Advice for a Parent Raising a Rare Child, From a Rare Adult

By 
Dulce Wold and Kelsie Bowen
May 19, 2022
Blog post originally written by the AllStripes community team. AllStripes was acquired by PicnicHealth in 2023.

Parents raising a child with a rare condition they don’t have can sometimes feel like they’re on a journey without a map. Without firsthand experience of what their child is going through, they may sometimes feel unsure how to provide the best support. 

With this in mind, we asked Dulce, a busy mom with a rare overgrowth condition, to speak with Kelsie, whose 2.5-year-old son Lincoln has the same condition (both Dulce and Kelsie are AllStripes Ambassadors). Dulce and Kelsie discussed how CLOVES impacts their lives, and Kelsie had the chance to ask questions, which Dulce answered with honesty and warmth. 

Kelsie: What advice do you have for someone who’s raising a child with PROS but does not have a PROS condition herself?

Dulce: I didn't have much information on my syndrome as a child. I was recently diagnosed with CLOVES — five years ago — and I felt a huge relief! Finally, I had some answers. Because we have more answers today, I'd say to give your child as much information as possible on their condition. I wish I knew more when I was younger. Also, instill confidence in him by letting him know he can do and be whatever he wants no matter what. I lost all confidence as I got into my teens and wish I would have been more involved in social activities in school. 

Kelsie: How did PROS affect (and/or not affect) your childhood?

Dulce: My syndrome affects my hands, feet and legs, but the symptoms on my legs weren't visible until my mid-20s. From what I can remember as a child, I'd say in my elementary school days, I never looked or thought of myself as different than anyone else. 

My mom always told me if anyone asked about my hands to tell them I was born like this, which is what I did and it was the end of the conversation. My classmates didn't treat me any differently either and I don't recall any bullying. I was in talent shows, I loved dancing and singing. I was so confident as a child. It wasn't until I started junior high and moved to a completely different city is when I began to feel different.  

I started noticing people staring at me, pointing, laughing; it's also when people began asking more and more why my hands were big or if I had burned my hands in a fire. I stopped wearing shorts and dresses because I have two small port- wine stains on my left and right knee. I started to care about what people thought of me, whereas as a child I never had a care in the world. It only got worse for me as I got into high school and I just completely lost all confidence. 

How has Lincoln’s PROS diagnosis impacted your family so far?

Kelsie: Like many, I had never heard of PROS prior to his diagnosis. Lincoln was born with a very large port wine stain on his torso and down into his right hip/leg. In the initial fog of giving birth and recovery I did not notice the fact his right leg was thicker and slightly longer. I did notice his second toe was quite large. At his two-week well-check we discussed and confirmed the leg size discrepancy and were referred to dermatology, soon after to orthopedics, genetics and vascular anomalies. 

We live about three hours from his team of specialists. Unfortunately, when we got Lincoln's diagnosis, the world shut down due to COVID. This was initially really hard on our family — we have one older child, she is now 5, and my husband works 24-hour shifts. I had used all of my PTO on maternity leave and now found myself commuting all the time, leaving our daughter and having to go to all of these visits solo. The postpartum time as a whole is hard enough but I very much struggled with the isolation we were feeling as well as a lot of uncertainty about his diagnosis. Every ounce of my free time was spent researching and connecting with anyone I could to try to get some answers for Lincoln. 

Do you wish your parents had done anything differently while you were growing up?

Dulce: I do wish they’d instilled more confidence in me. I also wish I didn't move schools so much.

We moved several more times throughout my teens, which not only meant changing schools and trying to make new friends, but having to explain what happened to my hands. There was even a time during my sophomore year (I had changed schools) where I would wear a jacket or a sweater and pull the sleeves to cover my hands so people couldn't see them. Looking back as an adult, it only made my classmates more curious. I could go on forever with stories and other things I experienced in my early and late teens. 

My junior year, I was homeschooled and I had reconstructive surgery on my hands and feet. I was homeschooled that whole year and I remember being so happy because I didn't have to face anyone and explain my syndrome to them. As the months passed by, I got more and more confident because after my surgeries I could fit into smaller shoes and I was able to be more mobile with my hands. When I returned to school my senior year, I was a completely different person. I proudly showed my hands, I tried out for the basketball team, and made it, and even performed in the school's talent show that year. At this point I was 17 years old and I didn't know much about my syndrome, but If anyone ever asked me about my hands I would just tell them I was born like this and again, it was the end of the conversation. 

Kelsie: For Lincoln, I would say the overall impact of PROS on our family, as he’s gotten a bit older, has lessened. Right now our biggest struggles are finding shoes that fit, and constantly explaining his diagnosis if we are seen somewhere for something not related to PROS. Earlier on in his life, I was much more worried about something as simple as walking, would his discrepancy allow him to? Would he play sports if he wanted? Would he feel self conscious in shorts or at the beach?

As you were growing up, how did you best feel supported by your family and friends? 

Dulce: As a child, it was when I felt included in things. What I mean by that is my friends and family didn't treat me any differently because of my syndrome. As an adult, it's when they ask questions about my syndrome and discuss it. I love teaching people about my syndrome and talking about it. 

Over the years, my syndrome has progressed on my feet so it's getting harder to find shoes, and due to my pregnancy my feet grew even more. At times, it's hard to grasp things but I just have to make sure I grab things with two hands to get a better grip. But it has gotten way easier to talk about my syndrome to others. One thing I do still struggle with is showing my feet or legs to anyone. I wear water shoes if I have to get into a pool or at the beach, but I'm slowly learning to be more confident. 

About 

Dulce Wold and Kelsie Bowen

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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.

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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.

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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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