Christa — were tested. In 1994, Michael was officially diagnosed with Niemann-Pick disease type C, along with his sisters, Marcia and Christa, while Ara, the eldest, tested negative. After a few weeks of pure grief, the Parseghian family launched the Ara Parseghian Medical Research Foundation. Nearly 28 years later, Cindy has endured the loss of Michael, Marcia and Christa. Today, she continues her crucial work raising donations to support the critical research. Mike and Cindy also spend time with their son Ara, his wife and their two grandchildren. She spoke with AllStripes about asking for help, the importance of adding NPC to newborn screening panels and why she believes AllStripes research programs can advance therapeutics to children with NPC who really need them.
Honestly, before the kids were diagnosed, I always thought of myself as a very independent woman and that I could take care of whatever needed to be done. But after my kids were diagnosed, I realized that we couldn't do it alone.
Our family was truly blessed by the people that have supported us and held us up in so many different ways. The karate instructor who said, "I'm going to let your kids do karate as long as they want to." The people who volunteered and came to help with the foundation even though they didn't know us, but they'd read about us and said, "I want to help." The children’s friends made their lives full and taught me the true meaning of friendship.
Our children were diagnosed in 1994. Michael was 7, Marcia was 6, Christa was 3. Ara was 10, and he tested negative. After a couple weeks of just pure grief, pulling our hair out, a lot of crying, cursing God, we started talking about starting a foundation. The Ara Parseghian Medical Research Foundation was up and running by November of that year because we wanted to make sure that we could do year-end fundraising, which was important to launching the Foundation.
At first, we thought we were going to take the kids out of school and show them the world. Yet, we realized what they wanted was to be with their friends.
They wanted to be in the classroom. They wanted to participate in karate, to attend dance class and, most importantly, spend time with their friends. And we were blessed by a school district that just really supported them. They were an integral part of every single classroom they were in. This is what gave them meaningful lives and friendships.
As you can imagine, the physical needs of the children increased over the years. There were two women who helped us care for them, who became an integral part of our lives. My mom absolutely helped too. She dropped everything she was doing in her life up in Colorado and moved in with us. She just literally gave up her life to come and help us. And she did anything, from cooking to cleaning to babysitting. She'd be the first one in our foundation office turning on the lights, writing thank-you notes.
Michael died from NPC complications just four days shy of 10. We’d just gotten him a new wheelchair — we really thought we had more time. Christa, our youngest, died at 10 and a half. And then Marcia, the middle child of those three, died at 16 and a half. She used a wheelchair at the time and was on a feeding tube, but was very engaged with what was going on around her. That spring, her friends took her to prom. Marcia always had an aide when she was at school, but her friends said, "Well, the aide can come with us, but we're taking Marcia out for dinner first and we will feed her. We will feed her through her feeding tube." Then they took her to prom and got her out of her wheelchair and held her up so she could dance. Both Marcia and Christa attended dance class for many years, and had an incredible teacher who made sure they could participate with special support from other dancers.
Ara, Michael, Marcia and Christa Parseghian.
In the spring of 2015, we merged the Foundation with the Parseghian Fund at Notre Dame. This marriage with Notre Dame has allowed us to continue to fund NPC research at the highest level while benefiting from Notre Dame’s mission to help the underserved. Dr. Sean Kassen is the director of the Fund and is doing a spectacular job of coordinating research, continuing our fundraising efforts and collaborating with other NPC patients organizations and families.
These days, I’m involved with the Fund when it comes to fundraising, relationships and high-level research opportunities. I continue to meet NPC families and understand the pain and stress they are suffering. My heart breaks for them.
We were drawn to AllStripes because we think the work that AllStripes is doing is very important and essential to making sure that research advances therapeutics that can be available for all children with NPC.
I know my children’s medical records are invaluable and can help drive research forward. I know that others in the community can help by contributing medical records that can get research where it needs to be to really make a difference in families’ lives.
You talk to any pediatric neurologist who's treated children with Niemann-Pick, and they'll tell you how important early diagnosis and intervention is. Newborn screening — the ability to diagnose babies when they’re very young — is essential. We need to get NPC added to newborn screening panels, and learning more about NPC through medical records is one way we can do that.
We know that every person's story is unique and deserves to be heard.
Join our early breast cancer registry to be counted and share your story with research.
List the names of all the doctors, hospitals, and other facilities your loved one visits regularly, along with those they have visited in the past. Try to go back as far as you can, striving for at least the last 5-10 years, but do your best. Even if you can’t remember them all, having a strong baseline can help you quickly identify gaps in records.
Ensure You Have the Appropriate Legal Status
It is important to make sure that you are fully empowered to make decisions on behalf of your loved one with Alzheimer’s. Your relationship status with the patient may not be enough to legally give you access to your loved one's medical information. It is a good idea to talk to an expert about securing special legal status, such as Power of Attorney (POA), a legal document that allows an individual to name someone as their decision maker should they no longer be able to make decisions on their own.
Gather and Organize the Medical Records in One Place
It’s important to have all of your loved one’s medical records together in one spot. This makes it much easier for you and your loved one’s physicians to accurately map the patient’s medical journey and more easily share information between doctors. Fortunately, tools exist to make record management and access simple. A free resource like PicnicHealth helps you collect and organize all of this information. PicnicHealth’s intuitive timeline allows you to pinpoint data across the medical history, eliminating your need for keeping heavy binders filled with paper records or keeping track of multiple software portal logins.
Review the Medical Records to be an Informed Advocate
The better you understand your loved one's medical history, the better you can advocate on their behalf. Access and understanding of this information will help you to ask informed questions with physicians. Through regular communication backed by the data in the medical records, you can help your loved one’s care team develop a more successful care plan.
Learn more about PicnicHealth’s commitment to the Alzheimer’s community and the Alzheimer’s Association
When you’re juggling appointment times and insurance claims, putting a robust support system together might not strike you as the most urgent task. Investing the time to cultivate relationships with people can turn to in times of need will pay dividends. The next time you need a last-minute ride or just someone to listen, you won’t be on your own. There are many condition-specific support groups and support groups for caregivers generally in person or online. In addition to the encouragement and empathy they provide, support groups can be a helpful source of tips, resources, and recommendations for navigating caregiving.
2. Stay organized.
The backbone of effective caregiving is organization. Keep medical information, appointment schedules, and medication lists in order. Use a planner or a digital service like PicnicHealth to stay on top of your responsibilities. This attention to detail can prevent future complications and reduce day-to-day stress.
3. Explore treatments and clinical trials.
We’ve seen incredible breakthroughs in treatment over the past couple of years, powered by patients and their caregivers participating in research. Stay in the loop about the latest in medical advancements and available resources that could benefit your loved one. Whether it’s a new therapy option or a community service that aids independence, being informed can make a world of difference in the quality of care you provide.
4. Make time for self-care.
It may seem self-centered to focus on self-care—but when you feel good, you can be a better caregiver. Whether it’s exercise, a mindfulness practice, a soak in the bath, or just time to rest when you need it, carve out those moments in the day when you can unwind, reset, and stay healthy mentally and physically. Think of it as building up your reserves of kindness, patience, and understanding—which can only benefit your loved one. No one can pour from an empty cup.
Having trouble managing your loved one's medical records?
Easily manage all of your loved one's medical records and contribute to ongoing Alzheimer's research with PicnicHealth.
Tip: Download or print the poster at the end of this article to review before your next appointment!
However, it's important to consult with a healthcare provider or registered dietitian to determine the appropriate amount of protein for your individual needs. In general, a diet with moderate protein intake (about 0.8 grams per kilogram of body weight per day) is recommended for people with kidney diseases.
Learn more about contributing to IgAN research with PicnicHealth.
A tablet, phone, or laptop with a working camera, microphone, and stable internet connection.
A quiet, distraction-free area with enough space to walk a few steps if applicable.
A chair that you can use during any movements or tasks you’ll be asked to perform.
The tripod mailed to you via Amazon.
What to Expect
Before your video call:
Book Your Assessment
Visit your to-do list on your PicnicHealth Research Dashboard or click the scheduling link sent to your email. Note: Search for “New task for the ORBIT-CIDP Study" to find the video call scheduling link.
Receive Confirmation
Check your email for a confirmation with your scheduled video call time and instructions.
On the day of your video call:
Click on Video Link
Join your personal video call using the link we sent by email, or text message, or find it on your research dashboard.
Meet your nurse
A Registered Nurse (RN) will guide your virtual assessment, which will last about 30 minutes.
Complete the Physical Activity Assessment (INCAT)
The nurse will guide you through questions and, if needed, physical tasks to help researchers gain a deeper understanding of CIDP.
Complete the Movement Assessment (Optional)
If you participate, a nurse will guide you through three short recorded movement activities to complete as best you can:
Chair Task
While seated with your arms crossed over your chest and hands on oppositeshoulders, you’ll be asked to stand up, remain standing for 20 seconds, and then sit back down.
Arm Movement Task
While seated with your arms resting at your sides, you’ll be asked to raise both arms out to the sides until they meet above your head, then lower them back to your lap.
Finger Dexterity Task
While seated, raise your right hand with fingers extended. Touch your thumb to each fingertip in order, then reverse. Repeat with your left hand. This will then be repeated with your left hand.
Earn Compensation
Receive up to $55 for your participation:
$25 for completing the Physical Activity Assessment (INCAT).
$30 for the Optional Movement Assessment.
Recording: Your research assessment may be recorded to ensure accurate data collection. If you participate in the optional Movement Assessment, it will also be recorded. These recordings may capture your voice and responses, but identifiable information like your face, name, or background will be removed to protect your privacy.
Opt Into the Smart Insole Study Activity
Complete the opt-in survey to confirm your participation.
Receive Your Smart Insoles
Your smart insoles will be shipped to your home via FedEx and should arrive within 1 week.
Create Your Account
You’ll receive an email from Celestra Health with your account details. Follow those steps to set up your account.
If you don’t see an email from Celestra Health in your inbox, please check your spam or junk folder.
Download the App
After creating your account, you’ll be directed to a landing page with links to the App Store or Google Play. Use the link to download the correct version of the app for your device.
For illustrative purposes only, your insoles may look different
Log In
Open the app and log in using the email address and password you used when creating your account.
Enable Permissions
For iOS users: Enable Motion & Fitness and allow access to Apple Health.
For Android users: Enable Activity Recognition permissions.
Connect Your Insoles
Turn on Bluetooth, and follow the app's instructions to connect your smart insoles.
Enable Notifications
Enable push notifications to stay updated on reminders and activity progress.
For illustrative purposes only, your insoles may look different
Start Walking Sessions
When you’re ready to perform a walking session, tap ‘Start’ on the Ad Hoc Walking task card in the app.
Smart insoles are designed to fit comfortably into any pair of closed shoes
Need Help?
Should you need to contact Celestra Health support for any reason, you can submit a ticket through the Help section of the app by tapping the Submit A Ticket card and filling out the form. A Celestra Health representative will typically respond within one business day.
A fully charged device (smartphone, tablet, or laptop) with a working camera, microphone, and stable internet connection.
A quiet, well-lit space that is free from distractions.
Good lighting so your face is clearly visible; having a small flashlight or your phone’s flashlight nearby can help with skin, scalp, or joint checks.
Flexible device positioning so you can easily adjust or prop up your device hands-free if the research staff asks to view specific areas (such as your face, hands, or scalp).
Space to move in case you are briefly asked to stand or walk a few steps.
Your medication information, including your current steroid(s) and BENLYSTA® (belimumab) — either the medication bottles or a list with doses and schedule.
Time to focus without interruptions so the visit can be completed comfortably.
Before Your Video Call:
Schedule your visit
Use the scheduling link on your PicnicHealth Research Dashboard or the link sent to your email. Tip: Search your inbox for “New task for the BEACON-SLE Study - schedule your remote visit” to find the scheduling email.
Check your confirmation
You’ll receive an email with your appointment time and instructions for joining the video call.
On the Day of Your Video Call:
Join the call
Click the Zoom link sent to you by email or text message, or use the link available on your research dashboard.
Meet with the research staff member
They will ask you structured questions about your health and any lupus symptoms you’ve experienced over the past 30 days.
If needed, they may guide you through a few simple visual checks (such as looking at your skin, hair, joints, or mouth). You can always tell them if you’re not comfortable with anything.
Receive Compensation
You’ll receive up to $60 for completing your visit.
As we celebrate Black History Month, we recognize that Black history and the wellness of Black communities must be top of mind every day of the year. Despite the many contributions Black people have made to medicine and wellness, alarming health disparities due to structural and interpersonal racism, still exist for Black people.
CAHtalog: The Power of Medical Records in Research is a brief presentation that highlights the CAHtalog registry – an effort sponsored by Neurocrine and supported by CARES and PicnicHealth.
Early detection of breast cancer can make all the difference in terms of treatment options and outcomes. In addition to regular self-exams and OBGYN appointments, having a complete picture of your family history is one of the best tools you have at your disposal.