Wednesday, September 27, 2017

Will didn't have Autism, it was Sanfilippo Syndrome #MHH #CUREmps


The below letter was written by Valerie, Will's devoted Mother.

When our son, Will, was born 7 years ago, I thought that everything about him was perfect.  His toes were perfect.  His nose was perfect.  Even the tiny little strands of earwax I’d find in his perfect ears were perfect.  Will, was our first child and our everything.  We had been blessed with an easy pregnancy, an uneventful delivery, and an outwardly appearing healthy child.  All was right with the world.  Will grew and developed normally and we took great joy in everyone one of his milestones.  When he was two, we decided we were ready to experience all the wonderment again and became pregnant with Will’s little sister.


While pregnant with our second, we started to notice a few differences about Will.  Nothing overly alarming.   His speech was a little behind some of his friends and we noticed that some of his fine motor skills were as well.  However, in some things he was very far ahead.  He knew all of his letters and their sounds, his numbers up to 30, his colors, and his shapes.  He was a summer birthday and therefore the youngest of his friends, so we hoped that it was just immaturity and that he would catch up in time. 

After his sister was born, more concerns came.  Will was 3 now and wouldn’t potty train.  He was going to have to leave his preschool program because of it and because of his increasing hyperactivity.  He was still loving and social and good-natured, but he couldn’t be still.  By the time his 4 year-well check arrived in summer 2014, Will had obvious, though minor, development delays in speech and motor skills.  We were sent for evaluation and assessment in August 2014, after which a specialist classified Will as high-functioning autistic with possibility of ADHD as well.  We were shocked; autism was the last thing on our minds.  However, this diagnosis gave Will access to help such as the early childhood education services through our public school district, occupational therapy, and speech therapy, so we accepted it and worked on getting our sweet boy caught up to his peers.  After getting through all of the paperwork and assessments, we were able to start Will in services in December 2014.


And he loved it!  He was doing well in school, enjoying his therapy, and showing lots of progress.  However, we still had concerns.  Something still didn’t seem right.  The autism diagnosis only covered some of his quirks, and others still remained unaddressed.  Our pediatrician wasn’t satisfied either, asking us in October 2014 to make an appointment with genetics.  We called and set up an appointment in April 2015 (the earliest they had openings) and didn’t think much of it.  Maybe he had an auto-immune disease like his Dad, maybe we’d find the autism gene.  Nothing else crossed our minds.

Until February 26, 2015. 


On that day, I had a rare moment of quiet as the kids were napping.  I was trying to catch up on news and was reading articles on the Today Show website.  One story caught my eye.  It was about Eliza O’Neill, a five-year old girl living with a rare disorder called Sanfilippo syndrome, also known as MPS III.  As I read about disorder’s symptoms included with the article, I started to sob.  I was reading about Will.  Large head.  Speech/developmental delays.  Hyperactivity.  Autistic behaviors.  Chronic loose stools.  Prominent eyebrows.  Large belly.  Umbilical hernia.  My sobs increased.  I researched more and the words ‘untreatable,’ ‘incurable,’ and ‘terminal’ sent me into deeper sobs.  I texted friends; they told me to get off the internet, stop diagnosing from website, I’ll drive myself crazy.  I wanted to be crazy, I wanted to be that crazy paranoid mom.  But I was scared.  Will had all of the early warning signs, except for poor sleep and chronic ear infections.  But those two missing symptoms weren’t enough to easy my mind.  I read that you could order a urine test to pre-screen for MPS.  I called my pediatrician at 4 PM and ordered the test, figuring I would turn it in, get the negative results, and laugh at my paranoia.  We gathered the sample and took it in the next morning.

I cried in the parking lot.

The afternoon of March 5 we received the call that his urine had tested positive for MPS and our life has been a whirlwind of despair and confusion since then.  The call confirming Sanfilippo Sydrome came a month later.  Will is still perfect in our eyes and he always will be.  But now we know that his genetics are imperfect and that our time with our son is limited.  His time with the ability to walk and talk is limited.  Our most precious commodity is now time.  
But we are lucky to have this time.  Will was thankfully only misdiagnosed for 6 months.  It was beyond lucky that I saw that Today Show segment, that I trusted my gut, and that my doctor was willing to follow my lead for the testing.  Many Sanfilippo children are not as lucky and can go years misdiagnosed, meaning that their families have no idea what is slowly happening.  They waste valuable time trying to find answers or chasing incorrect diagnoses.  They feel anger and frustration and lost.  That is unacceptable.  We MUST raise awareness of this disease, not only to push the research forward, but so that families get the answers that they deserve so that they can focus on what is important: the well-being of their child.  

_______________________________________________________________

Thank you Valerie for sharing this story to JJB's readers.  xx Jill

This will be the first of many guest bloggers to tell their diagnosis story. My goal is for everyone to see that there are most likely hundreds of Sanfilippo children living throughout the US and many many more throughout the World that are misdiagnosed or just not diagnosed at all. 

We need to find them and get them the help that they need. Will you help us spread the word?

Mission Hide and Help: Is a campaign that our very talented advertising friends and film crew created for us. Please check out the website and watch the video. We can only reach the masses if you help us spread the word and answer our call to action. https://missionhideandhelp.org/

JJB is hosting a launch party in Brooklyn at our neighborhood church. This is the most nervous and scared that I have ever been. I have given numerous speech's over the years to: politicians, doctors, scientists and pharma. Television and newspaper pieces are old hat for me. 

Jeremy and I have protected Jonah from the truth as much as we could. We have never overtly put Jonah on display like this. My fear is that people will treat him differently that they'll either be scared of him or mean to him. As of this moment Jonah doesn't know the truth, that he has a 'syndrome'. Jonah knows that he's not as smart as his friends. I see the pain in his eyes at the playground when his peers ditch him to play games that are too complex for Jonah to partake in. Jonah is 9 and he will always want to just play tag, hide & seek and soccer. 

I have 10 days to explain to Jonah about his body and brain and that it didn't develop quite like his friends bodies and mind. This is the hardest thing I have had to do, to date. I DO NOT want Jonah to ever know that he has a terminal illness, after I have gotten a treatment into him, then I'll tell him the truth. For now I have to give him a reason as to why he has a commercial with all his friends talking about how special he is, the Mission Hide and Help video will be played in front of him to all of his peers in attendance.  The kids in this video are Jonah's neighborhood friends. They actually don't know exactly whats wrong with Jonah and this group of kids don't care either, they love him just the way he is. I'm going to remember that and have faith that we're doing the right thing. Not just for Jonah, we have to do this for all the other children suffering from Sanfilippo. Friends and Neighbors in the Brooklyn area, you can find the details on our Mission Hide and Help FB page. https://www.facebook.com/MissionHideandHelp/ 
While there please like and share our FB page, we're also on Instagram. 

Official Mission Hide and Help Press Release. http://www.digitaljournal.com/pr/3491185

I encourage our supporters and other MPS families to host Mission Hide and Help parties. Show the video, teach the kids and their parents what to do, then swap Pokemon cards! Super easy and fun, more importantly your party could lead to a new diagnosis.

Thanks for listening and sharing.
Jill  

Monday, September 18, 2017

BEST WEEK EVER!

Best week ever.  Not to be greedy but I hope this coming week tops last week.

People say it comes in three’s. I got my three then some this week. The good things that came to me and my community were not a surprise, we have been working tirelessly towards these goals for years. It's just a bit more impactful when it all comes together at once!  Clears my plate a bit for all the other projects we have in the works.

JJB and our consortium HANDS have been funding our gene therapy program for 7 years now. About half way through I realized that funding the science wasn’t going to be enough. So with the urging of Sean Ekins I founded Phoenix Nest. Sean partnered with our scientists to write NIH grants we learned quick that the NIH was not keen to see funding sent outside the US. Around that time, a US based scientists Patricia Dickson offered her services for type D. She and Sean wrote a grant and we won, then we won a second and a third. You’d have to be in this space to really have a handle on how hard these grants are to win. The science has to be top notch and the competition is fierce. Now picture a mom with no medical background winning these grants.

The first grant we won, I was grilled hard by my grant manager, she couldn’t grasp the idea that a non-academic person would be sitting at her desk at home, managing NIH grants. I hired a bookkeeper and we made a budget and we follow the budget. I use a payroll company and they cut the checks and pay the scientist's tax’s. I mostly just reconcile invoices, our scientists buy crazy expensive equipment. Sean manages the scientists and keeps them on point. Easy enough right!  There is one grant that we put in and then resubmitted 6 more times. lol Sean does not give up. Every time the reviewers came back with suggestions he addressed it and adjusted the grant. This went on for years. I really really really wanted this grant. The other three grants are for subtypes B and D. Jonah has type C. I work for free, managing over two million in grants that won’t benefit Jonah.

Good news
#1, On Monday I got the notice of award, we finally won that damn grant. $225,000, the funding will go to chemistry for our chaperone molecule. Big sigh of relief here! I’m ecstatic. We have won 2.5 million in grants, which doesn't mean much to me, I just manage it. It is funding that will save lives, it pays for the research. I admit I bought a filing cabinet for all the invoices and paperwork.

Managing grants are easy compared to licensing the programs that JJB & HANDS funded through the non-profit donations that many of you contributed to and the research that was funded by the grants that Phoenix Nest wins… Now this is hard! I will refrain from lamenting about the crap I had to do to get here. I learned a lot and this experience will help me in the future. If I keep telling myself that, someday I might believe it. 

#2 We finally agreed to and signed off on the licensing terms for the gene therapy research that we have been funding for 7 years. Amen to that! Can I get a little applause over here? You might be asking what does this mean… Without divulging PN’s business plan, it means that we have the control now. I have the legal right to see this thing all the way through clinical trial and onto commercialization. Nobody can take that away from me and my families. Do you want to cry a little bit right now? I do! Dr. Cao is an incredibly humble man with a super cute dog and HUGE heart. https://youtu.be/RL24KsRyjPc 

#3 Our NHS (Natural History Study) has received it’s Notification of Approval by the NIH. This is another program that we have been focused on for 7 long years. Why did it take so long to get to this point? FUNDING, politics, red-tape, IRB approval, protocols, experts.  Funding is still a huge issue and I loose a bit of my brain when I think about how much this is going to cost. Again… I will refrain from thinking to hard on this. The acid is welling up in my throat.

The NHS is designed to follow the course of Sanfilippo Syndrome, there is not a longitudinal study done for MPS III C and D. We will bring in children across the US to Montefiore Childrens Hospital 1-2 times a year for 5 years. They will stay for two days and have numerous tests performed. 1 day will be dedicated to cognitive and Psych evaluations. The second day will be biological, sedated MRI, where we will scan every inch of the body, while under sedation: fluids will be taken, X-rays given, even dental exams. We need this study to further research and to better understand the disease.  Jonah will most likely be the first to enter the study. A huge part of me does not want to know the results of the testing.  I don’t want to know how much the disease has attacked Jonah’s brain. I can see that Jonah’s spine is curving, I assume that he has scoliosis.  His belly is bloated, is there something going on with his liver?  Deep breath… Knowledge is power knowledge is power.

JJBs partners HANDS (Sanfilippo Sud, Sanfilippo Barcelona, Sanfilippo Portugal, Sanfilippo Brasil, JLK, Levi’s Live Love and Laughter, Le Combat Hatiem-Contra-Sanfilippo) and our sister foundations: Sanfilippo Children's Foundation, Cure Sanfilippo Foundation and The Sanfilippo Children’s Research Foundation, whom have also contributed significantly to the HANDS research program’s.  These mom and pop foundations help keep our research afloat.  By NO means has JJB funded all this research on our own. These associations have carried us. It takes a village.

4-5-6-7....
Other cool stuff: Jonah started 4th grade, I really like his new teacher, Jonah is HAPPY, he’s still learning and he has not cognitively regressed (knock on wood).

Yesterday I received an uplifting text from Patti about our D program, I can’t share it with you, but just know that it was the cherry on my cake yesterday. :)

Alexey is in France for an LSD conference he decided that since he was super close to a mountain that he’s always wanted to climb that he’d climb it in our honor and ask his friends to support him. https://www.crowdrise.com/o/en/team/jilljonahsjustbegunorg/jonahsjustbegunfound

At long last the gene therapy paper that Brian and his post-doc Claire O’leary have been working on, will be published. I’m excited that everyone will see how hard we have been working.

Sean and I were the topic of a recent article in Nature’s Lab Animal journal ( a mention is this journal is coveted by academics.)  Sadly you have to be a subscriber to read the Entire article and I promised not to socially repost the entire article. http://www.labanimal.com/laban/journal/v46/n9/pdf/laban.1335.pdf 

On Tuesday the 19th, JJB will be issuing a press release about an awareness campaign, designed to help us reach the masses to the signs of Sanfilippo. I have two main goals: earlier diagnosis and correctly diagnosing the Sanfilippo children that have been living under the wrong diagnosis.  Jeremy’s college roommate, Steve whom now works in advertising came up with “Mission Hide and Help”. Steve had the help of his work partner and convinced his talented colleagues to pitch in. I absolutely can not wait to share the campaign with you. We will need your involvement to make MHH a HUGE success.  Wait for the Announcement, you only have to wait a few days.




Now it’s time for JJB to start earning our keep!  Announcing “Monster Mash”, a kid and adult friendly fundraiser October 28th from 2-5:00pm, Brooklyn. 
Get your tickets ASAP!


If you can’t make the event, there is still time to help JJB fill our raffle baskets. Purchase JJB something on our Amazon Smile wish list. https://smile.amazon.com/registry/wishlist/3MR2XEXXAI90/ref=cm_sw_r_cp_ep_ws_CvXizbYWC03H6

Did you ever imagine that we’d get this far? I tell people our story and they just sit and stare. I think they think that I’m lying or over exaggerating. I can’t blame them, If I were in your shoes I’d have a very hard time believing my story. How do I prove that I’m not full of it? Brian’s paper will help the world see. People can google me and read articles about our work.

I mention this because I still need a massive amount of help from funding to volunteers. If it wasn’t for my pro-bono lawyers, PR friends, celebs and the academics: Sean, Patti, Brian, Alexey, Elsa, Joel, Geoffrey on and on I would have NEVER made it this far.  Next stop clinic trial. This is what we have all been working so hard for. You can help, every dollar helps, every volunteer is greatly appreciated.

For instance I need a volunteer to play Frankenstein at Monster Mash. You'll be required to learn this dance. https://youtu.be/NZ5OJQj7y8M (Free drinks included)