PDF File - Tuberous Sclerosis Alliance
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PDF File - Tuberous Sclerosis Alliance
A MAGAZINE FROM THE TUBEROUS SCLEROSIS ALLIANCE SUMMER 2014 | VOLUME 133 2014 WORLD TSC CONFERENCE REVIEW 801 Roeder Road, Suite 750 Silver Spring, MD 20910 USA (301) 562-9890 Toll-free: (800) 225-6872 Fax: (301) 562-9870 www.tsalliance.org SUMMER 2014 • Volume 133 Message from the Leadership Kari Luther Rosbeck President and Chief Executive Officer Jaye D. Isham Kari Luther Rosbeck President & CEO Vice President, Communications Strategy Managing Editor Keith Hall If you have opinions, questions or articles for Perspective, we would like to hear from you. Please contact the managing editor to obtain a submissions form and guidelines. Chair, TS Alliance Board of Directors T he TS Alliance is thrilled to send you this ver y special issue of Perspective, which focuses on our recent 2014 World TSC Conference, held July 3-6 in Washington, DC. While you’ll read much more about the conference inside the magazine, we want to again salute Conference Chair Janie Frost for all her hard work organizing the event alongside Christen Bell, Community Outreach Coordinator, the Local Resource Committee and the entire TS Alliance staff. The closing dinner of the conference, Blue Night , held many special memories: a welcome from founding mom Adrianne Cohen; presentations of a Lifetime Achievement Award to Ken and Shonnie Johnson for their incredible contributions to the TSC community and Manuel R. Gomez Awards to Drs. John Bissler and Petrus de Vries for their significant impact on our understanding of TSC in research and delivery of clinical care for individuals with TSC; and a compassionate performance by the Chris Hawkey Band. We also want to thank all presenters and attendees for making the event so meaningful. Be sure to visit www. tsalliance.org/ConferenceVideos to view the conference sessions online for free. The conference’s theme – Celebrate, Connect, Conquer – proved Perspective is intended to provide basic information about tuberous sclerosis complex. It is not intended to, nor does it, constitute medical or other advice. The Tuberous Sclerosis Alliance (TS Alliance) does not promote or recommend any treatment, therapy, institution or health care plan. Readers are warned not to take any action without first consulting a physician. Commentary expressed herein reflects the personal opinions of the author and does not necessarily reflect the official views of the TS Alliance. Information contained in the TS Alliance database is confidential and not provided nor sold to third parties. Perspective is published quarterly by the National Tuberous Sclerosis Association, Inc. d/b/a Tuberous Sclerosis Alliance, a 501(c)(3), charitable organization. ©Copyright 2014 by the Tuberous Sclerosis Alliance. All Rights reserved. Materials may not be reproduced without written permission. Direct requests for reprint permission to the managing editor. Board of Directors Keith Hall, Chair Laura Lubbers, PhD, Vice Chair David Michaels, Treasurer David Fitzmaurice, Secretary Matt Bolger, Immediate Past Chair Martina Bebin, MD, MPA John Bissler, MD Julie Blum Rita DiDomenico Reiko Donato Steven Goldstein Linda Jackson Brendan Manning, PhD Celia Mastbaum Ted Mastroianni Darren Miles Debora Moritz John Nicholson, MD, MBA Courtney O’Malley David Parkes Rebecca Anhang Price Henry Shapiro Judith Shoulak Elizabeth Thiele, MD, PhD Endowment Fund Board of Directors Michael Augustine, Chair MaryJane Mudd, Secretary Rita DiDomenico, Treasurer James Achterhof Steven Goldstein David Michaels 2 P ER SP ECT I V E • S U M M E R 2 0 1 4 • A M a g a z i n e to be an apt description for everyone. The use of topical rapamycin cream to treat facial angiofibromas continues to spark huge interest in the TSC community. During the World TSC Conference, Dr. Mary Kay Koenig provided an update about recent studies on its use. She also wrote a summary of the results, which you’ll find on page 24. Facing tuberous sclerosis complex (TSC) is something each person and family does differently. On page 18, you’ll read the amazing personal story of a young adult with TSC, Jake Irby, and how he decided to get more involved with the TSC community. The spring and summer Step Forward to Cure TSC walkathon season is now over, and we honor all the super heroes who supported the events and made each of them so successful. While the walkathons raise much-needed funds, they also provide an excellent opportunity for community building and spreading awareness. We encourage you to consider attending a local Step Forward to Cure TSC event this fall if there’s one in your area. Most of you may remember this year is the TS Alliance’s 40th anniversary. We plan to celebrate this milestone on October 23 in New York City with a very special event called “Four Decades | One Community.” Please see page 14 for more information, and you can also use the donation envelope in the middle of the magazine to play a role in the event’s success. In closing, we want to acknowledge the many contributions to the TSC field made by Ann Hunt, co-founder of the Tuberous Sclerosis Association in the United Kingdom and a previous Manuel R. Gomez Award recipient. Ann was an advocate for defining behavioral aspects of TSC and was responsible for bringing about the meeting of the International Behaviour Consensus Panel that led to the first consensus clinical guidelines for the assessment of cognitive and behavioral problems in TSC. The consensus panel was comprised of experts in TSC from around the globe. The guidelines they produced, published in 2005, set the first gold standard for assessment, monitoring and care of patients with TSC in relation to the behavioral and cognitive aspects of the condition. Ann died earlier this summer and will be greatly missed by the global TSC community. fr o m th e Tu be ro us S c l e ro s i s Alliance Special Events “Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.” Margaret Mead Go to www.StepForwardtoCureTSC.org to register for a walk in your community. Check back often for updated dates and locations and take adavantage of the new, easy-to-use online registration and online fundraising software. Step Forward to Cure TSC® Nationally Sponsored By: National Honorary Chair, Julianne Moore Upcoming Fall Step Forward to Cure TSC Schedule and teams raise funds through their local participation in many ways. Some sent emails with a link to their online personal fundraising page requesting friends, family and co-workers to support them. Others go even further by holding car washes, bake sales, ice cream socials at their workplace and so much more. Some examples are in Indiana, a family held a lemonade stand and easily raised more than $200. Others also get their schools involved offering a blue jean day for a donation, or hat day. Selling bracelets, homemade duct tape wallets, and so much more. How about a pie eating contest? Or, garage sales, donations in lieu of gifts at a birthday party, restaurant nights with a portion of proceeds going to the TS Alliance, and more. The options are unlimited so get creative, have fun and wear that super hero cape—you deserve it!! Another example is Abby Hase, who turned her bracelet hobby into a fundraising activity for the Upper Midwest Step Forward to Cure TSC. We are proud of Abby for making and selling bracelets, which helped raise an additional $480 for her walk team! TS Alliance of the Carolinas Date: September 27, 2014 Location: Jarvis Creek Park, Hilton Head Island, SC Event Chair: Amy Bredeson [email protected] Date: November 8, 2014 Location: Triad Park, Kernersville, NC Event Chair: Planning Committee [email protected] TS Alliance of Heartland Date: October 4, 2014 Location: Raccoon River Park, West Des Moines, IA Event Co-Chairs: Cindy & Ryan Blackard [email protected] TS Alliance of Intermountain West Date: September 27, 2014 Location: Liberty Park, Salt Lake City, UT Event Chair: Alisa Lambros [email protected] Step Forward to Cure TSC Super Hero Supporter, Patricia Heaton Step Forward to Cure TSC teams and super heroes are making a difference across the nation this year! They are pulling out their capes and masks and increasing awareness and funds. Walkers A M a g a z i n e f r o m t h e Tu b e r o u s TS Alliance of Greater Kansas City Date: October 4, 2014 Location: Celebration Park, Gardner, KS Event Co-Chairs: Dan & Laurisa Ballew, Amy Dublinske [email protected] Abby Hase S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 3 Special Events TS Alliance of Middle Tennessee Event Chair: Gwen Montaigne [email protected] Date: October 18, 2014 Location: H.W. Cox Park, Collierville, TN Event Chair: Brittany Schwaigert [email protected] Spring 2014 Results TS Alliance of New England TS Alliance of Greater Alabama Date: September 27, 2014 Location: Auburndale Park, Auburndale, MA Event Chair: Stacie Verrill [email protected] Date: April 26, 2014 Location: Emmet O’Neal Library, Mountain Brook, AL Event Chair: Carole Pitard Raised: $90,000 TS Alliance of New York TS Alliance of Atlanta/ North Georgia Date: September 20, 2014 Location: Wantagh Park, Wantagh, NY Event Co-Chairs: Denise & Rob Spear [email protected] Date: September 27, 2014 Location: Onondaga Lake Park, Liverpool, NY Event Chair: Bridgett Langstaff [email protected] Date: May 10, 2014 Location: Marietta Square, Marietta, GA Event Chair: Planning Committee Raised: $42,000 TS Alliance of Arizona Date: April 26, 2014 Location: Eldorado Park, Scottsdale, AZ Event Chair: Debora Moritz Raised: $17,000 TS Alliance of Northern California TS Alliance of Greater Chicago Date: November 15, 2014 Location: Heather Farm Park, Walnut Creek, CA Event Chair: Diane Burgis [email protected] Date: May 31, 2014 Location: Ty Warner Park, Westmont, IL Event Co-Chairs: Geri Greenberg & Lisa Smiley Raised: $50,000 TS Alliance of Ohio Date: May 17, 2014 Location: Lake Storey Recreational Area, Galesburg, IL Event Chair: Karen Johnson-Wenger Raised: $9,600 Date: October 19, 2014 Location: The Chalet, Strongsville, OH Event Chair: Lori Quirino [email protected] TS Alliance of the Pacific Northwest Region TS Alliance of Connecticut Date: September 21, 2014 Location: Seward Park, Seattle, WA Event Chair: Susan Jorski [email protected] Date: May 24, 2014 Location: Sand Hill/Nevers Park, South Windsor, CT Event Chair: Rebecca Flor Thereault Raised: $22,400 TS Alliance of St. Louis & Southern Illinois TS Alliance of the Dallas/ Ft. Worth Area Date: September 20, 2014 Location: Cliff Cave Park, St. Louis, MO Date: May 17, 2014 Location: Frisco Commons Park, Frisco, TX Event Chair: Planning Committee Raised: $50,000 TS Alliance of Delaware/ Lehigh Valley Date: May 3, 2014 Location: Gring’s Mill, Wyomissing, PA Event Chair: Shelly Meitzler Raised: $6,400 TS Alliance of the Delta Region Date: May 3, 2014 Location: Forest Community Park, Baton Rouge, LA Event Chair: Temple Poche Raised: $28,000 TS Alliance of Florida Date: May 10, 2014 Location: Tropical Park, Miami, FL Event Chair: Vanessa Vazquez Raised: $5,000 TS Alliance of Houston Date: May 3, 2014 Location: MacGregor Park, Houston, TX Event Chair: Bill & Taska Fields Raised: $70,600 TS Alliance of Indiana Date: May 31, 2014 Location: Forest Park, Noblesville, IN Event Chair: Pat Schmutte Raised: $43,000 TS Alliance of Metro DC: National Walk on the Mall Date: July 6, 2014 Location: National Mall, Washington, DC Event Chair: Planning Committee Raised: $149,500 TS Alliance of Michigan Date: June 21, 2014 Location: Granger Meadows Park, Lansing, MI Event Chair: Treasa Dunlap Raised: $10,000 CONTINUED ON PAGE 25 4 P ER SP ECT I V E • S U M M E R 2 0 1 4 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance Government Relations Update March on the Hill Results The annual TS Alliance March on Capitol Hill took place in early March 2014 to advocate for continued Federal funding of the Tuberous Sclerosis Complex Research Program (TSCRP) via the Department of Defense’s Congressionally Directed Medical Research Program. More than 80 TSC community members participated, asking their Senators and Representatives to sign Dear Colleague letters in support of the TSCRP. In the House, 110 Democratic and Republican Representatives signed the bipartisan Dear Colleague letter of support from Representatives Mike Fitzpatrick (R-PA) and Loretta Sanchez (D-CA). The number of signatures secured for the Fitzpatrick-Sanchez letter greatly exceeds the signature quantities in previous years. The Senate letter, sponsored by Senators Johnny Isakson (R-GA) and Chris Murphy (D-CT), ended with 17 signatures. At the time of print, the Defense Appropriations Bill has been approved in the House and approved within the Senate Appropriations Committee and is now awaiting approval by the Senate. The current House bill approved funding for the TSCRP at $6 million. Let Your Voice Be Heard interviews with a wide range of advocates including an adult with TSC, a sibling, parents and TS Alliance staff members. We encourage you to visit www.tsalliance. org/advocacy today to watch it. Then please consider joining our Government Action Team, so you can help us secure Federal TSC research funding – all from the convenience of your home. After you join, we will show you how to use your voice to support everyone living with TSC. You c an sign up online for the Government Action Team by going to www.tsalliance.org/ActionTeam. Does it ever seem like there’s nothing you can do to make a difference? We understand your frustration, but you need to know every single voice truly matters. Moreover, many voices joined together can achieve action and create momentum to make real, tangible differences in our quest for better TSC treatments and, ultimately, a cure. During the recent 2014 World TSC Conference, the TS Alliance debuted a new educational video about the importance of government advocacy. The video includes School-Related Resources TS Alliance Introduces Educator Mentor Program Being an educational advocate for you child is not always easy. It is even harder when educators have no clue about tuberous sclerosis complex (TSC). Sometimes providing educators with information is not enough; they may need more support than just information. To solve this challenge, the TS Alliance developed a new program to help support educators in understanding how to educate students with TSC. The Educator Mentor Program is designed to support administrators, teachers, and therapists educating children with TSC. This program is an effort to support educators and have better educational outcomes for children with TSC. This program is comprised of: A M a g a z i n e f r o m t h e Tu b e r o u s and would like to help make a difference for students with TSC please contact Dena Hook at [email protected] or 1-800-225-6872. • administrators, teachers, and therapists who have taught and worked with a child with TSC; • a parent of a child with TSC who is a teacher, administrator, or therapist; and • an adult with TSC who is an administrator, teacher, or therapist. New TSC Publication for College Students with TSC The TS Alliance is also pleased to announce a new publication for people with TSC in college, called What College Professors Need to Know About Tuberous Sclerosis Complex. This publication is designed to encourage young adults to self-advocate at the college level. College students can provide a copy of this publication for all of their college professors in an effort to educate them in TSC. It can be downloaded at www. tsalliance.org/YoungAdults. This program also includes teachers from pre-kindergarten through college level, psychologists, speech therapists, and occupational therapists. Since September 2013, this group has served more than 25 schools in an effort to ensure successful outcomes for children with TSC. The TS Alliance is looking for more volunteers throughout the country. If you are a therapist, teacher, administrator, psychologist, or behavioral specialist S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 5 Celebrate, Connect, Conquer: 2014 World TSC Conference in Review By Christen Bell, Community Outreach Coordinator COVER STORY T he TS Alliance’s 2014 World Tub erous S clerosis Complex ( TS C ) C o nfe re n c e wa s h e l d July 3-6, 2014 at the Omni Shoreham Hotel in Washington, DC. Attendees from 20 countries across the globe including families and individuals with TSC; caregivers; healthcare professionals; researchers; a wide array of exhibitors; and others interested in TSC participated in this conference making it a resounding success. The need for a conference of this magnitude was evident in the eight-year hiatus from the TS Alliance’s last National TSC Conference held in 2006. Since then, tremendous changes have occurred in clinical care and approved treatments, including two approved indications to shrink tumors associated with TSC in the 6 P ER SP ECT I V E brain and kidneys, and in 2012, updating the TSC clinical consensus guidelines for diagnosis, testing and treatment created new gold standards in care. To acknowledge this need, the TS Alliance began planning another national conference two years ago. This plan quickly morphed into addressing the ever-expanding global TSC network and became the 2014 World TSC Conference. On July 2, the staff arrived at the hotel to make preparations for the nearly 700 attendees yet to come. The excitement was palpable as people began to arrive for an experience of a lifetime. While many new attendees arrived with uncertain feelings and expectations, they were soon greeted by an expansive TSC “family” ready and waiting to embrace them into the community. An experience like this one couldn’t be outlined more eloquently than it was • S U M M E R 2 0 1 4 • A M a g a z i n e by Heather Lens in her blog following the conference. “To be honest, I didn’t know what to expect from all of the other attendees. My first thought was that it might be a somber setting. I mean all of these families, including mine, have dealt with the heartache that comes with this complex disease. Would we all be depressed that our lives had brought us to this place in life? A place where an awful disease takes over the organs of our child, spouse, parents and so on? Would there be sad tears, would there be a hopelessness flooding the rooms of these sessions? I honestly didn’t know what to be ready for.” Her blog post continued, “As we walked into our first session on Thursday evening, I quickly realized that this group of people was anything but hopeless. We were a group that was eager to learn, a group fr o m th e Tu be ro us S c l e ro s i s Alliance that was willing to lend a shoulder to cry on, we were a group that would give everything but up. We were all fighting for our family members. We were there to arm ourselves filled with smiles and eagerness to learn. These rooms were filled with strength and determination. Although most of us had never met, it felt like we were attending a large family reunion. It was so overwhelming same fears all too well. I didn’t have to hide my emotions because most of them felt the same way we did.” As attendees arrived on July 3, they had the opportunity to join meet-and- with all the knowledge and connections that would help empower us to better care for our loved ones. These rooms were to be able to be in a place full of people who understood. I didn’t have to try and explain my fears because they knew those greet sessions, attend TSC 101, and/ or attend the opening session of the research track. The day concluded with the opening dinner welcoming everyone to Washington, DC and preparing them for the experiences ahead. The educational tracks of the conference were in full swing on Independence Day, July 4, in the nation’s capital. With five educational tracks plus group sessions and meet-the-expert sessions, attendees had a plethora of options for how to spend their day. Even breaks in the educational exhibit hall armed them with supplemental information. By noon, attendees had been updated on the TSC Clinical Consensus Conference and heard world-renowned experts educate them on topics ranging from kidney issues to bone, pancreas, teeth and spine manifestations in TSC. “As we walked into our first session on Thursday evening, I quickly realized that this group of people was anything but hopeless.” –Heather Lens | TSC Parent A M a g a z i n e f r o m t h e Tu b e r o u s S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 7 “The conference was very well organized and provided a variety of sessions that pertained to different disorders and issues. Even though I try to stay informed about my LAM and TSC, I learned about many breakthroughs in research and upcoming trials.” –Lindsey Golemon | Adult with TSC And the information just kept on coming. “The conference was very well organized and provided a variety of sessions that pertained to different disorders and issues. Even though I try to stay informed about my LAM and TSC, I learned about many breakthroughs in research and upcoming trials,” said Lindsey Golemon of Cypress, TX. “I thoroughly enjoyed and benefited from the sessions about LAM, Advocating for Myself in Work and Life as an Adult, and the kidney sessions. Not only were the presenters knowledgeable, but they simplified the information so it wasn’t overwhelming.” The professionals who presented over July 3-6 donated 230-plus hours of their time to the individuals, families and fellow professionals at the conference. This time was both valued and acknowledged by many. Comments included: “The medical professionals were in this fight with us. They all had a passion for TSC that was very obvious by the way they spoke about new research and technology.” “Speakers were outstanding!” “The amiability and accessibility of the speakers provided excellent information and knowledge to me.” “The thing I liked most about this conference: families and professionals together learning about TSC.” In addition to the 48 educational sessions offered throughout the conference, many social activities took place, including those specifically for adults with TSC. Each night there was an adult activity – July 3 was bingo, July 4 was the Adults with TSC Panel and July 5 was a care and share opportunity. These activities allowed adults with TSC to network, share with others or just relax and get to know one another; there’s no doubt these opportunities were a highlight for the adults in attendance. TS Alliance Board of Directors Chair Keith Hall, who is also an adult with TSC, highlighted them as some of his favorites about the conference. “I think the combination of interesting sessions coupled with fun events were the reason so many adults decided to attend this summer’s “From an opening afternoon icebreaker to the National Walk on the Mall on Sunday, there were countless opportunities to meet others facing similar challenges and learn from their experiences.” –Keith Hall | TS Alliance Board Chair 8 P ER SP ECT I V E • S U M M E R 2 0 1 4 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance blue bandanas, patriotic pinwheels, lawn games, relaxing hammocks, and great food and friends. On Saturday, the celebratory 40 th Anniversary Blue Night dinner soon became a crowd favorite. First, one of the TS Alliance’s founding moms, Adrianne Cohen, gave a short but moving welcome that touched on the organization’s growth over the years. Next, Ken and Shonnie Johnson were given a Lifetime Achievement Award for their many, many years of dedication to the TS Alliance and the TSC community at large. Finally, after the Manuel R. Gomez Award winners were announced, the crowd Ken and Shonnie Johnson with Kari Luther Rosbeck TS Alliance founding mother, Adrianne Cohen conference and enthusiastically participate. From an opening afternoon icebreaker to the National Walk on the Mall on Sunday, there were countless opportunities to meet others facing similar challenges and learn from their experiences.” The social events did not stop with the adult activities. The very popular teen lounge was stocked with an Xbox, Play Station and Wii, as well as cards and other entertainment for teens. This room was for teens only, which allowed new friendships to emerge and old friendships to reconnect in a casual, low-key and teen-friendly environment. Each conference meal also encouraged social interaction among the individuals and families in addition to the opportunity to learn more about valued partners and supporters of the TS Alliance. Lunches included moving presentations by David and Penney Parkes; Rick Guidotti of Positive Exposure, who also photographed the day camp attendees on July 4; and lunch roundtable discussions led by both staff and volunteers. The Fourth of July Barbeque allowed participants to enjoy an American cookout complete with red and welcomed the Chris Hawkey Band to the stage. Many guests may have seen the band at other TS Alliance events, knowing well the energy, passion and excitement they bring to the TSC community. But for others, including TS Alliance Communications Intern Jenna Brady, the experience was a new one. “When I think about my experience at the World TSC Conference, I will always think of Blue Night. The night began with the TS Alliance staff handing out blue glow sticks as people walked through the doors. It was so much fun seeing the ear-to-ear smiles on everyone’s faces (including adults!) as they got their glow sticks. During the dinner portion of the event, I had the opportunity to listen to all the awards and hear the journey and progress that this organization has made for TSC. It was fascinating to hear about all the hard work that so many individuals contributed to get this far. It gave me such a warm and strong appreciation for the dedication of this organization.” “It was fascinating to hear about all the hard work that so many individuals contributed to get this far. It gave me such a warm and strong appreciation for the dedication of this organization.” –Jenna Brady | TS Alliance Communications Intern A M a g a z i n e f r o m t h e Tu b e r o u s S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 9 Chris Hawkey sings with the children. “The children were able to forget about their disease and enjoy the effect of music by getting on stage with the Chris Hawkey Band to sing and dance. Seeing the joy on those beautiful children’s faces brought tears to my eyes.” Jenna continued, “But it was after dinner when my favorite memory from that night took place; a moment where the children were able to forget about their disease and enjoy the effect of music by getting on stage with the Chris Hawkey Band to sing and dance. Seeing the joy on those beautiful children’s faces brought tears to my eyes. I began this conference and internship with no personal connection to tuberous sclerosis complex and I left on July 6 feeling so personally connected to this organization and to those and their families affected by TSC. I will never forget the people I met and this incredible experience. I am so fortunate to have come across this community and I feel very confident that I will continue my support for the TSC community and TS Alliance wherever life takes me.” 10 P ER SP ECT I V E After the excitement of Blue Night ended, the sun came up for one last day of the 2014 World TSC Conference. A morning break out session, followed by a closing keynote address from Dr. Gregory Farber of the National Institutes of Mental Health and Dr. Jeffrey MacKeigan of the Van Andel Institute, led into one last hurrah at the Step Forward to Cure TSC National Walk on the Mall. While not all who attended the conference were able to join the walkathon, and while not all who joined the National Walk were able to attend the conference, it was merely a different extension of the larger TSC family – equally • S U M M E R 2 0 1 4 • A M a g a z i n e empowered, equally passionate, and equally driven to take on the fight that is TSC. Those who shared their experiences never missed a beat when it came to explaining the value of meeting other individuals and families affected by TSC. “The best part for me was meeting other families with TSC and beginning wonderful friendships. This was the first time I have gotten to know any other adults with TSC. It feels amazing to have a support system that understands exactly what I am going through. I look forward to the next conference, not only to learn more about TSC, but to meet other fighters that will never give up.” – Lindsey Golemon “I was particularly excited to meet some folks, families and medical professionals in person that I had only previously met online or spoken to on the phone… I was glad to renew friendships I started in 1999 and begin some new ones this year.” – Keith Hall “I was able to learn so much from the people I met throughout the conference. The interaction between the whole community: physicians, families, and the TS Alliance staff’s dedication was one of the most amazing things for me to see. Everyone was so warm and welcoming and interacted on such a personal level; as if it were one huge support system. I was so heart-warmed to see this strong support because you really don’t see a community like this anywhere else.” – Jenna Brady The information, resources and technology that surround TSC and its management and treatment will always be evolving, so that part of these conferences will be ever-changing. But the relationships forged and rekindled, the connections spurred by likeness, and the bonds built by hope shared, these will never change. These will always be the reason why we are the TSC community; why we are an extended family; and why we will give everything, but up. To view hundreds of pictures from the conference, visit worldTSCconference.shutterfly.com. fr o m th e Tu be ro us S c l e ro s i s Alliance Thanks to Our Sponsors The TS Alliance extends our deepest gratitude to the following sponsors and donors for their passionate support of the 2014 World TSC Conference. Their generosity made the experience possible. Title Sponsor Track Session Sponsors Wi - Fi Sponsor • Novartis Pharmaceuticals Corporation • Athena Diagnostics • Children’s Hospitals and Clinics of Minnesota • Cyberonics, Inc. • Chris and Joy Dinsdale • Evan’s Awesome Team • Friends of Ben Shapiro • Metlife Center for Special Needs Planning • Minnesota Epilepsy Group, P.A. • Questcor Pharmaceuticals, Inc. • Upsher-Smith Laboratories, Inc. • Inspire Presenting Sponsor • The Rothberg Institute for Childhood Diseases Dinner Sponsors • Lundbeck • Brian and Sandra O’Brien Lunch Sponsor • Friends of Eric Parkes Breakfast Sponsor • Questcor Pharmaceuticals, Inc. Teen Lounge Sponsor • ARMATURE Corporation Information Packet Sponsor • Educational Concepts Group, LLC Program Book Sponsor • Cyberonics, Inc. Day Camp Sponsors Adult Day Camp Room Sponsor • Acorda Therapeutics Manuel Gome z Scholarship Sponsors Children’s Day Camp Room Sponsors • Raymond Chan • Michael and Janie Frost General Session Sponsors • Biotechnology Industry Organization • Board of Directors for Tuberous Sclerosis Alliance and Tuberous Sclerosis Alliance Endowment Fund • Tuberous Sclerosis Canada • Linsin, Blum and Pattis Families Meet-and - Greet Sponsors Children’s Activity Sponsor • Allan and Carla Price • Jo Anne Nakagawa Hospitalit y Room Sponsors • Caribou Coffee Company, Inc. • Friends of Eric Parkes View 2014 World TSC Conference Session Videos Online Since many of you were unable to attend the 2014 World TSC Conference, it is extremely important for the TS Alliance to share the valuable information presented throughout the event. We are very pleased to offer 34 videos for free online viewing at www.tsalliance.org/ConferenceVideos. The videos are grouped by the following categories: • General Sessions • Track A: Pediatrics A M a g a z i n e f r o m t h e Tu b e r o u s • Track B: Transition • Track C: Adults • Track D: Special Issues • En Español The TS Alliance is thrilled to offer these new online resources and encourages you to take advantage of the vast amount of information provided in them. S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 11 Honorariums (January 2014 – May 2014) You can honor a friend or family member for an important occasion with a gift to the TS Alliance. It is a wonderful way to send a birthday or anniversary wish, or congratulations for retirement, a job well done, graduation, etc. Please include the name and address of the individual being honored so acknowledgement of your kind donation can be sent. Tuberous Sclerosis Alliance honorarium cards are also available if you would like to make a gift in honor of family, friends, or colleagues. To receive tribute cards, contact Tye Hoffman at (240) 638 4643 or [email protected]. Tribute(s) for John R. Beattie Licking County Foundation Tribute(s) for Jacob Blood Mr. and Mrs. William S. Blood, Sr. Tribute(s) for Kevin Bodnar Ms. Patricia Bodnar Tribute(s) for Layne Boesiger Mr. Philip Livengood Tribute(s) for Matt W. Bolger Ms. Marcia Bird Tribute(s) for Elizabeth Boussie Mr. and Mrs. Martin McGladdery Tribute(s) for Anthony Brewer Ms. Jennifer Ceglecki Ms. Maureen C. Covone Mad World of Fitness, Inc. Mr. and Mrs. Christopher Papadopoulos Ms. Sarita Rowner Mr. and Mrs. Alexander Small Mr. Sean Small Mr. Gary Warner Ms. Meiling Zoe Tribute(s) for Howard Brewer Mr. and Mrs. Gary Boomhower Mr. and Mrs. Gregory Carbone Tribute(s) for Derrick Brown Mr. Gary Midkiff Tribute(s) for Quinn Brown Mrs. Cathy Homelvig Quatsoe Mr. R.B. Waters Tribute(s) for Brennan Carroll Ms. Amy Trask Tribute(s) for Nathan P. Carroll Mr. and Mrs. John R. Carlson Tribute(s) for Diane Caserta Ms. June C. Zack Tribute(s) for James Caserta Ms. June C. Zack Tribute(s) for Abigail Cooper Ms. Shari Cairncross Tribute(s) for Amelia Cooper Ms. Shari Cairncross Tribute(s) for Maureen B. Corry Mr. and Mrs. Patrick J. Roche III Tribute(s) for Nathan M. Darney Mr. and Mrs. Michael G. Murray Tribute(s) for Alexandra Donato Lawrence Smith Foundation Tribute(s) for Artemesia Drossos Charles James Cayias Insurance, Inc. Mr. K. Katsohirakis Tribute(s) for Vasileos Drosses Charles James Cayias Insurance, Inc. Mr. K. Katsohirakis Tribute(s) for Kierstin Dublinske Mr. and Mrs. Michael Mathis Tribute(s) for Kelly Duncan Mrs. Val Aubol Tribute(s) for Conrad Duprez Dr. Rand Cottle Tribute(s) for Danielle Duprez Mr. and Mrs. Conrad Duprez 12 Tribute(s) for Jeremy Elias Bill Avner Memorial Fund Tribute(s) for Preston Fitzgerald Mrs. Sharon Fritz Tribute(s) for John W. Fitzmaurice Mrs. Mary Jane Malone Tribute(s) for Jameson Fox Mr. and Mrs. Robert Billings Mr. and Mrs. Jason Bowers Ms. Jeana Chalbert Mr. Richard Devincent First Light Learning Center Mr. and Mrs. James Laferriere Ms. Patricia McClintic Mr. and Mrs. Louis Neal Mr. and Mrs. John Petrone Mr. and Mrs. Russell Shilling Mr. and Mrs. Shaun Stephens Mr. and Mrs. Michael Strigel Mr. and Mrs. Stephen Toniatti Mr. and Mrs. Spencer Tullo Ms. Angela Zender Tribute(s) for Alison B. Gart Mr. and Mrs. Gerald Friedman Tribute(s) for Rebecca Gaunt Booster Tribute(s) for Kylie Jo Gibbons Anonymous Tribute(s) for Meagan Golden Ms. Lynn Wheeler Tribute(s) for Geri Greenberg Birthday Friends Dr. Carlotta Hill Mr. and Mrs. Bruce Leibow Ms. Natalie Pelunis Tribute(s) for Michael Greenberg Mr and Mrs. Bruce Leibow Ms. Natalie Pelunis Tribute(s) for Lera C. Gremillion Ms. Kelli Runnels Mr. James Shoriak Tribute(s) for Diane Gulas Mr. Charles Gulas Tribute(s) for Deanne J. Guy Pleasant Valley United Methodist Church Tribute(s) for Avery Hart Blue Cross Blue Shield of Kansas Ms. Janet Colstrom Mr. and Mrs. Gary Dayhoff Fraternal Order Of Eagles Auxillary Mr. and Mrs. MIchael Handly Mr. and Mrs. Jeffry L. Hart Mr. and Mrs. Robert Heck Mr. and Mrs. Les Holthaus Mr. and Mrs. Lowell Lindbloom Mr. and Mrs. Myrl Lyon Mr. and Mrs. Carl Meyer Ms. Delores Robert Mr. and Mrs. Louis Robert Mr. and Mrs. L.J. Stephenson Mr. and Mrs. Leroy Stromgren Mr. and Mrs. James Thompson Ms. Susan Thompson Mrs. Cyndi Warren Tribute(s) for Anna Hathaway Mrs. Sharon L. Hathaway Tribute(s) for John Heckman Mr. and Mrs. Shane Heckman Tribute(s) for Mathew Hillier Ms. Patricia A. Gabriele Tribute(s) for Elise Hoersch U.S. Cellular Tribute(s) for Benjamin Hutchinson Mr. and Mrs. Richard M. Russell Tribute(s) for Jon Hyman Ms. Anita Hoffman Mr. David L. Hoffman Tribute(s) for Carl E. Jensen Northshore Learning Alliance Tribute(s) for Annie Johnson Mr. and Mrs. Walter Hoban Mr. and Mrs. Ken Johnson Mr. and Mrs. Stanley G. Miller Mr. and Mrs. James J. O’Halloran Mr. and Mrs. James J. Slattery Mr. and Mrs. Lawrence H. Weinberg Tribute(s) for Celie Johnson Mr. and Mrs. Mat M. Johnson Tribute(s) for Spencer G. Jones Mr. and Mrs. Robert Braithwaite Tribute(s) for Austin Kemski Mr. and Mrs. Bill C. Moore Tribute(s) for Jeremy Krantz Ms. Lisa Lebduska Tribute(s) for Deborah L. Krecklow Mr. and Mrs. David R. Krecklow Tribute(s) for Cathy J. Krinsky Laguna Beach Community Foundation Tribute(s) for David A. Krinsky Laguna Beach Community Foundation Tribute(s) for Lauren E. Krinsky Mr. and Mrs. Mark Disman Laguna Beach Community Foundation Tribute(s) for Hannah LaForte Anonymous Tribute(s) for Herbert Lieberman Dr. Maurice H. Laszlo Tribute(s) for Samueal Ludwig Mr. and Mrs. Joe Ludwig Mr. and Mrs. Mark Manning Mr. and Mrs. Christopher Peterson Tribute(s) for Nicholas F. Lyons Mr. George Snedeker Tribute(s) for Arlene J. Marszalowicz Mr. Alex Marszalowicz Tribute(s) for Alex Martin Bradley Arant Boult Cummings, LLP Tribute(s) for Carol Marton Anonymous Mr. and Mrs. Joseph Berger Mr. and Mrs. Michael Bergstein Mr. and Mrs. Ernest Braverman Ms. Joanne DiMauro Ms. Alice Goldfarb Mr. and Mrs. Marvin Greenberg Mr. and Mrs. Allan Heyman Ms. Marilyn Kaback Mr. and Mrs. William M. Kunreuther P ER SP ECT I V E • S U M M E R Dr. and Mrs. Jorge and Gaby J. Kurek Ms. Phyllis Landau Dr. and Mrs. Norman W. Lavy Mr. and Mrs. Martin A. Lebson Mr. and Mrs. Sam Levine Mr. and Mrs. Sam Linder Ms. Lila Lulinski Ms. Rona Oberman Ms. Sonya Oppenheimer Dr. Arthur Peck Mr. and Mrs. Daniel Rajchman Mr. David A. H. Rapaport Mr. and Mrs. Michael S. Rapaport Mr. and Mrs. Myron Rapaport Mr. and Mrs. Peter Rapaport Mr. and Mrs. Sheldon Rich Mr. and Mrs. Julian Roodberg Mr. and Mrs. Stephan C. Rosen Mrs. Doris Schipper Mr. Michael Schoenbaum and Ms. Elisa Rapaport Dr. and Mrs. Martin Schub Mrs. Ruth Seidenberg Dr. and Mrs. Harold D. Singer Mr. and Mrs. Henry Sperling Summit Steel Corporation Mr. Leonard Waldman Ms. Patricia Werschulz Mr. and Mrs. Seymour Zubkoff Tribute(s) for Herbert Marton Anonymous Mr. and Mrs. Joseph Berger Mr. and Mrs. Michael Bergstein Mr. and Mrs. Ernest Braverman Ms. Joanne DiMauro Ms. Alice Goldfarb Mr. and Mrs. Marvin Greenberg Mr. and Mrs. Allan Heyman Ms. Marilyn Kaback Mr. and Mrs. William M. Kunreuther Dr. and Mrs. Jorge Kurek Ms. Phyllis Landau Dr. and Mrs. Norman W. Lavy Mr. and Mrs. Martin A. Lebson Mr. and Mrs. Sam Levine Mr. and Mrs. Sam Linder Ms. Lila Lulinski Ms. Rona Oberman Ms. Sonya Oppenheimer Dr. Arthur Peck Dr. and Mrs. Irvin P. Pollack Mr. and Mrs. Daniel Rajchman Mr. David A. H. Rapaport Mr. and Mrs. Michael S. Rapaport Mr. and Mrs. Myron Rapaport Mr. and Mrs. Peter Rapaport Mr. and Mrs. Sheldon Rich Mr. and Mrs. Julian Roodberg Mr. and Mrs. Stephan C. Rosen Mrs. Doris Schipper Mr. Michael Schoenbaum and Ms. Elisa Rapaport Dr. and Mrs. Martin Schub Mrs. Ruth Seidenberg Dr. and Mrs. Harold D. Singer Mr. and Mrs. Henry Sperling Summit Steel Corporation Mr. Leonard Waldman Ms. Patricia Werschulz Mr. and Mrs. Seymour Zubkoff 2 0 1 4 • A M a g a z i n e Tribute(s) for Matthew Mastbaum Dr. and Mrs. Frederick R. Gross Tribute(s) for Hannah Mielnicki Mr. and Mrs. Carl Mielnicki Tribute(s) for Evan Moss Mr. Dale Stein Tribute(s) for Stephen P. Mroz Mr. Ralph D. Jacobson Tribute(s) for Mackenzie J. Mudd Ms. Anne Feltus Tribute(s) for Lindsay K. Mueller Mr. and Mrs. Louis McCabe Tribute(s) for Aiden Myers Mr. Patrick O’Leary Tribute(s) for Ben Naiztat Mr. Erik Kolodny Tribute(s) for Lauren Niemeyer Mrs. Kris Niemeyer Tribute(s) for Jeremy Orr Mrs. Marcia Orr Tribute(s) for Eric Parkes Mr. and Mrs. Marc Blitzer Mr. and Mrs. Larry Donsky Mr. and Mrs. Brian Hurwitz Ms. Debra Michaels Mr. and Mrs. Rob Moss Mr. Adam S. Parkes RFR Realty, LLC Dr. and Mrs. Saul Sloan Mr. Tom Ruskin and Ms. Donna S. Vitale Tribute(s) for Charlie Peterson Mr. and Mrs. Christopher Peterson Tribute(s) for Paige Pfeiffer Mr. Jerald Pocus Tribute(s) for Eli Pinsonneault Victoria S. Merlo Tribute(s) for Will Piotrowski Mrs. Mary Barber Tribute(s) for Cynthia Pompeo Mr. and Mrs. Ronald Pompeo Tribute(s) for Ronny Pompeo Mr. and Mrs. Ronald Pompeo Tribute(s) for Brenda Porter Johnson & Johnson Tribute(s) for Jack Poutasse Mr. and Mrs. Steven A. Lerman Tribute(s) for Elena R. Quintana Anonymous Dominion Property Advisors Mr. Nicholas Friend Mr. David Quintana, Sr. Ms. Geri Quintana Mrs. Robin Quintana-Ramirez Mrs. Shilpa Reddy Tribute(s) for Colleen Rivers Mr. and Mrs. John A. Virgilio Tribute(s) for Harold A. Rosenberg Ms. Hilda Hanin Ms. Anita Rosenbloom Tribute(s) for Marilyn Rosenberg Ms. Hilda Hanin Ms. Anita Rosenbloom Tribute(s) for Elana Rothberg Dr. and Mrs. Henry Samson Ms. Leah Samson fr o m th e Tu be ro us Tribute(s) for Sidney Rouse Mrs. Carol Rouse Tribute(s) for Kaitlyn R. Sabedra Mr. and Mrs. Steven Akiyoshi Ms. Nancy Allen Ms. Patricia Appell Mr. and Mrs. Guillermo Arias Jr. Mr. and Mrs. Marc Arnold Associates in Early Intervention Ms. Julie Becker Ms. Pam Beckwith Mr. and Mrs. Douglas Bedell Mr. and Mrs. Arthur Buckman Ms. Alma Cervantes Ms. Theresa Choate Mr. and Mrs. Don Crane Mr. and Mrs. Vincent Criscione Ms. Amy Curti Mr. and Mrs. Abel DelValle Mr. and Mrs. George Dittle Mr. and Mrs. Walter Drumm Mr. and Mrs. David Espinola Mr. Emilio Estepa Mr. and Mrs. Michael Farmer Mr. and Mrs. Raymond Garnica Mr. Jean-Pierre Gaspard-Michel Mr. and Mrs. Victor Gutierrez Mr. Jeffrey S. Hanna Ms. Suzatte M. Holderman Integral Design Concepts Mr. and Mrs. Michael Jeffries Joe A. Freitas & Sons, LLC Ms. Paula Knight Ms. Willowdene Lee Ms. Linda Lewis-Luth Ms. Stacey Mandel Mark S. Adam, DDS Michael W. Moats, MD Ms. Jeralyn O’Neill Pacific Christian Center Mr. John E. Perry Ms. Margarita Perry Ms. Sandra Poag Mr. Luis Quintana Mr. and Mrs. Felipe Qunitana Ms. Barbara Ramsey Mr. and Mrs. Robert C. Regnier Rendezvous Home & Garden Mr. and Mrs. Frank Reyes Mr. and Mrs. James Rogers Mr. Mike Roland Mr. John H. Sabedra Ms. Cheryn Salazar Santa Maria Associated Employees Santa Maria City Fire Fighters Local 2020 Santa Maria Driveline Service Say It Write Ms. Pattie Sceales Mr. and Mrs. Terry Schmid Mr. and Mrs. Joe Schmidt Ms. Jeri Sousa Mr. and Mrs. Michael Souza Ms. Barbara Stanley Ms. Joanne B. Szumski Mr. and Mrs. Alan Tande Mr. and Mrs. Sheridan M. Tande Mr. and Mrs. Sherman Tande Ms. Stacey Tande S c l e ro s i s Alliance Dr. Botrous K. Tawadros Mr. and Mrs. MJT Thompson Mr. and Mrs. Randall Tognazzini Mr. and Mrs. Michael Underwood United Way of Santa Barbara County Mr. Michael Villasenor Mr. and Mrs. Robert Winter Women of the Moose Santa Maria Chapter 0463 Ms. Pamela Adkisson Mr. and Mrs. Joseph Bravo Mr. and Mrs. Sean Coffman Ms. Lisa Cooper Crosby Investment Group, LLC Mr. Joseph Cuce Mr. and Mrs. Phil DeHart Ms. Kathy Fink Ms. Carrie Foster Mr. Eric Freitas Ms. Kathleen Frost Ms. Angelina Galvez Mr. and Mrs. Paul Gilardone Mr. and Mrs. Eugene Hamayasu Ms. Catherine Johnston Mr. and Mrs. D. Jorde Ms. Julie Kerhulas Mr. and Mrs. John Laframboise Ms. June McAllister Mr. and Mrs. Patrick McNamara Orcutt Chiropractic Health Center Mr. and Mrs. Stan Otremba Ms. Linda Ann Penny Qualcomm Ms. Angelina Quintana Mr. and Mrs. Edwin Quintana Mr. and Mrs. Kevin Rhyne Mr. Steve Sadler Santa Maria Associated Employees Santa Maria Elks Lodge No. 1538 Ms. Suzanne Thibodeau-Woelke Ms. Karen White Mr. David Wright Tribute(s) for Leielle Saddik The Ettenberg Foundation Tribute(s) for Mildred M. Sanders JustGive.Org Tribute(s) for Stephen Schmidt Mr. and Mrs. David Schneller Tribute(s) for Ian Schramek Mrs. Donna Cardell Tribute(s) for Kylie Seggerman Mr. and Mrs. Scott Seggerman Tribute(s) for Zoey Seiling Law Office of Cohen & Jaffe, LLP Tribute(s) for Erika Seward Anonymous Mrs. Regina Griesemer Tribute(s) for Benjamin Shapiro Ms. Ana Belden Ms. Julie Biggers Ms. Tessa Blake Mr. and Mrs. Craig L. Boyan Ms. Joanna Brody Ms. Heidi Brooks Ms. Marni Burns Ms. Ellen Cohen Ms. Trisha Cole Ms. Abigail Cooper Ms. Ashley Cunningham Mr. Jim Darby Ms. Shari Davis Mr. and Mrs. Leonard Dick Mr. and Mrs. Rich J. Donato Mr. Harry Dolman and Mrs. Chantal Dussouchaud-Dolman Ms. Brooke Eaton Ms. Rose Einstein Mr. Darren Elms Ms. Karen Enzminger Mr. and Mrs. Isaac M. Hammond Ms. Samantha Haywood Ms. Anita Hoffman Edina Kiss-Dworak Mr. and Mrs. Max Lambert Mr. and Mrs. Kevin R. Martin Mr. and Mrs. Alan Rakov Ms. Joan Chu Reese Kari Luther Rosbeck Ms. Cecelia E. Yorke Mr. Justin Yorke Tribute(s) for Darius Sharon Ms. Karin Gonzalez Tribute(s) for Samantha Sinclair Mr. and Mrs. Bob L. Sinclair Tribute(s) for Charlotte Skillin Mr. and Mrs. Tom Skillin Tribute(s) for Drew Sklarin Mr. David Grantz and Ms. Eve Adelson Dr. and Mrs. Herbert P. Froehlich Tribute(s) for Olivia Smiley Insulation Products Corp Mrs. Sandra Smiley Tribute(s) for Anya S. Smith Mr. and Mrs. Ramesh Bhatia Tribute(s) for Matthew Snoep St. Paul Evangelical Lutheran Church of Boca Raton, FL Inc. Tribute(s) for Declan Snyder Mr. and Mrs. Kevin Snyder Ms. Jennifer Stillman Mr. Shawn Wooden and Ms. Biree Andemariam Tribute(s) for Adam Sullivan Mr. Edward Harris Tribute(s) for Shae Sunahara Ms. Audrey Kiehm Tribute(s) for Will Taylor Spring-Ford 7th Grade Center Tribute(s) for Mason Tebbetts Mrs. Dorothy Tebbetts Tribute(s) for Andrew R. Trundle Mr. and Mrs, Michael Trundle Tribute(s) for Michael Valdez Mr. and Mrs. Fred Romero Tribute(s) for Isabella Vigil Ms. Patrilla Vigil Tribute(s) for Riley Vogel Mr. and Mrs. Douglas J. Van Dyke Ms. Lisa A. Yesse Tribute(s) for Madison Voit Mr. Chris Voit Tribute(s) for Jay P. Wareham Mr. and Mrs. Richard D. Pace Tribute(s) for Adrienne Wasserman Mr. and Mrs. Richard Stewart Tribute(s) for Daniel Wasserman Mr. and Mrs. Richard Stewart Tribute(s) for Will Wasserman Mr. and Mrs. Richard Stewart Tribute(s) for Jacob Waugh Ms. Lacy Spencer Tribute(s) for Lila Wendling Mrs. Christy Mooney Tribute(s) for Elliot C. Wexler Mr. Marc Cohen and Ms. Susan Wexler Tribute(s) for Ilana Wiesel Mr. and Mrs. Nachum Wiesel Tribute(s) for Lindsey E. Wilson Mr. Scott A. Wilson Tribute(s) for Tyler Wooer Mr. and Mrs. James D. Mitchell Tribute(s) for Alyssa Youmans Mr. Neil Alexander Ms. Sandy Alexander Mr. and Mrs. G. C. Davenport PASCO Mr. and Mrs. Philip P. Rhodes Mrs. Jacqueline Youmans Mr. and Mrs. John Youmans Tribute(s) for John Zarbetski Ladies of Unico - Kearny, NJ Chapter Tribute(s) for Paul Zarbetski Ladies of Unico - Kearny, NJ Chapter Memorials (January 2014 – May 2014) Contributions are given to the Tuberous Sclerosis Alliance at the request of family members in memory of their loved ones. We extend our sympathies to the family and friends of those memorialized below. These generous contributions support the progress of our mission to find a cure for tuberous sclerosis complex. Tribute(s) for Katherine Bichsel Mrs. Donna Cardell Tribute(s) for Jared Biehl Church of Christ Mr. Elam Miles Tribute(s) for Joshua W. Bryant Mr. and Mrs. James Bryant Tribute(s) for Frances Ciccarelli Dr. Megan Everson Mr. and Mrs. Stanley Kosalka Mr. and Mrs. James Ortale Mr. and Mrs. Neil Snowden T-Graphics West, Inc. Mr. and Mrs. Vincent Vanderburgh Tribute(s) for Tom Ciccarelli Mrs. Sylvia Cole Tribute(s) for Glenn D. Croucher Blue Cross Blue Shield of Kansas Ms. Janet Colstrom Mr. and Mrs. Gary Dayhoff Fraternal Order of Eagles Auxillary Mr. and Mrs. MIchael Handly Mr. and Mrs. Jeffry L. Hart Mr. and Mrs. Robert Heck Mr. and Mrs. Les Holthaus Mr. and Mrs. Lowell Lindbloom Mr. and Mrs. Myrl Lyon Mr. and Mrs. Carl Meyer Ms. Delores Robert Mr. and Mrs. Louis Robert Mr. and Mrs. L.J. Stephenson Mr. and Mrs. Leroy Stromgren Mr. and Mrs. James Thompson Ms. Susan Thompson Mrs. Cyndi Warren Tribute(s) for Debbie D’Olimpio Ms. Catherine Pietrafitta A M a g a z i n e f r o m Tribute(s) for Wilma Easterwood Ms. Helen Easterwood Tribute(s) for Heidi Erb Mr. Jay B. Erb Mr. and Mrs. Robert E. Gendreau Tribute(s) for Shirley G. Esquith Ms. Beth Abrams Mr. Mark Bramson Ms. Sheri Brown Ms. Carol Cole Mr. and Mrs. Patrick M. Donnici Downey Publishing Inc. Ms. Rochelle Follender Ms. Karen Horowitz Mr. and Mrs. Ken Johnson Ms. Carolyn Loeb Mr. Neill McFadyen Dr. Niki Rudolph U.S. Department of Education/OSHS Tribute(s) for Ruth A. Glass Feltz WealthPLAN Mr. and Mrs. David E. Glass Mr. Jeffrey A. Hurt Ms. Joyce J. Hyden Mr. Jeff S. Kramer Mr. and Mrs. Joe H. Martin Mr. and Mrs. Stephen R. Mason Mrs. Jacqueline Youmans Mr. and Mrs. Bill A. Youmans Tribute(s) for Joseph Grasso Mr. and Mrs. Robert Hockstein Tribute(s) for Roger Greene Mr. and Mrs. Lorne A. Johnson Tribute(s) for Martha F. Gruberman Ms. Donna Bishop Ms. Patricia Ivey Tribute(s) for Margo Hamm West Chicago Garden Club t h e Tu b e r o u s Tribute(s) for Norma J. Henningsen Mr. Steven Taylor Tribute(s) for Joey Holubowicz Mr. Lee Pelletier Tribute(s) for Robert E. Horton Ms. Donna M. Morrow Mr. and Mrs. Patrick A. O’Hanlon Ms. Kathleen M. Palmer Mrs. Josephine Pasquale Mr. and Mrs. Joseph Weichman Tribute(s) for Virginia Howlett Ms. Audrey V. Bukowski Tribute(s) for Lucille Huber Mr. Steven J. Huber Mrs. Shelley Morris Mr. and Mrs. Matthew Publicover Unum Tribute(s) for Estelle Jacobson Mr. Ralph D. Jacobson Tribute(s) for Dorothy A. Kingsbury Mr. and Mrs. Rusty Chadderdon Tribute(s) for Thomas W. Lamberth Mr. Roger K. Hux and Ms. Julia Krebs Tribute(s) for Therese M. Lewis Anonymous Mrs. Kayrene Anderson Beckers Specialty Mr. and Mrs. Daniel Donati Ms. Gaililee Flores Mr. Brian Gillespie Mr. Christopher Golden Mr. Dick Johnson Mr. Charles Kakos Mr. John Kroens Mrs. Michelle Kudulis Lisle Lions Club, Inc. S c l e r o s i s A l l i a n c e • Ms. Patricia Mathison Mrs. Sandy Neuenkirchen Mr. and Mrs. David Oncken Mrs. Cheryl Pawlak Mr. and Mrs. Joselito Rigor Mr. and Mrs. Craig Schwartz Sentinel Technologies, Inc. The Levy Company Tribute(s) for Sherril A. Malesky Mrs. Audrey Malesky Tribute(s) for Sheila Marton Dr. Herbert Marton Tribute(s) for Caren Mazure Dr. and Mrs. Leonard Minzer Tribute(s) for Jason R. Mills Mrs. Ann Childers Tribute(s) for Devorah Elka C. Moskowitz Mr. and Mrs. Scott Moskowitz Tribute(s) for Molly Niederman Mr. and Mrs. Burton Bauman Mr. and Mrs. Marvin Cohen Tribute(s) for Brian Niles Mr. Donoald Niles Tribute(s) for Helen O’Donohoe Ms. Marie Archibee Mr. Rich Doyle Mrs. Tracy Hayes Mr. Phillip Jaeger Mr. John A. Kay Mr. Doug Kiernan Mr. and Mrs. Gary Santorello T&R Furniture Co. Inc. Ms. Janet Whitcomb Tribute(s) for Janet Olson Mr. and Mrs. Steven Bennett Mr. James Berzowski and Ms. Robin Wyman Ms. Rochelle Boersma S U M M E R 2 0 1 4 • Mr. and Mrs. Isaac Brewer Cub Scout Pack 26 Mrs. Alicia Deal Mr. and Mrs. Glendal R. Forgy Mr. and Mrs. John Garcia Ms. Rebecca Kane Mr. and Mrs. Keith E. Kraft Mrs. Jay Ann Maddux Mr. and Mrs. Scott Olson Ms. Tracy Pawlak Ms. Anne Potkay Mr. and Mrs. Philip F. Sherwood Mr. and Mrs. Jay Smiley Mrs. Sandra Smiley Mr. and Mrs. James Stoltmann Thomson Reuters Ms. Patricia Weir Mrs. Lisa Weisbrod Tribute(s) for Marvin Potter Mr. and Mrs. David W. Parkes Tribute(s) for Ruth Potter Mr. and Mrs. David W. Parkes Tribute(s) for Kaycee Ragan Mrs. Mary Fisher Tribute(s) for Edward A. Rauchut Mrs. Ilga Rauchut Tribute(s) for Henry M. Rothberg Dr. and Mrs. Henry Samson Tribute(s) for Albert Salt Ms. Betty Bunnell Ms. Doreen Fraser Ms. Elsie Grime Mr. Thomas Hall Mr. and Mrs. James Sheehan Tribute(s) for Margaret Sassman Mr. Donald Buckbee Ms. Brigitte Dinaberg P E R S P E C T I V E Ms. Jean Findlay Ms. Kelly Lonigan Mr. and Mrs. Fred Meyette Mr. and Mrs. Robert Schnetz Ms. Sandra Thompson Ms. Judith Wilbur Tribute(s) for Dorothy Seward First Presbyterian Church Tribute(s) for Stevie Sewell Mrs. Ann Adams Tribute(s) for Jerry Short Ms. Susi Burwell Tribute(s) for Ruth Smith Mr. and Mrs. Robert Hockstein Tribute(s) for Elaine M. Turner Quinones Mr. David Turner Tribute(s) for Mabel B. Ward Mrs. Ann Adams Tribute(s) for Henry Wolf Mr. and Mrs. Robert Hockstein Tribute(s) for Lora L. Woodward Ms. Donna W. Woodward Tribute(s) for Beverly J. Xavier Mr. and Mrs. Ken Johnson Tribute(s) for Roland Youmans Mr. and Mrs. Robert B. Bradley Devinny Social Committee Mr. and Mrs. Charles E. Ferrell Mr. and Mrs. John Frahlich Ms. Ursula Garcia Mr. and Mrs. David E. Glass Mr. and Mrs. James Harsha Mr. George Popelka Mr. and Mrs. Roy Renicker Mr. and Mrs. Philip P. Rhodes Ms. Mary Shrader Mr. and Mrs. John Youmans Mr. and Mrs. William A. Youmans 13 Tuberous Sclerosis Alliance 40th Anniversary Celebration T o cap off the TS Alliance’s 40th Anniversary year, we will host a unique celebration in New York City at the Hudson Theatre, Millennium Broadway Hotel on October 23, 2014. We hope you will join TS Alliance founding mothers Adrianne Cohen and Susan (Diaz) McBrine for a walk T he 40th Anniversary Celebration begins at 6 p.m. with a cocktail reception and heav y hors d’oeuvres. At 7 p.m., we pay tribute to our esteemed honorees, along with a brief TS Alliance presentation and live auction. At 8 p.m., the world premiere reading of the play Four Decades | One Community begins. Four Decades | One Community is the cornerstone of the 40th Anniversary Celebration. Award-winning playwright John Morogiello conducted 22 interviews with individuals and family members 14 P ER SP ECT I V E through the past forty years of hope and changing lives. Abe and Celia Mastbaum At the event, we are thrilled to honor Abe and Celia Mastbaum and Drs . Jonathan and Bonnie Rothberg of The Rothberg Institute for Childhood Diseases. Through their extraordinary commitment, these honorees have helped us reach profound progress in the Drs. Jonathan and Bonnie Rothberg, The Rothberg Institute for Childhood Diseases fight against TSC. impacted by tuberous sclerosis complex as well as healthcare professionals who made a significant contribution to research and clinical care. The result: a play about a group of individuals who formed an alliance to combat this disease over the past forty years. It is by no means every story. But together, these powerful stories represent the battle of four decades and one community. The Hudson Theatre sits in the middle of Time Square and a fitting location to commemorate our history with the play. Four Decades | One Community is a • S U M M E R 2 0 1 4 • A M a g a z i n e professionally produced night of theatre amid the background of Broadway. Performers scheduled to appear in the reading of the play include our celebrity spokesperson Julianne Moore, Stephen Belber, Mo Collins, Liza Colón-Zayas, Kate Flannery, Lori Gardner, Chris Hawkey, Angela Pierce, and Alex Skuby. We wish to express our gratitude to the performers’ unions—Actors’ Equity Association, American Guild of Musical Artists, American Guild of Variety Artists, and SAG-AFTRA through Theatre Authority, Inc.—for their cooperation in permitting fr o m th e Tu be ro us S c l e ro s i s Alliance the artists to appear on this program. If needed, the TS Alliance reserved a room block at the Millennium Broadway Hotel, located at 145 West 44th Street, mention the TS Alliance for a reduced room rate of $339. For more information, please contact Dee Triemer at dtriemer@ tsalliance.org. which is also where the Hudson Theatre is located and the event takes place. If you want to reserve a room with the special reduced rate, please call (212) 789-7546 by September 22, 2014 and It’s a unique event you don’t want to miss, and there are multiple ways to get involved by visiting www.tsalliance.org/4decades or please see this magazine’s donation envelope, which offers options to support this momentous 40th Anniversary Celebration, including the following options: Purchase 40th Celebration Program Book Commemorations Honorary Name Listing $40 ($25 tax deductible) List a name on the tribute page in program (name only, i.e. Ashley Triemer). Purchase an acknowledgement ad for a loved one, a tribute to our honorees, or in celebration of the founding mothers of the Tuberous Sclerosis Alliance • Full Page Ad: $1,500 ($1,493 Tax Deductible) • Half Page: $750 ($743 Tax Deductible) • Quarter Page: $500 ($493 Tax Deductible) Buy an Event Ticket Individual Tickets $350 ($167 tax deductible) • Seating for 1 in balcony section Be an Event Sponsor Become a sponsor and help us continue to fuel community programs and breakthrough research. Patron Sponsor $1,000 ($609 tax deductible) • Seating for 2 in the VIP balcony section • Quarter Page Ad in the playbill program and a copy of the program Bronze Sponsor $2,500 ($1,743 tax deductible) From top left: Julianne Moore, Stephen Belber, Mo Collins, Liza Colón-Zayas, Kate Flannery, Lori Gardner, Chris Hawkey, Angela Pierce, and Alex Skuby A M a g a z i n e f r o m t h e Tu b e r o u s • • • • Seating for 4 in the VIP 1st balcony section Logo on event signage and collateral materials Special recognition during the evening’s presentation Quarter Page Ad in the playbill program and a copy of the program Silver Sponsor $5,000 ($3,877 tax deductible) • • • • VIP orchestra section seating for 6 Logo on event signage and collateral materials Special recognition during the evening’s presentation Half Page Ad in the playbill program and a copy of the program S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 15 New Gomez Award Winners Named T wo new Manuel R. Gomez Award winners were announced during the 2014 World TSC Conference – John J. Bissler, MD and Petrus J. de Vries, MBChB, MRCPsych, PhD. The Manuel R. Gomez Award is given in memory of Dr. Gomez who spent his career providing clinical care and studying tuberous sclerosis complex (TSC) at Mayo Clinic in Rochester, MN. Recipients receive the award for their extraordinary clinical, scientific and humanitarian efforts to find a cure for TSC while improving the lives of those affected. John J. Bissler, MD Petrus J. de Vries, MBChB, MRCPsych, PhD. Dr. Bissler is Co-Director of the TSC Clinic at LeBonHeur Children’s Hospital in Memphis, TN. He was nominated for the Gomez Award because he “paved the way for the understanding and treatment of kidney disorders in individuals with TSC. He has written numerous research publications, which include basic science up to and including the first approved kidney treatment for TSC. Many TSC families and individuals have also benefited from the advice and nurturing of Dr. Bissler. He has provided this guidance, often by email and telephone. This is so important to the many families and adults who either live in areas where there are no experts, or parents who need a second, expert opinion.” Petrus de Vries, MBChB, MRCPsych, PhD, is a renowned developmental neuropsychiatrist at the University of Cape Town, South Africa. Dr. de Vries was honored for his initiation and ongoing contributions to researching the behavioral aspects of TSC. His nominator wrote, “The behavioral aspects of TSC are some of the most challenging issues families have to deal with. These issues include outbursts, autistic type behaviors, self-injurious behaviors, as well as violence towards others. Until recently, there was very little discussion, let alone research for this aspect of TSC. Many families including my own, felt very alone, with very little support from our individual community, as Former Gomez Award recipient Dr. Vicky Whittemore (left) with Dr. Petrus de Vries. well as the surrounding medical community, until Dr. de Vries initiated research in this area. On a personal note, our family has had significant issues with behavior over the years. Dr. de Vries has always been more than willing to consult with us, and offer advice and suggestions.” Dr. John Bissler with his Gomez Award. 16 P ER SP ECT I V E Congratulations and thank you Dr. Bissler and Dr. de Vries. • S U M M E R 2 0 1 4 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance TS Alliance Endowment Fund: Plan for Retirement With a Gift Annuity I f you want to help the people we serve who have tuberous sclerosis complex, lighten your tax bill and plan for retirement, you may want to consider a charitable gift annuity. You’ll not only feel good about supporting the TS Alliance Endowment Fund, but you’ll also receive income tax advantages and an additional source of funds for your nonworking years. Depending on your situation, you may consider deferring your payments. The following example illustrates how receiving your payments immediately or deferring them to a later date affects your tax benefits and payment rates. Fund that provides payments to both of them for life and thereafter uses the remaining portion of their gift to help their favorite charitable cause. Now they need to examine their financial circumstances to see when they would like to start receiving their payments. The table below demonstrates three options they are considering. Example: Sara and Tom’s Gift Annuity Their Choice Sara, 64, and Tom, 68, want to create a $50,000 charitable gift annuity with the Tuberous Sclerosis Alliance Endowment Because Tom and Sara estimate they’ll both be retired in about 5 years, Ages when payments begin Rate Payment amount Approximate income tax deduction* 64 and 68 (immediately) 4.3% $2,150 $14,215 70 and 74 (in 6 years) 5.6% $2,800 $18,802 74 and 78 (in 10 years) 6.9% $3,450 $22,487 they choose to defer their gift annuity payments for 6 years, when they’ll most likely be living off a lower, fixed income and will appreciate the boost of receiving gift annuity payments. To discuss gift annuities in greater detail, please contact Director of Donor Relations Lisa Moss toll-free at (800) 225-6872 to learn more. * Based on annual payments and a 2.4 percent charitable midterm federal rate. This example is for illustration purposes only. Actual calculations will vary depending on the donor’s date of birth and the timing of the gift. Please contact us for a customized illustration. © The Stelter Company The information in this publication is not intended as legal or tax advice. For such advice, please consult an attorney or tax advisor. Figures cited in examples are for hypothetical purposes only and are subject to change. References to estate and income taxes include federal taxes only. State income/estate taxes or state law may impact your results. A M a g a z i n e f r o m t h e Tu b e r o u s S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 17 Adults with TSC Corner Why I Decided to Post My Story on Facebook By Jake Irby I t was late one night and I had just finished my homewor k . Having recently talked to my girlfriend about my disorder, a passion for tuberous sclerosis complex (TSC) in my life shined so I decided to share it with the TS Alliance world. I’m Jake Irby and I was diagnosed with TSC when I was an infant (around 2 years old). After countless seizures, mom and dad knew something was going on. My parents were mortified when they got the news—they had no idea what it was. “Tuberous what? ” Talk about a tongue twister. Like chickens with their heads cut off, my parents searched relentlessly to find a doctor that knew exactly what they were talking about. Our second opinion led us to landing in the hospital that changed my life—Texas Scottish Rite Hospital for Children in Dallas. To combat the seizures, doctors immediately placed me on seizure medicine, Tegretol being the one I remember because of the terrible taste; in fact, I can still taste that gross stuff. Two years later, I was seizure-free. Other than that, my visits consisted of numerous checkups that included CT Scans, MRIs, and ultrasounds for the first 18 years of my life. It became a tradition—a family trip to Dallas. The visits were not that bad though, as many would think. I felt at home. What really stood out to me were the awesome connections with Dr. Mauricio Delgado, the multiple interns dropping their jaws at how mild my case of TSC was while observing my checkup, visits to the popcorn stand and cafeteria with my family, stops by the gift store at the conclusion of our appointments, and the fun times I had at the hospital playground with my brother 18 P ER SP ECT I V E growing up. It was never bad. I enjoyed my annual visits. As a matter of fact, it feels weird not going to Scottish Rite anymore as a 21 year old. Is that why I posted on the TS Alliance Facebook page? Because I miss Scottish Rite? Well, that’s part of it, but it’s not the main point. There were times in the hospital when I felt guilty when I met others with the disease. He or she has TSC and so do I, but why do I have to have a mild case? I wasn’t physically or mentally limited at all. I li ve a nor ma l life. The only setback I have gone through is not being able to play football due to head to head contact, which didn’t hold me back from playing college baseball at Concordia University in Austin. Nor did TSC hold me back from pursuing a major in Business Marketing. It didn’t hold me back from getting a marketing internship and another internship this summer. Why did I get so lucky? I have the same condition as other people, but why can’t they live a life like mine? But then I kept thinking. I’m no different. I may have the capabilities of doing more things physically and mentally than others with TSC, but I stand right next to them in the daily fight. I want to stand next to them when they are feeling down. • S U M M E R 2 0 1 4 • A M a g a z i n e I also have adversity that I face. That’s what you call life. Life is about building relationships and having people to support you through those hard times. That is my purpose and why I posted on Facebook. Since I don’t have those setbacks, I want to use my abilities to give the patients across the severity spectrum and their parents hope and support through the process. In a way, I am no different than them. I have been in their shoes. I have done a million CT scans, MRIs and ultrasounds. I had doctors telling me to jump on one foot, walk on my heels , open my mouth wide and say “AHHH,” and tell me when my followup appointment is. I have taken blood more times than I have pitched in baseball games it seems. I want to share my story and I want to impact peoples’ lives. I don’t take my condition for granted, because regardless of the fact it won’t affect me in the future as much as others, it has affected me growing up. It will affect me when I’m deciding to have a kid one day, and I’m not ashamed of this! There is a reason I was diagnosed with this, and I believe I’m getting closer to finding it. I’m Jake Irby. I have TSC and I’m proud. If you’d like to join TS Alliance’s Facebook Discussion Group, please visit www.tsalliance.org/FacebookGroup today. fr o m th e Tu be ro us S c l e ro s i s Alliance Roller Coaster of Life By Frank Cenna Jr. All of us are born with expectation We adjust our dreams and hopes due to realization Our lives become malleable like a statue of clay Sometimes stronger, other times taller, that’s what others say Life became a roller coaster ride The heights we ascend abide Raise our hopes The dips our lives we cope We are never truly alone We become uncertain because the path we leave isn’t shown Hold on and open eyes, search familiar sight and surely we’ll see It’s better to remain for the entire ride, we’ll whole heartedly agree Observed from above ready to be captured like a lost dove Brought to earth for another try in the glove We become brave and strong until ultimately we’re ground in heavenly glare Remaining silent enjoying a short rest awaiting the final decision made with stunned stare On board the car we can hope for a safe and short ride One track those who are daredevils look for a thrilling side On the other, a certain group belted-in safely are glad to be alive Non risk-takers there snuggled in in their cars happy to arrive A M a g a z i n e f r o m t h e Tu b e r o u s S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 19 TSC Research Roundup TSC and Sun Warning In an article published in Human Molecular Genetics, Advance Access December 18, 2013, a team of researchers showed UV radiation in sunlight contributes to the development of facial angiofibromas in TSC. This observation suggests that including a broad-rim hat, 3) applying generous amounts of a broad-spectrum, water resistant sunscreen with SPF 30 or greater to sun-exposed areas, and 4) not using tanning beds. measures recommended to the general public to minimize UV exposure may be even more important for those with TSC. These measures include: 1) seeking shade, particularly between 10 a.m. and 2 p.m., 2) wearing clothing that blocks sunlight Join the Rare Epilepsy Network Registry The Rare Epilepsy Network Registry, funded by PCORI, will soon open for enrollment, and we will need as many families as possible to participate in order to make this successful and useful for us all. The TS Alliance is fortunate to be involved in such a great organization as the REN, so let’s make the most out of this, by providing as much information as we can. This registry is unique in that it is patient-driven and patient-centered. Please take a moment to read a bit about it and consider participating and help all and completion of surveys. The registry will also create the infrastructure for future research such as clinical trials. All of the research will be patient-centered, which means it will address research questions and topics that are important to the patients and caregivers with the ultimate goal of having patients and caregivers better able to participate in healthcare decisions. You may stop participating in the research at any time. We will make another announcement wen the registry is open for enrollment so please stay tuned. of those living with TSC and other Rare Epilepsies. The Rare Epilepsy Network, or REN for short, is a collaboration between the Epilepsy Foundation, RTI International, Columbia University, and many different organizations that represent patients with a rare syndrome or disorder that is associated with epilepsy or seizures. The REN will establish a registry of these patients , which includes patient or caregiver-reported data in order to conduct patient-centered research. This research will be in the form of natural history studies Donate Newly Lost Teeth for Cell Research Dr. Lawrence T. Reiter at the University of Tennessee Health Science Center in Memphis, TN is conducting a research study to determine if neurons can be grown from the dental pulp of individuals with various neurogenetic syndromes including tuberous sclerosis complex. Participants will be required to submit a genetics report describing their neurogenetic syndrome or control status. Dr. Reiter will provide a tube of cell growth solution and a return package to you at no cost. Should you agree to participate you will only need to provide a fresh tooth specimen, most likely one that fell out on its own. Teeth must arrive at Dr. Reiter’s laboratory no more than 48hrs after the time they came out of the mouth and in the special media provided. For more information on how to participate, please contact Dr. Nora Urraca at [email protected] or Dr. Reiter at [email protected]. Clinical Trials Recruiting If you are a person with TSC or have an affected family member who is interested in participating in a clinical trial, the TS Alliance lists new and ongoing studies at www.tsalliance.org/ClinicalTrials as well as announcements on Inspire and Facebook, including: 20 P ER SP ECT I V E A Clinical Trial Sponsored by Novartis for Treatment of Seizures (2-65 yrs): A Placebo-Controlled Study of Efficacy & Safety of 2 TroughRanges of Everolimus • S U M M E R 2 0 1 4 • A M a g a z i n e as Adjunctive Therapy in Patients with Tuberous Sclerosis Complex (TSC) & Refractory Partial-Onset Seizures (EXIST-3) This is a clinical trial being conducted at more than 100 locations around the fr o m th e Tu be ro us S c l e ro s i s Alliance world. The purpose of the study is to evaluate the effectiveness and safety of two dose ranges of everolimus as add-on therapy in persons with tuberous sclerosis complex and uncontrolled partial-onset seizures who are 2-65 years old (except in Europe the minimum age is 1). For more information go to www.ClinicalTrials.gov and in the Search for Studies box, type “EXIST-3” or contact Jo Anne Nakagawa at [email protected] for assistance. Early Biomarkers of Autism in Infants with Tuberous Sclerosis Complex (TSC) Where : TSC Clinic al Research Consortium sites at Boston Children’s Hospital, Cincinnati Children’s Hospital, University of Alabama at Birmingham, University of California at Los Angeles, University of Texas at Houston Principal Investigators: Mustafa Sahin, MD, PhD (Boston), Darcy Krueger, MD, PhD (Cincinnati), Martina Bebin, MD (Birmingham), Joyce Wu, MD (Los Angeles), Hope Northrup, MD (Houston) We are enrolling 3-9 month old infants with a diagnosis of tuberous sclerosis complex (TSC) for a new study on early markers of autism. The goal of this project is to use behavioral testing, MRI and EEG techniques to identify children at risk for developing autism starting at 3 months of age and continuing until 36 months of age. Who is eligible to participate? Infants diagnosed with TSC will be eligible to participate in this study if they are between the ages of 3 and 9 months of age (under 10 months). What will we do? If you agree to participate, the research team will obtain your informed consent. The study involves up to seven visits to a study site over a three year time period. The study visits will include behavioral testing, MRIs and EEGs. Parents will be with their child at all times. Cost/time commitment: Study visits will vary in length based on your child’s age, but generally be a few hours in time. There is no fee to participate in this study. A voucher for parking and meals will be provided to you at each study visit. Travel funding may be available. Results: Summary scores of your child’s behavioral testing, MRI and EEG results will be provided to you. Every step of the way, if new results from the testing are concerning, we will notify you and assist you in obtaining referrals or interventions, if you choose. After all study data has been analyzed, we will inform families of the overall results. Contacts: If you are interested in learning more about this study, please send an email to [email protected] or visit www.tscstudy.com for contact information at each study site. with TSC. Up to 60% of children with TSC develop autism, but the diagnosis typically is not made until much later in childhood. Early detection leads to earlier interventions and, hopefully, better behavioral outcomes. We hope that the knowledge gained from this investigation will ultimately lead to earlier diagnosis of autism in infants with and without TSC. We hope to follow each infant for a few visits at either at University of California, Los Angeles or Boston Children’s Hospital over his or her first 3 years of life. Scheduling of these visits is very flexible and based on your needs. Study visits include behavioral measures, event-related potentials (ERPs), a neurological exam, and EEG. A subset of these measures is conducted at each visit. There is no fee to participate in this study. Families will be compensated for their time, and travel and parking can be compensated. Children will also receive a small toy at the end of each visit to the lab. If during the testing, we detect any abnormalities that may warrant further interventions, you will be notified. After all data has been analyzed, families will be informed of the overall results of the study. Enrollment in this research study has begun at both sites. Interested out-ofstate families are welcome to participate at either the Los Angeles or Boston site, and compensation may be available for travel costs. If you are interested in participating in this study at either Boston or UCLA, please send an email to tsc.development. [email protected] or call 617-678-7348. They will reimburse all travel costs (up to 2 flights) as well as hotel, rental car and also provide funds for meals. Early Screening for Autism in Tuberous Sclerosis Complex (TSC) UCLA and Boston Children’s Hospital are seeking volunteers to participate in their research study, read below for more information: We are currently conducting a study at University of California, Los Angeles (UCLA) and Boston Children’s Hospital for children diagnosed with Tuberous Sclerosis Complex (TSC) 0 months old and up to 3 years of age. The main goal of this research project is to look for early signs of autism in children Are You or Your Loved One Suffering from Behavioral Symptoms of Tuberous Sclerosis Complex? The Clinical Trials Unit at Kennedy Kieger Institute in Baltimore is enrolling for a research study entitled, “Rapalogues for Autism Phenotype in TSC (RAPT): A Feasibility Study.” They are looking A M a g a z i n e f r o m t h e Tu b e r o u s qualifies, please contact the study team at (443) 923-3850 or ResearchTrials@ kennedykrieger.org. Tanjala T. Gipson, MD is the Principal Investigator. for participants, ages 2– 30 years, who have TSC and disruptive behaviors to determine if a rapalogue may be helpful. If you are interested in learning more about or seeing if you or your loved one S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 21 Legacy of Love By Alexis Marie Chute W 22 hen I first discovered organizations like the TS Alliance, I was shocked. It sounds silly, but I did not realize that people could live with tuberous sclerosis complex (TSC). It was a revelation to me since my son had TSC—and died. When I was 25 weeks pregnant with my second child, my blissful ignorance a baby’s body when the heart is unable to pump properly. These discoveries began what would be a month and a half long journey of daily hospital visits to try to save my child. When the doctors gave their diagnosis, tuberous sclerosis complex, I didn’t know how to respond. I had never heard of the complex before. I researched and learned despite dire medical predictions. The doctors told us Zachary would be stillborn. They said his heart would eventually stop and by 30 weeks it was down to 50 beats per minute. The normal fetal heart rate typically ranges from 150 to 180 BPM. That was also the time that my body began experiencing mirror syndrome, mimicking Zachary’s, and my abdomen and legs filled about motherhood was permanently smudged by the discovery of my baby’s irregular heartbeat. A follow-up ultrasound revealed a large tumor wrapped around my unborn child’s heart, plus other cysts and tumors throughout his brain and kidneys. His body was also swollen from hydrops fetalis, the fluid that builds up in about the markers, how the diagnosis is made and the similarities between people who share the genetic trait. None of it altered my love; I was a mother fighting for her child. In that time, my husband Aaron and I named our son—Zachary, meaning remembered by God, became our constant prayer with fluid. I measured ten weeks farther along than I was, my skin ached and stretch marks spread like red lightening. With the worry for my health, I was scheduled for induction, which meant that I could no longer carry my child. It also meant he would die. The night before my induction, I watched TV trying to distract P ER SP ECT I V E • S U M M E R 2 0 1 4 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance myself from what was to come the next day. All of a sudden I felt sharp pains in across my stomach that I knew all too well from a year before when I was in labor with my first child, Hannah. We went into the hospital that night and Zachary was born naturally the next morning. Zachary lived for a few minutes. He was 36 gestation but he weighed over seven pounds because of the hydrops. His face was swollen and he had the telltale reddish freckles of TSC on his face. He was so beautiful in my eyes. I kissed his forehead and stroked his hands and feet. My husband and I held Zachary to our skin, rocked him, and sung to him. He made When life falls apart, humans possess a deeply innate urge to rebuild. I find this wildly encouraging. Through this reflective and creative work, and by interacting with others who both participated and viewed the art, I came to understand that everyone has their own unique challenges to bear. small movements before dying in my arms. That was October 14, 2010. The next nine months were spent in a season of genetic testing where Aaron, Hannah and I were poked, prodded and scanned to see if we too shared the genetic abnormality discovered in Zachary. I remember so clearly an appointment A M a g a z i n e f r o m t h e Tu b e r o u s as precariously balancing houses of cards helped me reflect on all I’d been through; the delicate balance of life and the human desire for growth and control. For a year spanning the end of 2012 and the beginning of 2013, I was the Artist in Residence at Harcourt House Gallery and Artist Run Centre. As an organization they believe in the healing capacities of art and gave me the space and time to hone my work. I created sculptures, paintings and photographs that came together in a series I call The Quiet Rebuild. The artwork focuses on what I believe is one of the most compelling characteristics of the human experience: resiliency. When life falls apart, humans possess a deeply innate urge to rebuild. I find this wildly encouraging. Through this reflective and creative work, and by interacting with others who both participated and viewed the art, I came to understand that everyone has their own unique challenges to bear. I also learned that people are stronger together, when the burdens are shared, so that we may learn from each other. The photography in The Quiet Rebuild grew into a creative project that seeks to tell the stories of many types of struggle and loss. I put the call out for volunteer models on Facebook and Twitter and have had a tremendous response. The portraits enrich the healing process for those involved and speak similarly to viewers as well. Writing too has been a healing modality for me and one that often merges with my visual work. These areas have become my way of giving back and a heartstring to keep Zachary’s story alive in the world. The compassion to help others is my son’s gift to me and his lasting legacy. I feel honored to be his mother. with a specialist where I recounted my family’s recent medical experience to which the doctor responded, “Strange, most people don’t die from tuberous sclerosis complex.” I didn’t know how to process his words. That was the first time I had ever heard that TSC meant anything other than death. I searched online and found different national and international organizations and family blogs about TSC. My understanding was opened and I felt a kinship with others for the first time in an experience that began in an isolating and confusing manner. As I read about the affected men, women and children, I imagined what Zachary’s life would have been like if he had lived. Now, TSC is an inescapable part of my story as a mother and as a woman. It is also a part of who I am as an artist and writer. At the time that Zachary’s cardiac failure was discovered, I did not know how to process the diagnosis and began photographing the daily exams and appointments at the hospital, the waiting rooms, and ultrasound machines, along with Hannah playing and the regular parts of our life that no longer seemed to make sense in the context of our ‘new normal.’ These fine art documentary images became a series I named Unfulfilled Precognition, which are now exhibited in creative centers and galleries. Despite these early photographs taken before and after Zachary’s death, in the months that followed I pulled back from my artwork into what I now call my Year of Distraction. It was a time where I tried to fill my life with work and activity to avoid the ache in every part of my being that longed for my child. I was brokenhearted and could not yet carry the torrent of emotion at that time. It was only in returning to my artwork at the end of that year that I began to appreciate the amazing capacity of creativity in finding healing and working through difficult emotions. Without a preconceived plan, I began making sculptures out of small square and rectangular cuts of wood. Working with my hands was cathartic and witnessing the sculptures grow from one piece of wood to what has been described S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 Alexis Marie Chute is an award winning visual artist, photographer, writer, and advocate for the use of arts in healing. Her upcoming memoir is about letting go of one child while her stomach grows with another. Alexis lives in Alberta with her husband and two children. Please visit her website: www.AlexisMarieChute.com • P E R S P E C T I V E 23 Update on Use of Topical Rapamycin to Treat Facial Angiofibromas By Mary Kay Koenig, MD, Co-Director, TSC Clinic, The University of Texas Medical School at Houston U p to 90% of people with TSC develop skin tumors on the face called facial angiofibromas. These tumors appear as red or pink spots located mostly over the nose, cheeks, and chin. The redness is due to increased blood vessels in the skin. The angiofibromas may spontaneously bleed if not removed or treated, and they often cause patients to feel self-conscious about their appearance. Multiple procedures, including laser therapy, have been developed to control these lesions; however, these treatments can be painful, form scar tissue, and over time, new angiofibromas will come back. At the University of Texas TSC Clinic, an endeavor to develop a safe, inexpensive, treatment for patients with facial angiofibromas was undertaken. A topical cream containing rapamycin costing between $50-$100 a month was developed to allow an open label study to be launched to discern if this formulation would improve facial angiofibromas. One hundred seventy four subjects were enrolled at 10 clinical sites throughout the United States and one site in Australia (University of TexasHouston, Jack & Julia Center in Oakland, University of California Los Angeles, Texas Scottish Rite Hospital, TSC Clinic Without Walls in Minnesota, University of Alabama Birmingham, Cincinnati Children’s Hospital Medical Center, Kennedy Krieger Institute in Baltimore, The Carol and James Herscot Center for Children and Adults with Tuberous Sclerosis Complex in Boston, and Sydney Children’s Hospital in Australia). One-third of the enrolled subjects were placed on vehicle cream (no medicine), 1/3 of subjects were placed on low dose treatment (0.1% 24 P ER SP ECT I V E BEFORE AFTER Preliminary results are promising, but final conclusions regarding efficacy must be deferred until final data analysis. rapamycin), and 1/3 of subjects were placed on high dose treatment (1.0% rapamycin). Subjects were instructed to apply their study cream to their faces each night with follow up evaluations over the course of the next 6 months. Preliminary results are promising, but final conclusions regarding efficacy must be deferred until final data analysis. Although a few subjects report burning or itching when they apply the cream, there have been no major complications and the rapamycin is not being absorbed. The anticipated time course for finalizing data analysis and • S U M M E R 2 0 1 4 • A M a g a z i n e publishing results is by the end of the year. All of our investigators are grateful to both the Tuberous Sclerosis Research Program at the Department of Defense and to the Australasian Tuberous Sclerosis Society for their support of this study. The topical formulation is now available via prescription through Doyle’s Pharmacy in Houston, Texas (www.doylespharmacy.com; email: [email protected]). Please contact them for more information on how your physician can submit a prescription. fr o m th e Tu be ro us S c l e ro s i s Alliance CONTINUED FROM PAGE 4 Special Events TS Alliance of Southern California TS Alliance of Middle Tennessee Date: May 3, 2014 Location: Two Rivers Park, Nashville, TN Event Chair: Kelly Vigil Raised: $820 TS Alliance of Ohio Date: July 19, 2014 Location: Thomas A Cloud Park, Huber Heights, OH Event Co-Chairs: Lola & Carl Centeno Raised: $5,000 TS Alliance of the Rocky Mountain Region Date: June 14, 2014 Location: EB Rains Park, Northglenn, CO Event Co-Chairs: Caroline Clough, Leslie Byers & Dana Holinka Raised: $13,500 Other Event Success Stories This year’s Comedy for a Cure©, held March 30 at LURE in Hollywood, CA, raised $205,000 for the TS Alliance! Over the last 13 years, the event has raised nearly $4 million cumulatively. This year’s event honored The Lauren Krinsky Family and TS Alliance President & CEO Kari Luther Rosbeck for their tireless commitment and dedication to support families living with TSC. A M a g a z i n e f r o m t h e Tu b e r o u s Join our Circle of Champions and be entered into a nat i o na l dr aw ing to win a flat screen TV. (Rules: Any individual raising $10,000 or more will be honored in Perspective in our Circle of Champions listing. In addition, any individual who raises $10,000 or more through online donations, checks, cash or matching gifts qualifies for the national drawing to win a Big Screen Plasma HDTV. The deadline for submitting donations is the day of your walk by turning them in at the registration table. Qualified winners will then be entered into a national drawing selected by our President & CEO Kari Luther Rosbeck on December 1, 2014. Date: May 17, 2014 Location: El Dorado Park – East, Long Beach, CA Event Co-Chairs: Barb O’Neil & Dawn Redfield Raised: $75,500 TS Alliance of the Upper Midwest Date: June 8, 2014 Location: Central Park- Jaycees Shelter, St. Paul, MN Event Co-Chairs: Maria Gibbons & Jody Prudhomme Raised: $40,000 TS Alliance of Wisconsin Date: May 10, 2014 Location: Regner Park, West Bend, WI Event Chair: Kristin Champagne Raised: $5,700 Mo Collins headlined the evening’s show, supported by hilarious performances by Kate Flannery, as well as comic Jerrod Carmichael. The funny, warm and talented Jim O’Heir served as emcee. Auctioneer acknowledge C o m e d y fo r a Cure’s major sp o nso r s w h o made the Lucky 13th Comedy for a Cure possible, including C&C Market Research, Lundbeck, Questcor, Variety, CVS Caremark, eWorks, Glacier Design Systems, Jim and Andrea Maginn, MarketCast, Novartis, The Szilagyi Family, 20th Century Fox, WNC & Associates, US Bank, BJ’s Brewhouse, Classic Party Rentals, Edina Kiss and Zing. Damon Casatico once again led the live auction, where attendees bid on items ranging from custommade jewelry from Edina Kiss to a trip to Scotland. The TS Alliance would like to gratefully Racing for a Cure! David Comeau is playing and working hard at raising awareness for TSC at Stafford Motor Speedway in Connecticut. Last year alone with his race car, he accomplished the following: »» Achieved Rookie of the Year Award S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 25 CONTINUED FROM PAGE 25 Special Events of her birthday. Christy dedicated her training runs to individuals with TSC sharing their stories and triumphs via social media. Many were instrumental in inspiring her training, but none more than her son, Ben. Congratulations for raising $15,000-plus for the TS Alliance and on a great finish at the marathon! »» Finished 5th in points for the season after winning the last race of the year »» Created weekly race videos utilizing an “in car camera” and posted the videos on YouTube »» Raised awareness of TSC on and off the track On April 26, 2014, Kim Sabreda ran a marathon in San Luis Obispo, CA. Her friends and family showed their support with ama zing turn out to cheer her on during the race and with their donations. Kim raised more than $15,000 in funds that she donated to the TS Alliance in honor of her daughter, Kaitlyn. Way to go Kim!! The Vogel family held their 4th Annual Rock 4 Riley fundraising event on May Congratulations David on your fundraising and awareness building and keep up the good work as we race ahead for the cure! 10 in Woburn, MA. This year was heavily focused on raising awareness by sharing TSC—specific details on posters around the building. Over 300 people attended to enjoy live music, bid on silent auction items and raffles. The group had a blast at the party while raising $33,500 for the TS Alliance. The Vogel family is grateful for the generous support and sponsorships from Blue Cross Blue Shield of Massachusetts, Harvard Pilgrim Healthcare, and Energi Insurance. On June 28, 2014, the annual Geneva Lakes Amazing Race took place. The race began on the grounds of Inspiration Ministries in Walworth, WI and wound its way through the back roads of Walworth County. This year, over a dozen teams competed for a week long dream vacation. They solved clues, conquered challenges and generally had a great time racing for those who can’t. Congratulations to all involved in this spectacular event for raising more than $20,000! The Loonin family hosts a 4th of July party each year in their neighborhood where friends and family can gather to On March 9, 2014, the 21st Annual Pampered Chef Auction hosted by Pam Sztukowski was a tremendous success. Attendees enjoyed raffles and auctions, while bringing hope to thousands of families living with TSC. Thank you Pam Sztukowski and all volunteers for all their help in putting together a wonderful event and raising an amazing $6,141. On April 6, 2014, Christy Hobart ran the Paris Marathon in celebration 26 P ER SP ECT I V E • S U M M E R 2 0 1 4 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance watch fireworks, enjoy each other and make a difference in the lives of those living with TSC, including their grandson, Drew. Eight years ago, after noticing that the fireworks shown in a local park could be seen from their backyard they decided to have a July 4th Fundraiser for TSC inviting their friends and neighbors to see the fireworks, have a drink, some snacks and hot dogs and help to FIND A CURE with their donation. Congratulations and tons of gratitude to them for raising more than $2,565 this year. Upcoming Events Step I: Visit www.tsalliance.org/ArtforaCure then decide what you want to create for the contest. You can pick any medium of art. Paint, sculpt, sketch, photograph, whittle, knit, sew, weld, write, finger paint, mosaic, paper mache’—any project that M a g a z i n e f r o m t h e Tu b e r o u s On July 20, 2014 the inaugural Strikeout TSC Softball Tournament was held in Queensbury, NY. There were 14 teams playing to raise awareness and funds for the TS Alliance. Congratulations to all the teams for raising over $10,000. Thank you to Laura Laramie for organizing this fantastic event in honor of her niece, Nola! TSC Champi ns On July 19, 2014 the 6th Annual TSC Tournament for TSC Champions was held at Black Hawk Golf Course in Beaver Falls, PA. Many thanks to Jim Hartge and Lori Shoup for hosting the event and making it a success year after year. Congratulations on another successful year raising funds and awareness of TSC! Tournament of Champions at River Glen Country Club in Fishers, IN. Golf tournament proceeds will benefit the TS Alliance. For sponsorship opportunities and registration information, please contact David Cowlin at [email protected]. lets you express yourself artistically. Age categories are: 0-11, 12-20; and 21 years old and over. Register now! Get out your markers, oils, pencils and art supplies for the Third Annual Art for a Cure! This competition is open to all individuals diagnosed with tuberous sclerosis complex (TSC). Review the basic three steps below to get started and enter in our fun and exciting search for the 2014 Art for a Cure top artists! The most popular pieces will be sold at the 40th Anniversary Celebration in New York City on October 23, 2014. Art for a Cure is a web- and social media-based artist competition open to anyone with TSC. The contest is a great way to easily raise funds for the TS Alliance, raise awareness of TSC and display your artistic skill. For more information, contact Dee Triemer, Director of Special Events and Corporate Partnerships at (800) 225-6872 or [email protected]. A Tournament for Step II: Create your masterpiece. Make sure you complete every part by yourself. Kids will need a parent’s/guardian’s supervision and permission. September 28, 2014: Ironman Chattanooga – Reiko Donato. Help support Reiko Donato as she participates in the Chattanooga Ironman this fall. Cheer her on with a donation as she swims for 204 miles, bikes for 112 miles and runs for 26.2 miles consecutively. Please support her incredible effort with a donation by clicking the online Calendar of Events at www.tsalliance.org. Step III: Enter the online competition. Register online at www.tsalliance.org/ ArtforaCure. Upload your artwork; tell your stor y; remind your friends and family to vote! Step IV: Get your vote in today at www.tsalliance.org/vote as voting closes on September 15, 2014! October 11, 2014: Wicked Mud Run III at Ski Ward in Shrewsbur y includes a 5K race timed event with multiple heats of 50-75 runners per heat. Teams are welcome. There will be beer, food, a great band, and wonderful sponsors. Medals for all finishers. Cash prize for top male and top female. Ten percent of net registration proceeds will go Autism Speaks, Tuberous Sclerosis Alliance, and Big Nick’s Ride for the Fallen. For more details or to register online, visit www.racemenu.com/ event/42191-Wicked-Mud-Run-III. September 6, 2014: Will’s Quest— Ultra Running Grand Slam. Help support Will Cooper, Jr. as he runs four 100-mile races in 2014 to raise TSC awareness and funds for the TS Alliance in honor of his twin nieces, Abby and Amelia. Please support his incredible effort with a donation by clicking on the event listing on the TS Alliance event calendar or follow along with his success on his blog at www.willrunlonger.com. September 13, 2014: Join the TS Alliance of Indiana for their annual TSC S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 4 • P E R S P E C T I V E 27 801 Roeder Road, Suite 750 Silver Spring, MD 20910