When Your Child’s Experience Can Help Someone Else

By 
Michelle and Danielle, PicnicHealth
March 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.

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?"

About 

Michelle and Danielle, 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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