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When Your Child’s Experience Can Help Someone Else

By 
Michelle and Danielle, PicnicHealth

Mar 15, 2022 • 5 min read

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.

Michelle and Danielle met because their sons were diagnosed with Lesch-Nyhan syndrome, a rare genetic disease with symptoms that may include impaired kidney function, involuntary muscle movements and self-mutilating behaviors such as lip and finger biting. After Danielle’s son Julian was diagnosed in 2014, she met Michelle, the founder of Love Never Sinks, a nonprofit resource for families impacted by Lesch-Nyhan (and AllStripes partner). Michelle’s sons, Daniel and Keith, were born in the ‘90s and both experienced difficulties, unknowns and some great times before passing away from complications of the disease. 

Danielle and Michelle came together to speak with AllStripes about their sons, how information gathered from the previous generation of children with Lesch-Nyhan syndrome is helping families today — and the urgent need for more research.

Michelle: Daniel and Keith were very close, of course. They would lay in their beds across from each other. So every Christmas, they got each other a Christmas present. And after they got done shopping that night, and we wrapped their presents, they would lay in bed and tell each other what they got each other.

There were some great times. They were always a handful, but we had a lot of fun too. Keith’s high school was wonderful — he was the manager of the football team. They’d watch TV together, and if Keith was annoying Daniel, he’d say, “Shut up, brother, you're giving me a headache. Yeah, shut up." He’d have us cracking up.

Danielle: I love that — that their experiences included typical ones. In so many ways, my son Julian is your typical 7-year-old kid. He loves being with friends. He's silly, he's laughing all the time. He loves slapstick comedy, loves telling jokes and tells them on his Tobii. He loves swimming, he loves the beach. He’s able to use a gait trainer so he can explore outdoors. 

He does have a typically functioning 3-year-old brother, and that’s been tricky. Watching his brother develop has been difficult for Julian, and I think it still is. I think he often wonders why. He sometimes goes through these bouts where tears are rolling down his cheeks. And it makes me cry thinking about it because, what's going on in his mind? But overall, he's happy.

Michelle: I always try to be very upfront with parents when their child is first diagnosed, about all the bad stuff that happens with Lesch-Nyhan disease. But I also want them to know that there's good things. That with these kids, there’s laughter, there’s contentment.

Danielle: For me, learning about research was really important: Knowing that there was an investment from doctors who were empathetic and cared and were passionate about this specific disease. I think sharing that hope with newly diagnosed families is crucial. Because the newly diagnosed world that parents live in is a dark place. 

Michelle: Back when Keith and Daniel were diagnosed, there was pretty much nothing. There was just never any hope for anything. You try another medication, "Well, that one didn't work. Let's add another medication. Let's not take that one away. Let's add another one." It was such a mess of ups and downs because you just had no clue what you were doing, and the doctors would look to you for answers. 

I was 19 when I had Keith, and I looked even younger. The first neurologist who saw him looked at me and said, "Well, I think you should put him in a home and forget about him and move on with your life because you're not going to be able to deal with this.”

Danielle: And I know that was some time ago, but regardless, I think that we have families today still getting diagnosed that are having similar feedback from doctors. Like, "He will be in a home. There's not much you can do." And I don't think that that's how a new parent with a new diagnosis should ever get any information handed to them.

I was lucky to come in at a different time. We have all these potential treatment options being researched now. When Julian was diagnosed, I think I put my mind to questions like, "Well, what can we do? What is the research? Where are the clinical trials? What's happening right now?"

And being seen at one of the top hospitals in the country, I thought that there would be more happening, more to share or more feedback, and there wasn't. But still, compared to five years ago — we're more hopeful than ever about research happening with Lesch-Nyhan.

Michelle: But it’s also true that every doctor within this community that has studied the disease has different answers for different things. And nobody knows exactly what to do or how to do it, and so it becomes very difficult.

Danielle: One thing I can tell you is that Julian wouldn’t have been on certain medications if it wasn't for Michelle and her experiences with Keith and Daniel. We're getting there as a community — we're just not there yet in terms of having solid protocols.

Michelle: I totally agree. And you know, it brings tears to my eyes to know that through our experiences with Keith and Daniel, we’re really, truly, helping. Sometimes doing this work becomes overwhelming for me, but hearing that story makes me feel really good.

Danielle: Through your experiences and the experiences of some older children with Lesch-Nyhan, we've come to a point where we are in a good place, in that we can manage some things and know what to do. 

But still, if it wasn't for the Orphan Disease Center and certain doctors putting forth the effort, we would have nothing. We would be in this dark hole with no research happening.

Michelle: It's hard to find those kinds of doctors who do care, it's very difficult. And a lot of parents feel like they're connected to a doctor, and they feel guilty for switching doctors, and I'm like, "But if they're not taking care of your child, don't feel guilt.” 

Danielle: You, as a parent, want to know some things. You want to know something's on the horizon, that there's a potential for something. And wondering what's going to come next year, or in six months, or two years from now, it's painful. It's painful as a parent, and I think we need to be doing whatever we can in our power to help our children and the undiagnosed.

Michelle: We just need to keep moving forward. And I know that everything takes time. But time is of the essence for these children and for these families. Because every day that goes by, they wonder, "Is my child going to be here tomorrow for this?"

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Create a List

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

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Together, we can make a difference.

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1. Build a support network.

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.

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LC-FAOD Odyssey: A Preliminary Analysis, presented at INFORM 2021

Data from real-world medical records:

(from 13 patients with LC-FAOD)

16 yrs old

Median age at enrollment

38% Female

15 providers / patient

7.5 years of data / patient

Data from patient-reported outcome (PRO) survey

(from 13 patients with LC-FAOD)

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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.

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Explore the essential takeaways from Victoria's Webinar, along with some resources that she shared.

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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.
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