How TikTok Can Raise Awareness for MLD

By 
Nicole DiStefano, PicnicHealth
April 15, 2022
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.

Nicole DiStefano’s 3-year-old daughter, Gabby, was born with metachromatic leukodystrophy, or MLD, a rare genetic disease that results in permanent nerve damage. Children with MLD experience difficulty talking, difficulty walking, seizures, paralysis, progressive loss of vision and behavior and personality changes. Several months ago, Nicole started a TikTok account to raise awareness about MLD — and to connect to other families experiencing it.

Our TikTok is based on raising awareness about MLD. I started it maybe four or five months ago. We’ve had thousands of views. I have one video that has 1.2 million views. I talk to people in the comments — people will ask, “How did you know she had this? What were some signs and symptoms?” So I've also created videos that answer those questions, using videos and pictures of her when she was born, when she was toddler stage and where she's at now. I'm trying to be as informative as possible. It's a really good outlet, to be honest. It just makes me feel good that I’m doing my part to put MLD on the map.

We were trying to get a diagnosis when Gabby was around 18 months old. That's when she started twitching. We brought her to so many different doctors, and everybody just kept brushing us off — telling us we're new parents, and we're paranoid. Then COVID hit, so all these other appointments were pushed back. Then she turned two and our next appointment was months away. Gabby fell, and she smashed her face on the floor. I was like, “This isn't normal.” I called up the neurologist and literally told her, "You will be seeing us in your office tomorrow."

So I like the fact that if somebody watching my TikTok, who has a family member with MLD, or if they suspect there's something going on with their kid, this is something they can ask to check for. Their kid may not have it, it may be something else, but at least they could tell their doctor, “Hey, my child's having symptoms like this little girl — can you please evaluate her for this?”

Knowledge is power. That's the way I look at it. Each state is responsible for what they put on their newborn screenings, and we’re asking people to join our cause.

Sometimes the squeaky wheel gets the grease. If we have a community, and people backing us up and people asking, “Well, why isn't MLD on this screening?” it could reach the right person. 

After Gabby’s diagnosis, we found MLD Foundation, and there’s another local family we know that has been my backbone through a lot of this. We're very close with MLD Foundation, and they introduced me to AllStripes. I researched the program and I said, absolutely, I’m interested. Anything we can do to move mountains, rock by rock.  

Gabby is three and a half. She'll be four in June. When we ask her, “You want to do a TikTok?” she smiles and she gets happy. She likes to see herself on camera. She is a fierce warrior, for sure. She has gone through more than anybody, any adult, in her lifetime already. She's strong. She's very smart, and she's very aware of her surroundings. She knows who people are. She's not “brain dead” by any means.

Everybody's parenting journey is different. We take it day by day with her, but we love hard, and we love fiercely. Our day may look different between treatments and therapies and medicines and feeds and diapering — our day is definitely different. It's busier, but we still enjoy going to the park. We still go to the zoo. We still try and do little mini vacations. We still try to do some of the normal things. But we have a greater understanding that if it doesn't work out, that's okay. We just take what we can get.

About 

Nicole DiStefano, PicnicHealth

About PicnicHealth

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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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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?

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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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