I Do

Nine years ago, I said the words, “I do.”

…for better, for worse, for richer, for poorer, in sickness and health…

On the day of my nuptials, I did not fully understand the weight of the words.

Though it remains one of the happiest days of my life, marriage is arduous.  It is a journey that weathers many storms.  It provides sunscreen, shade and solace on the blistering hot moments of life, a soundtrack for the celebrations, an anchor to pull you safely to harbor, and an umbrella to keep the rain away.  Each day presents small opportunities to learn and love.  Some days are more challenging than others.  It takes durability, resilience, and grit at times.  I have learned that the grueling times have ultimately made us steady and stable in the end.

It is fascinating to consider how love evolves over time and how much individual growth occurs year after year as your union flourishes.  Nine years later, I can say that we are more in love than we were when we said those I dos.  Though, at times, the umbrella of marriage has reversed and appeared to turn inside out.  Some days or months wear on you and create tiny holes that are essential to patch promptly and correct with care.

When the rain is over and you find yourself dry once more, you are relieved that the storm has passed and the patch sustained repair.  Some nights, you need that anchor to guide you home safely, too.  You are grateful and humbled by love’s embrace.

The past nine years have been full of celebratory songs, heavy anchors, multiple bottles of sunscreen, and a reliable patchwork umbrella.  Our hearts prefer the harmony, but our lives have tested the dependability of our umbrella.

While our love came first, it naturally falls into last place these days.  Anyone with young children would likely agree.  When planning our wedding, centerpieces and chair covers were our two main struggles.  While trivial in life, the compromise and communication you need for a strong marriage are real regardless.  We found a floral happy medium and the day was pure bliss sans chair covers.  Though our struggles are much heavier now, the ability to get past them wearing a smile requires the same elements that they did over the trivial details years ago.

For four years, I thought that we had marriage mastered.  It seemed effortless and comfortable.  I was beyond blessed to bring two children into the world and though our house was small, our love was vast.  Life was almost too good to be true with the love and health that surrounded my home.  

Four years in, we were shaken.  I think back often to the sixteen days we spent apart over the Christmas holiday of 2011.  We managed to keep normalcy for our son and a pillar of strength present for our daughter.  It was difficult not to fall apart altogether or find ourselves holding an umbrella that could no longer be repaired in the New Year.   

When marriage forced us to talk about in sickness as the chronic illness of our child, it was more difficult than I could have ever imagined.  We waited for answers.  We waited for help.  We waited in each other’s arms.

Five years of worry, tests, tears, joy, pain, trials, laughter and tribulations have always come back to one fundamental element: open communication.  We have had differences in opinion regarding Kelsey since her first fever.  Our love for her is infinite, but our ability to internalize all that we have watched her endure has its limitations.

Her recent bug bites left us with glaringly conflicting mindsets, and we could not get out of our own way.  For the first time in nine years, we hurt each other so deeply that we did not speak for an entire day.  I never understood how couples could get to that point until it happened to me.  Isn’t that the case with anything, though?  You never fully understand until you live it.

In marriage, you must speak freely and listen carefully.  Having a child with a rare disease makes it even more critical to have open communication.  If we are not a team, we would crumble entirely.  Our support of each other directly enhances or divides our family.  The choice is ours and it is not always easy.

Nine years later, I am happy to report that we say, “I do” once more.  This year, I am a bit more informed than I was in 2007.  Therefore, instead of Happy Anniversary, I would like to say:

I do love your patience and easy-going nature.  You keep me grounded and calm.

I do love the way you look at me as though we first met.  You steal me away.

I do love the man you were when I met you and the husband and father you have become in all of the days and years since.  You are a better man than I dreamed you would be, and I had high expectations.

I do love the way you provide love, strength, and loyalty to our family and the way our children stare up at you with wonder and amazement.   You are their hero.

I do love that you accept me for the girl I once was and the woman and the mother that I have become.  You know it all and you love me still.

I do love you.

We approach a decade of love together with our flawed but faithful umbrella in hand.   On our wedding day, we danced to Dave Matthews’ words “Troubles they may come and go, but good times they’re the goal… Steady as we go…” 

I choose you today, tomorrow, and all the days to come, fully understanding the words.  

In sickness and in health

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Photo Courtesy of Sarah Schulte

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Bug Bites

Merriam-Webster defines wisdom as “the natural ability to understand things that most other people cannot understand.”  The idea of wisdom has been on my mind a great deal recently both personally and professionally.  Today, it would be at the forefront.

The day began with an ideal and carefree morning.  It seemed a perfect blend of sunlight and promise.  My four-year-old niece was coming over for the day to play.  My grandmother, lucky enough to have four great grandchildren and another on the way, was joining us for some laughter and fun.  

Gram, as I call her, and I talked a great deal about life and love while the kids relished in play and imagination.  We danced, giggled, and enjoyed time together as a family.  I could not help but marvel at the contrast between the wisdom and innocence that spanned four generations.  

A few hours into our fun, I noticed three raised bumps on Kelsey’s leg, just above her knee.  This was suspicious to me, as her troubles tend to be on those limbs.  Kelsey realized that I was gazing for too long.

I hoped that the nodules were simply bug bites.  Though, the longer I stared, the more I knew they were not.  To throw off the scent of worry, I referred to them as such.  I did not want to concern Kelsey nor make my niece alarmed.  I did take a picture of her “bug bites” and shared them with Kelsey’s caring doctor.  While the children’s senses could be tamed, mine were on high alert.

Those raised nodules derailed the otherwise beautiful day.  Those pesky raised red marks have only represented trouble in the past, and I felt wise on a subject I wished I had difficulty comprehending.  I held my breath and sat in that waiting place again.  I feel like I have been holding my breathe there all summer.

As always, Kelsey’s incredible doctor saw the pictures and promptly responded with concern.  She has a few new ideas for Kelsey’s treatment.  Too many recent “bumps” have raised doubt in her medications and their effectiveness.  Our doctor wants to discuss her ideas with the National Institute of Health and together, they will determine the best course of action.   

Life was good today.  I still want it to be.  

I worried a bit longer and hoped for a quick disappearing act to occur.  I had to look at that leg one more time.  

As I attempted to privately analyze Kelsey’s legs, I heard tiny footsteps approach the door and walk in.  It was my niece.  She is very inquisitive and clearly noticed that I had been monitoring Kelsey’s “bug bites” all afternoon.  Curiosity got the best of her.

She was wise to ask Kelsey, instead of me, about spots.   She inquired so innocently, “Hey Kels, what is wrong with your bug bites?”

Kelsey smiled at her in a way that showed thoughtfulness and poise.  She responded, “The best way I can explain it to you is…well, it is just that my bug bites are venomous.”

I had to hand it to Kelsey.  Perhaps there was far more wisdom in the room than I first gave credit.  Wise beyond her years at five, I secretly shed both a proud and concerned parent tear.  Merriam-Webster defines venomous as “producing venom in a specialized gland and capable of inflicting injury.”  Venomous, indeed.

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Weeds.  They are pesky plants that grow in places they should not.  They thrive where we want them to perish, and they can overtake beauty anywhere they grow.

Tonight, I looked at my mulch bed.  I’m not a gardener and far from having a green thumb.  Where I once looked and saw mulch, I saw nothing but green.  It was not the desirable green you hope to see in your lawn, though it was certainly lush.  

Instead of enjoying a chapter of my book while I listened to my children play, I got down and dirty.  I felt the dirt dust upon my khaki shorts and coat my hair with topsoil.  Though I was ill-equipped, lacking a hair tie and gloves, I realized that I could not let these growths overpower my lawn another day.

The more I truly looked at the intertwined madness, the further my mind drifted from the weeds.  Instead, I thought about Kelsey’s body and the blood vessels interconnected within her, within all of us.  One tiny root can take hold and wreak havoc.  It is possible in the garden as it is inside us all.

In contrast to my view this evening is the picture-perfect mulch delivery day, full of rich color and that undeniable smell.  I close my eyes and wish it to magically appear in front of my eyes now, highlighting the landscape and the promise of cultivation.  That is, in fact, the promise I hope for every day when I open my eyes, vibrant and full of intense beauty.  The trouble is that one small root planted itself firmly and has since challenged that dream.

In November 2011, a small germination developed inside of my daughter’s right leg.  Its seeds spread where they should not have, quickly and silently.  The hope and promise that comes with every fresh mulch bed is the same promise that every child deserves, that my child deserves.  I stay up so often at night wondering why there are so many weeds growing in our children’s gardens.

Polyarteritis Nodosa and the gene deficiency inside of Kelsey is neither annual, biennial, or perennial.  It has not the pattern nor the predictability of those three common weed varieties.  Though, the intertwined system and fibrous nature that creates terror on the lawn can cause the same fury inside of her.  Without constant care, monitoring, and attention, blood vessels could enlarge or necrotize causing organ damage or another stroke.  It is a seed that fills my mind with worry, and one I try not to spread further than it needs to sprout.

Instead, I try to love deeply, pray often, and hope that our newly formed Foundation will lead to a better way to monitor the weeds in gardens around the world.  For unlike purchasing the most effective herbicide, yanking out the root, or placing weed guard in the perfect position, the best known formula to diminish Kelsey’s weeds is unknown.   

Every Wednesday, she gets her protective injection, much like a preventive spray.  The trigger is much harder to pull and much more difficult to measure.  The life saving drug is dispensed by patient weight.  It is also known to accelerate growth.  How can you accurately maintain and stay proactive with treatment that also stimulates development?  It is a riddle our doctors hope to answer and stay on top of, though, it also leaves much doubt.  It gives too much room for those unwanted plants in areas we do not wish them to grow.  

They seem to take over the lawn completely and eradicate the beauty both inside and outside of my home.  Whether a picturesque Easter Sunday or an otherwise beautiful Monday, the weeds seem to grow with a vengeance.  They extinguish hope and damage more than just the landscape.

In one hour, I only uprooted a small fraction of the weeds.  I did not have the daylight nor the energy to continue.  In just over two years, I know little more about PAN and Kelsey’s gene deficiency than I did on that difficult June evening I learned of the diagnosis.  

Tomorrow, I will take on the lawn.  If only it was as easy to tame Kelsey’s weeds and the fury they could unleash if overlooked.  You know where my mind will drift if you see me out there pulling down the root, wishing I could tear out much more than the lawn nuisance.  

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Changing Tides

Changing tides are natural shifts in the waterways caused by the gravitational attraction of the sun and the moon on Earth.  The moon has a hold and a force on the outcome of these changes unlike any other influence in the world.  Tropical storms miles south can even create record high tides much further north, as they doing now.  Tides have always fascinated me as the daughter of a true boatsman.  The truth is, Kelsey is my moon.  Her force is incredibly powerful.

This morning, my curious son wanted to investigate our names and their meanings.  We learned that Old English defines Kelsey as “fierce.”  That was no surprise because I would say that she is truly a force to be reckoned with.  While the cycles of her life are unpredictable, the gravitational attraction she has on me is not.

It is also no coincidence that “Kelsey” is also known as “the ship of victory.”  I realized and felt drawn to the strength in her name while we were selecting it but never knew the nautical relation.  I find the newly revealed meaning fitting since she controls the tides of my life.  As her mother, I feel it is my job to help her find victory.  Her triumph is my mission, but her ship is hers to sail.

When the sun is shining and the tide is high, boaters and beach-goers rejoice.  The activities they hope to enjoy are easy, fun, and full of water’s depth.  Kelsey is just like the highest tide with her strong current and ferocity.  She shines so brightly and soars to meet the feet of boaters as boat ramps do when her tide is high.  Her small victories trigger sensational highs for me, too.  She enjoys life in those moments more than any other child I have ever seen.  She literally jumps for joy, and I often find that her exuberance is contagious.  

We have been out at parties, picnics, and other social gatherings to hear sentiments such as, “she is the happiest child I have ever seen.”  During those times in the past, I can not express how grateful and sad I have felt.  “They have absolutely no clue.  Can you believe she has had a stroke?” I often think in response, but instead say aloud, “Thank you so much.”  Don’t get me wrong, I am always grateful to hear kind words but felt that I withheld a great secret as well.

During the high tides, the mother in me is so proud that she can almost burst.  Kelsey is thoughtful, considerate, and never leaves a child out.  Her zest for life is difficult to ignore.  The difficulty is to imagine that a low tide may be coming or that an eminent threat is on the horizon.  When the tide is flowing, the day flows with grace and beauty.  Those days and moments are true gifts and I cherish them.

In contrast, when the water ebbs and starts to clear, creatures below become visible, trash emerges in places you would least expect, and the current may just steal you away.  Just as her troubling days are delicate to talk about and difficult to live through, when they happen, my tides are excessively low.  I am swept away in those moments, when the energy depletes out of my daughter rapidly.  Last week, I hit a low that often comes with a weather extreme, a tropical storm, or a rare moon.  I was not sure how long it would take for the water to return and the docks of my mind to rise back to a stable place.

My son’s laughter and thirst for knowledge helps me more than he will ever know.  I often wonder how he deals with all of this, seeing far more than he can possibly understand.  I believe that in his own way he knows when I need him.  He knew this week.  As we left for Kelsey’s blood work, Murphy’s Law surrounded us.  The lab orders were expired, my printer was not functioning, and my anxiety was high.  Two hours later, when we finally got in the car, I looked back at him.  He wore a camouflage windbreaker (mind you, it was almost 100 degrees), protective goggles, one wool glove, and held a suction cup bow and arrow in hand.  He said it was his protective gear, and it was precisely the laugh I needed.  

My son’s name means “Remembered by God.”   If Kelsey is my moon, my son is truly my gift.  He helps my tides stay high and keeps a smile on my face, even in the lowest extreme.   

My husband’s words and my parents’ comfort also gave me strength this week in more ways than they know.  The positive words and messages from friends near and far were great blessings, too.  They all combined to keep me together.  As we wait still for the results of blood work and the possibility of imaging to assure that all is well inside those tiny legs and surrounding vessels, I am trying to keep the positive energy afloat.

The waiting place is still a very useless space, but the changing tides keep me smiling.  Day by day is our family motto, and happily today, the tide is rolling in rapidly.

A Punch of Present

Though I have been reflecting on the past and recalling tender memories in an effort to shine a positive light on the future, today I awoke to the words I fear hearing every single morning.  Today, it is as if I am punched in the stomach with the present.

“MOMMY!”  I hear from my room.  The pain that accompanies that call from my daughter’s bedroom is one that means only one thing.  If she is calling for me, she can not get up out of her bed.  The intensity of that moment, of that agony, is indescribable.  If that is how I feel simply hearing her moan, how awful must she feel?  It is a thought that keeps me awake at night and keeps me dizzy today.  Though, I can not waver.  I must be resolute in appearance and emotion to her.  I must not let her see me cry.   The sight of my tears only makes her feel worse.  Given the distress clearly spread within her tiny legs, the last thing I want to do is cause one more drop of pain.

I sneak upstairs to find solace and a keyboard instead.  Containing the water works all morning lets them fall freely along with my worries and my fears.   I am numb.

My mind drifts and my heart aches.  A much anticipated family weekend on the beach made it impossible for Kelsey to get out of bed this morning.  The thought is overwhelming.  Fun caused tremendous pain.  Although I should not place guilt on myself, I ponder my own actions and what I could have done differently.  Did I make her walk too much?  What did I not notice?  How are we back here again?

With two days to go before her medicine is due, all I can do is wait.  Life is on pause as I wait for this to pass and a call from the doctor.  I am hoping to soon gather a better sense of how to notice a flare, plan for a flare, and reverse the effects of this one today.

So for today, as I sit, I realize that I am stuck in the waiting place.  As Dr. Seuss tells us: 

“when you’re alone, there’s a very good chance

you’ll meet things that scare you right out of your pants.

There are some, down the road, between hither and yon,

that can scare you so much you won’t want to go on.

But on you will go though the weather be foul.  

On you will go though your enemies prowl.

On you will go though the Hakken-Kraks howl.  

Onward up many a frightening creek,

though your arms may get sore and your sneakers may leak.”

Dr. Seuss, Oh, The Places You’ll Go

As I sit waiting for the phone to ring or a smile to shine on my daughter’s anguished face, I find that the waiting place is a truly useless space.  Instead of preparing for her first Hip-Hop dance class this afternoon, the one she pulled clips from YouTube to practice before the classes even started, the one that she has been excited about for weeks now, we just wait.

While it is her legs rather than her arms, it is still a frightening creek.  I often wish I had a larger paddle to navigate through such troubled waters and pick me up from today’s TKO.

Calm Before the Storm

I look outside and see a serene and still sky.  It is the moment that exists just before a bolt of lightning illuminates the sky.  The calm before the storm resonates and reminds me of the personal storm that swept me away in November, 2011.  The darkness slowly creeps in through my windows, just as the pain brewed gradually inside of my daughter during that fateful month.  I shed a few tears as the first raindrops fall tonight thinking about the pain that my nine-month-old child must have been experiencing and how unaware I was that it was developing so quickly.

Advil was constant in an effort to ease the “teething” pain I knew in my heart was not the culprit.  Each morning, I awoke hoping and praying that this day would be different.  I would think, “this morning would be the one that finally brings us back to normal.”  Instead, the burning hot patches and fever persisted.

Another call to the doctor assured me that teething was still at the root of the problem and it should only be a few more days.  Thus, the holiday season began with Thanksgiving.  I typically love this time of year, but that November I felt numb.  It was difficult to even crack a smile with the heavy weight of my worry.

On November 24, we traveled to a relative’s home for the holiday.  Kelsey slept through most of the two hour ride.  Yet when we arrived, I felt that she never fully awoke.  Her eyes were glassy, her body was warm, and her legs were likely filled with unbearable pain.  I held her close and tried to act as if everything was normal.  In direct contrast for me to see was Kelsey’s cousin, born just three days before her.  He was crawling around, full of energy, and alert for the duration of the day.  I sat and held Kelsey as family members asked what was wrong.  The difficulty was that I did not know quite what to say.  I recall lying, “the doctors tell me it’s bad teething pain.”  They all hoped the same and lied right along with me.

As I now listen to the storm beginning to churn outside, it is clear to me that I should have seen the same clouded vision happening within me.  The sky is now dark and heavy just as my mind was for a few days following Thanksgiving.

The first bolt of lightning strikes exactly as a jolt seemed to hit me on Monday morning.  I had enough.  Something was wrong, and I could not deny it any longer.  I scheduled an appointment and demanded more.  I also requested a different doctor than those I had seen before.

A fresh set of eyes met my troubled gaze that afternoon.  Though as I recall, he stared at me without concern or fear, but rather annoyance with my worry.  He did at least listen to me and agreed that we should have blood drawn to erase the fear of anything serious.

My husband took Kelsey for the first draw.  I did not think I had the courage to be there with her.  He held her tightly as she screamed in agony.  I remember him telling me how deeply she wailed and being so grateful that he was able to be there to hold her.  “I would not have been strong enough,” I thought.  It’s quite ironic to think about it all now as blood work is a necessary norm in our lives.  

Though I did not do what my motherly instincts knew were best immediately, at least we were on our way to some type of answer.  We just had to learn the results of the testing and a decision would be made from there.  I packed a bag for Kelsey and me because I knew where we would be headed.

The calm was over, as was my denial, and the real storm was just about to begin.

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Reflections in the cloudy bay water this weekend made me reflect on the journey I’ve traveled so far.  My reflections are sometimes cloudy, too, but I think that is because I try not to focus on them.  Instead I try to focus more clearly on the now, the positive, and the hope.

On my lap, joyous and exuberant sat a girl who sometimes sits on my lap the same way tired and in pain.  When she is feeling great, the world can not help but join in on her contagious and positive spirit.  She truly shines brighter than the sun.  

When she sits on my lap, crying or sleeping due to pain in her legs, it is just the opposite.  During those trying times, it is typically just the two of us as it was this weekend.  Those lonely moments happen far less than they did years ago.  Looking back, those nights were so frequent that they sadly became the norm.  I think back to those days now and how they all began.

Like it was yesterday, I recall Friday November 18, 2011.  My mom was off and watching my kids for the day.  When I left that morning, my two children were happy and healthy, though Kels did feel a little warm to me.  She had received her flu vaccine and nine month immunizations one week prior, so I did not think much of it.  I left my mom happily singing with the kids on my family room rug.  Neither one even noticed me leave.

I walked in the door after work to my mother in tears, Kelsey lethargic and red with warmth.  My mother could barely speak.  We locked eyes, both filled with pain, fear, and a stream of tears.  I remember the words she spoke, the few she could get out, “Something is wrong.”  I recall standing still and feeling frozen, fighting my own intuition because I just wanted everything to be right.

That night, my pediatrician assured me that Kelsey was just teething. “Advil will do the trick,” she said with a smile.  I did not believe a word of it, but I attempted to sell the teething story to my mom.  She did not believe it either.  I wanted it to be true.  However, when your child wakes with a 102.9 degree average temperature and red hot patches of skin on her body, you know in your heart that is not the case.

My mom’s words echoed in my mind almost every second of the day for the next week, “Something is wrong.”  I was a naive mom, and I was in denial.  I hoped that Advil would do the trick.  I just wanted everything to be right.  So a second visit to my pediatrician again suppressed my mommy instincts and assured me that it was just teething.  “Advil will do the trick,” she said and I embraced the thought.

But I knew that it wouldn’t.  What I did not know was how to say that I just knew that it was not just teething.  After all, I do not have any medical training.  I also did not have any idea what was actually starting to happen inside of my nine-month-old daughter’s body.  Instead, I just remember crying to the doctor that night.  It was the first time I cried about my daughter in front of a doctor.  My heart just knew what I did not have the courage to say.  That night, I knew that it was not just a feeling.  I had to find the strength to say it.

“Something is wrong,” I pleaded.  Somehow, I mumbled those three words through my tears, only to hear, “Advil will do the trick,” again.  That was the first of many times I lied to myself.  Instead of fighting for my child and advocating for what I knew was the truth, I fought back tears, attempted a smile, and gave my daughter more Advil.  I did not have a medical degree.  Yet, I still heard my mother’s words, “Something is wrong” and I knew that something was.  I just had to decide what to do about it.

Reflections can be altered through a lack or burst of light.  A cloudy day can turn sunny and picturesque in a moment’s notice.   I wish I could alter those November reflections so quickly.  Thinking about them helps me to see how far I have come, how much I have changed, and how much stronger I am because of them.   

I much prefer the reflections of the cloudy bay water and the smile I saw reflecting back at me.



The summer sun warms my heart and gives me enormous hope.  There is laughter, water games, and trips to the park.  

The lingering hours of sunlight also remind me to count my blessings.  These blessings exist in kind messages, warm smiles, and the generosity friends and family members have shown.  I am realizing how tremendous my support system is both near and far.  This week, I have reconnected with friends, received kind messages, and felt an overwhelming sense of love and gratitude.

My husband has also been an incredible source of support.  He is truly my rock.  Whether I need to laugh, cry, or say nothing at all, he always knows how to let me be.  My strength often grows with his presence.  

Then there is my mother who makes it her daily mission to make sure that I am okay and doing what I need to do for myself.  Sometimes I don’t want to respond to her because I’d prefer not to deal with the truth.  My mom always has a way of getting the best out of me, though, as only a mother can.  A mother’s intuition is one of the strongest forces on the planet if you ask me.

The National Institutes of Health are also on my mind.  My family’s recent visit there fell on my birthday.  It was fitting in a way because the work done there is a gift. although it is a present you hope not to need.   I often leave with more questions than answers, but I know that doctors and researchers there are always on a quest to answer the unknown.   It can be a lot to process while you visit the facility and talk with so many brilliant minds.  The conversations can be heavy, but I appreciate the level of care they provide.  

This morning’s intense sunshine reminds me of today’s appointment.  The intensity will come sans sun in an air conditioned room as I will learn the results of my own genetic testing.  Like so many recent appointments for my daughter, I will likely leave with some answers and many more questions.  Whatever the results, I will leave with my support in place and the summer sun following me home.

I may need a bit more warmth today than usual.

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Wednesday Worry

This morning, I injected my daughter with life-saving medicine.  For two years, I have been doing so.  I have lost sleep, weight, and what seems like my sanity.  How can I loathe something that in reality helps my five-year-old walk without pain?  It is my Wednesday worry and one I’m ready to talk about with whoever wants to listen.

Mary-Claire King changed our lives by identifying the BRCA1 and BRCA2 breast cancer genes that have become household names.  Today, I spoke with founder and president of the DADA2 FoundationDr. Eugene Chambers, an accomplished doctor and father of two children with the recessive genetic condition DADA2.  Along with being diagnosed with PAN, my daughter Kelsey has the genetic condition DADA2.

We are committed to raising awareness and finding a cure for our children and those we have yet to meet.  As BRCA has become a household name, so should DADA2.  November 11 will mark a historic day as the Inaugural International Conference on Deficiency of ADA2 will bring this vision closer to reality.   Physicians, researchers, and families from around the globe will gather to share stories as well as diagnosis and treatment options moving forward.    

One phone call today made my Wednesday worry seem less worrisome.  I hung up the phone overwhelmed by the unfortunate and fateful nature of our call.  With a will, there is always a way…