2009 Recap Board of directors continues to push forward innovative
Transcription
2009 Recap Board of directors continues to push forward innovative
Volume 34 | Number 2 | Summer 2010 COURAGE 2009 Recap International MPS Day Board of directors continues to push MPS community forward innovative honors, remembers initiatives and celebrates Sponsor a Child for a Cure Don’t get left behind! Upcoming Events 2010 Family Conference at Knott’s Berry Farm Embracing a Bright Financial Future Financial guide for parents of children with disabilities Do you have a personal story or an article idea for a future issue of Courage? Please write to us and remember to send photos! MISSION STATEMENT The National MPS Society exists to find cures for MPS and related diseases. We provide hope and support for affected individuals and their families through research, advocacy and awareness of these devastating diseases. The National MPS Society’s office (ground floor on left). Submission Cutoff Date Issue Jan. 1.......................Spring April 1....................Summer July 1.............................Fall Oct. 1....................... Winter To submit information to Courage, please send text (preferably via e-mail) to the address at right. Photos should be labeled whenever possible. Please note cutoff dates. Any information received after these dates will be included in the subsequent issue. The articles in this newsletter are for informational purposes only, and do not necessarily reflect the opinions of the National MPS Society and its board of directors. We do not endorse any of the medications, treatments or products reported in this newsletter, and strongly advise that you check any drugs or treatments mentioned with your physician. Courage reserves the right to edit content as necessary. National MPS Society PO Box 14686 Durham, NC 27709-4686 t: 877.MPS.1001 p: 919.806.0101 f: 919.806.2055 E-mail: [email protected] www.mpssociety.org Table of CONTENTS Membership & Subscription Form President’s Letter.............................................................................. 2 Executive Director’s Letter................................................................ 3 Name Program Director’s Letter.................................................................. 4 Development Director’s Letter........................................................... 4 New Members.................................................................................. 5 Affected Individual’s Name Date of Birth Donations......................................................................................6–7 2009 Recap..................................................................................8–9 Financial Summary......................................................................... 10 International MPS Awareness Day.............................................11–13 Diagnosis Relationship Address Family News..............................................................................14–19 Fundraising................................................................................20–22 A Warm Welcome......................................................................23–24 Upcoming Events........................................................................... 24 City, State, ZIP Telephone E-mail Remembering Our Children.......................................................25–28 Legislative Update.....................................................................29–32 Making Headlines......................................................................33–34 Standing Ovation.......................................................................35–36 Research News: Hope for the Future.........................................37–40 Resources | Helpful Information.................................................41–51 MPS Classifications........................................................................ 52 Family Foreign Professionals b $50.00 b $80.00 b $75.00 Corporate Memberships Available Would you like your name to appear in our directory? b YES b NO Would you like to receive Courage, the Society’s newsletter? b YES b NO Board of Directors.......................................................................... 53 Would you like our publications in b electronic (e-mailed) format or b hardcopy (mailed) format Pictured on the cover: • Jillian, Lindsey and Kelsey Burke (MPS III C) • Deborah Moldover, legislative correspondent with Sen. Barbara Mukulski’s office (D-MD), Ernie Dummann and Jeff Bardsley (MPS II) • Luke Bosse (MPS VI) Please send your membership form and check to: National MPS Society PO Box 14686 Durham, NC 27709-4686 1 President’s Letter I have so much admiration when looking at our MPS community. I see and appreciate your dedication, commitment, and love for our families and friends. There are many astonishing stories of members reaching out to help improve the lives of all who are affected with MPS diseases. I see mothers and fathers, brothers and sisters, aunts, uncles and grandparents who work every day to improve the quality of life for all our loved ones. The stories are many. We all know members who live with MPS on a daily basis. We have mothers and fathers who have lost a child or children to MPS who are still working and volunteering. Members who have great family commitments and have very limited wealth who have been working for years and years to end suffering and make a better place for all of us. I see doctors and their families who have lost everything with the passing of a child yet they are still committed and working hard for the good of the membership. Parents who have more than one MPS child and who still take the time to work on fundraising, legislative efforts and all the support programs that make our Society one of the best and most motivated groups of people I have ever seen. We have members who work at every conference and volunteer their time, talents and treasures to make all our experiences wonderful and productive. We have members who sacrifice their work careers; instead of advancement and financial compensation, they are rewarded with benefiting a family in need and bettering all our lives. These are the everyday heroes of the MPS Society. Without them we would not have a strong and growing Society. They work without the need for 2 awards; receiving no compensation. They work tirelessly day and night, weekends and holidays. They pick up the phone and ask if there is anything else they can do. These heroes are never thanked enough and have little desire for thanks. They only seek a better life for all with MPS. Their goals, like our mission statement, is to help families while finding cures. Although our Society is filled with hundreds and hundreds of these heroes, I would like to take this opportunity to thank some special ones, your board of directors. When I mention our everyday heroes, I am taking into consideration their dedicated families as well. They are: Kris Klenke, Dr. Kim and Stephen Frye, Dr. Klane and Amy White, Steve and Amy Holland, Jennifer Clarke, Austin Noll, Tom and Anne Gniazdowski, MaryEllen Pendleton, Tami Slawson, Debbie Dummann, Kim Whitecotton and Gordon Wingate. Although I am excited and pleased to recognize some special everyday heroes, I will never forget there are many more accounts of dedicated members and friends whom I also acknowledge. What is so wonderful about this is we all have the potential to be heroes and help out. You can help families close to you by hosting a social gathering. You can do a fundraiser or participate in one. You can become a member of our Policy with Partners initiative and assist with our legislative agenda. Or you can just see someone who is working on the Society’s behalf and say thanks for all you are doing. Special heroes—they are all around us. Thank you for all your comments about our new Web site! We are very proud of our new look, and I want to thank Naureen Sayani who spent many hours outside of her regular work responsibilities working on the site. Naureen will be our point person for keeping information up to date on the Web site, so please e-mail her with information you’d like posted or changed at [email protected]. We are pleased to announce that, following a random drawing, Shannon McNeil and Carl Kapes were awarded scholarships to attend the MPS III Expert Meeting in Northampton, UK, in August. This two-day meeting offers the opportunity to hear state-of-the art presentations on the clinical management of MPS III and to learn about the latest research developments and potential therapies. Please continue to let us know how you celebrated International MPS Awareness Day. The e-cards on the new International MPS Network Web site, www.impsn.org, were being sent globally before and after MPS Day! We are blanketing the world with our awareness about MPS and related diseases. Terri, Naureen and I are covering for Laurie while she is on maternity leave, so call any of us with your family support or conference questions. Amelia Eve was born April 29 and weighed 8 pounds, 9 ounces. Mom, dad and big sister, Julia, are all doing great! Amelia Eve Turner Executive Director’s Letter I just returned from an energizing two-day Healthy Community Institute for Nonprofit Excellence conference in New Bern, NC, sponsored by the Blue Cross Foundation of North Carolina. The purpose of the conference was to strengthen the organizational capacity of nonprofit organizations. The National MPS Society has been fortunate to be selected twice to attend this very effective conference for which there is no fee. Last year Terri Klein, Ernie Dummann and I attended, and this year Steve Holland and Kim Frye joined me for presentations providing practical insight into solving operational problems, understanding board roles and responsibilities, creating effective annual appeal campaigns, understanding giving criteria from the grant-maker’s perspective, selling the organization and much more. We returned with ideas to share with the board and our members to move the Society forward. I look forward to sharing these ideas with you in future communications. 3 Program | Development Directors’ Letters 4 Soon we will be together at the conference at Knott’s Berry Farm. We are excited to be hosting our Celebrating Your Child’s Life Experience (CYCLE) conference, and also the first ever adultonly conference, “Finding Our SPIRIT” (Strength, Purpose, Independence, Resilience and Initiative Together) along with our family conference. This will be a great conference year, and we hope your family can be a part of the excitement! The Family Support Committee (FSC) has been busy awarding 2010 Continuing Education Scholarships. Once again, we are proud to be able to help 20 individuals obtain their educational Springtime brings outdoor fun! Our National MPS Society families and friends have been inspiring this spring with fundraising and awareness campaigns to help our children. We have spoken with new families and families who have been Society members for many years. Each conversation escalates the efforts of our mission. Cornhole tournaments, school plays, marathon races, charity dinners, preschool purple day and the first annual MPS cup with NHL alumni. The Society takes their hats off to those who have found the time to help raise money and awareness for these diseases. Our children have courage, and MPS Society families and friends are courageous in their efforts. Remember, whether hosting a small or large event, every opportunity you educate your family, friends, colleagues and corporations about MPS and related diseases is another step toward finding goals. We will have more information on the scholarship recipients in the next issue of Courage. The FSC also has been busy awarding conference travel scholarship grants to help families attend the conference in September. I hope you are able to attend one of the upcoming regional social events being held this summer, or one of the local walk/runs. It is always energizing to be with your extended MPS family. If there is not an event near you, please consider hosting a picnic yourself. This is a great way to get to know other MPS families in your area, and also allows for a chance to renew old friendships. Please contact me if you are interested in hosting your own event. I hope to see you in September! cures. All of us have a bit of courage; many of us live each day with the most courageous children. It takes courage to speak up for our diseases and our children deserve the opportunity to be heard. It is time for walk/run preparations! Sponsor a Child for a Cure is a program that will be offered at events across the country. If you are unable to attend an event but would like to participate with your family in honor or in memory of a loved one please contact the office. A runner will be assigned for your child and you will have an opportunity to raise sponsorship. The money raised is for research and your family will be given a photo of your assigned runner with a courage medallion. The Society needs your help, your creative spirit and your courage to help us make a difference and find cures. If you would like additional information, have a great idea, or need a little help, please give me a call or send me an e-mail. Jordan Barthel Mesa, AZ, adult with MPS II Brenda Booth Bronx, NY, mother of Kamial Booth, MPS IV Heather and Richard Kasarda Allentown, PA, cousins of Austin Noll IV, MPS III A Jennifer Klein Apex, NC, adult with ML III Judith Leger Vienna, VA, mother of Jeremi Leger, MPS III B Karli Carmichael Greenfield, IN, mother of Michael George, MPS II Jason and Isabel McKee Martinez, CA, parents of Owen McKee, MPS II Janet and Leo Cook Monticello, IA, grandparents of Blake and Morgan McDermott, MPS III A Ty Ah Phan Morgan Huntington Beach, CA, aunt of Kaitlyn O’Donnell, MPS IV Micalla Gadawski Syracuse, NY, aunt of Zach Haggett, ML II Noelle and William Pacl Cedar Park, TX, parents of Logan Pacl, MPS III Susan Hale Seattle, WA, professional Jaime Hammock Fort Gibson, OK, mother of Robert Dalton Reed, MPS II Darla Harrison Mesa, AZ, mother of Justin and Kianna White, MPS IV Herb and Lela Hartso Renton, WA, parents of Herbie Hartso IV, MPS II Norma Pacl Hermitage, TN, great-grandmother of Logan Pacl, MPS III Timothy Pacl Cedar Park, TX, grandfather of Logan Pacl, MPS III Dorothy Portillo Marfa, TX, mother of Daniella Portillo, MPS III Dora Rios Laredo, TX, mother of an MPS IV child Thomas Hickey Raleigh, NC, father of Thomas Samuel Isaiah Hickey, MPS II Dave and Janet Roessner Fort Recovery, OH, grandparents of Ava Kremer, MPS III A John Higgins Lenexa, KS, father of Sam Higgins, MPS III B Kelli Roessner Fort Recovery, OH, aunt of Ava Kremer, MPS III A Kathleen Hinkle Ellenton, FL, adult with MPS I Brian Hulett Spring Hill, FL, father of Elizabeth Hulett, MPS I The Kakkis EveryLife Foundation Novato, CA, professional New Members Jeff Bardsley McLean, VA, adult with MPS II Murali Somarouthu Falls Church, VA, father of Ganesh Somarouthu, MPS VII Jill Young Cushing, OK, mother of Miles Young, MPS III A Correction: New members John and Judie Brooks were listed incorrectly in the Spring issue of Courage. The grandparents of Jack Fowler (MPS II) are from Bettendorf, IA. 5 Donations In Honor of Austin Nace Carol White* Mel and Millie Anhalt’s Birthdays Gerald and Susan Anhalt Caroline Masur Ethan Waddell Phyllis Newell Max Boccaccio Jill Gordon Elizabeth McClave Matthew Caldwell’s 16th Birthday Mark and Stephanie Caldwell T.J. Catanzarite Wooster Elks Lodge Charity Fund Bryce Chesser Morton and Susan Stuhlbarg* Karina Guajardo’s 18th Birthday Carla Ellard Toni Ellard Jose Angel and Julia Guajardo Jake Hampton Wallis, Monica, Natalie and Nicole Hampton Rylie Hayes Mark Beasom Sydnee Jensen Linda Jean Cohen Levin* Wynn and Dorian Johnson Rebecca Krause Ryan and Braden Kapes Louise LoRiggio Michael Ong Allison Kirch Sandra Barstow Logan Marcotte Edward Emanuelson Chris and Erin Miller Kurt and Brenda Warner Declan Moylett Jordan Bustos 6 Carley Trocheck Vickie McFarland Scotty Whitecotton Lennie Forkas Donations In Memory of Paul Adams Nettie and Flip Archard Lynn Ann Witt Geoffrey Anders Estelle Culpepper* Stephanie DeAngelis Carol Treutlin* Tiffany Evans Geraldine Booker H.R. Domnitz Kathy and Judy Engelhardt Debra Fink Christina Lutz Larry Stirling Sharon Thomas Petey Feibelman Phyllis Feibelman* Gabriella Giannone Marcie Williams Ament Maraline Ashley F.J. and Mathilda Blahosky Lisa Boucher Bristol Developers, Inc. Charles and Rosemarie Buccino Dan Clifford* Francine Consolazio Peter Coppola and Cathryn Cavanagh Linda and Joseph Dante Joseph DeNaro Frances Di Carlo Steven and Wendi Digangi Tracy Elgersma Cathleen Etlinger James Evans Joseph Ferrary Susan Ferrary Sean and Michelle Finnerty Stephen Franklin Lynn Gasaway Erica Gendel Marie and Erik Glaser Leonard and Ellen Hauser William and Jill Helm Debi Hessel-Roher Amy Huber Terri Klein Jill and Matthew Kuczek Jeffrey and Gail Lahm Arlene Langowski and Luke English Lynn Lilore Christy Little Diane and Vito Locascio Rose Marie Malanga Charles and Paula Margiotta Joan and Joseph McCaffrey Edward and Diane McLeod Marlene Molinoff Robert and Linda Montanino M.G. Murphy Nick, Donna, Nicholas, Natalie and Nina Muzzicato John and Jacqueline Natoli Jerry and Teri Nemeroff Ellen Newman Miriam Newman Joy Orlowski Cynthia Panebianco Passaic Valley Ice Hockey Parents Association Josephine Placa Mark Pollack David Porcelli Lisa Prospero Diane Rapczynski Kathryn Reilly Carol Rouski Michael and Nicole Russo John and Maureen Saar Ryan Scharfy Anthony Sgammato Arline Signorella Dennis Slavin Kevin and Jennifer Smyth Summit Sales & Marketing, Inc. Jessica Taylor Kirsten Theodos Joella and Robert Thompson Fran and Joe Torella Evelyn van der Wyk Antoinette and Anthony Ventura Frank and Lorraine Ventura Roy and Theresa Walters Denise Weber Laura Strothmann Williams Carolyn Zack Brenda LaBeth Tracy and Roger Clay Terri and Miles Cramer Dwayne and Shelley DeVries Henry and Barbara DeVries Aurora Laorenza American Ring Company, Inc. John Avjian Joseph and Ana Calandrelli Michael and Delia Cinieri Barbara and Paul Costa Jennifer and Christopher Delmastro Rachel Emerson Dayna Gilchrist Adeline Giuliano Virginia Rand and Cheryl Hinkson Cathie Hood Elise and Alexander Laorenza Gerald and Joan Lapierre Elizabeth Leonardo Dolores Lopez David and Grace Mello Donald and Helene McDonald Shelley Parness Janet Plant David Prata S.C. Raymond Norma and Joseph Renzi Jr. Dolores Sabatini Catherine Scampoli Susan and Joseph Scichilone Judith and Brian Skeffington Vincent and Anna Maria De Tora Leonard and Dorothy Wasilewski Leona Zienowicz * Annual Fund donor Donald Miller Anita McFarland Todd and Tracy Miller William Orr John Williams Joseph Rafftery Elonie Bezanson D-Y Regional Class of 1971 Douglas and Sharon Frisby Kevin and Sheila George Jacqueline Judson Tom and Kim Whitecotton Richard Rotelli Michael and Veronica Vacca Matching Gifts Abbott Laboratories Employee Giving Campaign Exxon Mobil Foundation Retiree Matching Gift Program Gap Foundation Gift Matching Program Microsoft Matching Gift Program Wellpoint Associate Giving Campaign Noah Scott Donald and Gail Di Rubio Fundraisers Brett Sessions Dean and Julia Azar Ana Luisa Baker Wendy Finkelstein Cheryl McKiearnan Robert and Leigh Ann Ramsey BioMarin Jeans for Genes Day fundraiser Bowl for Caden fundraiser hosted by Troy and Dianne Mitchell in honor of their son Caden for MPS II research Post Office charity event hosted by Mark Lessing Mark Stevenson Ida Bilthouse Rev. and Eleanor Boyles Gary and Beulah DeGraaf Don and Dorothy Gracenendyk Dorothy Groenendyk Robert and Beverly Jurecic Raymond Klyn Sylvia Langstraat Judy Oppewall Pella Corporation Employees MES Department Brent and Susan Pierson Marie Renn Lilo Ritter Sheldon Starkenburg Ethel and Ben Stevenson Catheryn Van EE Jochem and Marlene Vugteveen * Annual Fund donor Donations Mary Starr Adams Dean and Kathy Aker Frederick and Nancy Andrews* Melvyn and Millie Anhalt Barney and Betty Arceneaux Marjorie and Robert Austin Wayne and Catherine Bardsley Norman White and Eileen Basquill Frank and Lorraine Bien John and Jennifer Birmingham Joe and Katherine Bonville Marie Bonville Stephanie Bozarth Dan and Deb Brockman Vaughn and Nancy Bryson* Andrey and Marina Bulkhak Heidi and Keith Caswell Earl and Pat Chambers Mike, Margaret and Grace Ciacciarelli Kent and Karlene Classen Stephen and Denise Clayton Jeffrey and Julia Conner Robert and Laura Cowin Trampus and Amanda Craig Bart Barner and Patti Cuddihee Dan and Linda Day Robert Desnick Bonnie and William Doster Maurice and Jeanne Drew Charles and Josephine Ellard Tara and Jack Elston Lennie Forkas Jason and Jaime Fowler Surabhi Garg Richard and Ronni Gates Kevin and Andrea Gates Vincent and Shirley Giles Tom and Anne Gniazdowski Luis and Angela Guajardo Donna Gulisano Susan Hale Sheryl Hall Wallis, Monica, Natalie and Nicole Hampton Paul Harmatz Jeff and Barb Harrell Walter and Judi Hauck III William and Jacqueline Holt Todd and Jennifer Howard James and Saundra Huff W. Andrew and Lauran G. Jack Jewish Communal Fund Gary and Paula Kacer James Kalteaux John and Janet Kappel Beth Karas Heather and Richard Kasarda Kevin and Mary Kimmet Gary Kirch Earl and Doris Klenke Mike and Cami Lane John and Joyce Lane Donna Kay Langan Steven and Camille Lanier Darren and Patty Latham* Judith Leger Catherine Lewis* Lathryn and Hai Lieu Cynthia and Gene Logan Barbara Lyons Jason Madison Andre and Melissa Marcotte Dorothy Mask Dick and Pat McCann Stephan and Marie McClurg Matthew and Shannon McNeil David and Christina Michelmore* Joe and Paige Migliozzi Jim and Paula Moskal* Michael and Anita Muonio Rosa Navarrete Eileen and Lawrence O’Steen Lawrence Pacl Mary Jo Page Thomas and Vickie Patterson Cynthia and William Plunkett Samuel and Nancy Ramsey Gene Rice Sherrie Roman Carl and Donna Rose George and Athena Sarantinos Muhanad Jawad and Juman Shawkat Arthur and Marilyn Sheekey Tami Slawson* Robert and Cheryl Slowey Mike and Barbara Smith Jack and Barbara Sorter Bill and Ann Stark* Tracy Szemanski Richard and Karen Thaller The ESCO Group Hal and Laura Thorsrud Sent and Mary Visser Gordon and Tanya Wahl Marie Wegener Paul and Kristin Wehrle Tom and Theresa Weisenbach Donald and Lisa Wells Hubert and Elaine Willman Wilmington Blue Rocks, LP Phyllis Wilson Gordon Wingate Carrie and Doug Yates 7 2009 Recap Board of directors continues to push forward innovative initiatives The board of directors of the National MPS Society meets three times a year, as stated in the bylaws. This diligent group of dedicated members strives to fulfill the Society’s mission of finding a cure for MPS and related diseases. The following overview of the 2009 meetings summarizes how your board is directing resources to efficiently and effectively support research, and support individuals and families affected by MPS. A complete copy of the minutes can be obtained by contacting the office. The first board meeting of 2009 was held Feb. 7 in Raleigh-Durham, NC, headquarters of the National MPS Society. A day of board training was provided on Feb. 6 by Beth Briggs, president of Creative Philanthropy in Raleigh, NC. • Approved the appointment of Austin Noll as new board member. • Discussed policy of stock sales, and plans to explore financial planning and investment opportunities with an investment company. • Hosted speaker Gail Perry, ambassador of local fundraising chapter in North Carolina. Reviewed committee goals, fundraising development, board focus, governance and staff work associated with policy making. • Announced completion of the anesthesia booklet and fact sheet publications. • Announced that Web site redesign will begin in 2009. • Approved family subsidies for attending the Disney conference, including two complimentary hotel nights and a 30 percent discount on park tickets. • Approved thank you note policy and board member pledge forms. • Approved funding allocation for general research, MPS II, MPS III, ML and a one-time grant with the Lysosomal Storage Disease Network in the 2009 budget. • Approved 2009 budget. The second board meeting was held June 6, 2009, in San Diego, CA. • Welcomed Terri Klein, new development director. • Discussed investments, diversification, bank fees and audit procedures. • Update on 2010 family conference at Knott’s Berry Farm in California. • Announced that a charitable solicitation licensing program is recommended by the Fundraising Committee and will be implemented by the development director. • Presented five submitted grant proposals to be funded in the second quarter of 2010. • Discussed that additional targeted solicitation reports will be generated using Donor Perfect for developing and tracking funds. • Presented recommendation for joint fundraising policy for governing fundraising events that benefit more than one nonprofit. • Discussed the following fact sheet reviews and edits: Uses of Developmental Testing, Orthopedic, Otitis Media, IEP Tips for Parents, and Pain Management. • Announced that the seizure fact sheet is complete. • Announced that a commitment was made with Mark Rowe for the 2009 Web site redesign. • Announced that 20 Continuing Education scholarships and 20 conference scholarships were awarded by our Family Support Committee to members in 2009. • Announced that $303,000 has been allocated to Family Assistance programs since 2002. 8 continued 2009 Recap •P resented by the Technical Committee, 33 letters of intent for research grants received, committee requested 12 full proposals; 11 were submitted. •D iscussed formal announcement for the MPS II clinical trials and determined this cannot happen until all legal and regulatory issues are resolved. • Approved Equal Employment Policy. • Approved Investment Policy. • Approved Pharmaceutical Policy. • Approved T-Shirt Policy for fundraising and walk/run events. •A pproved adhoc Governance Committee document and statements: Have the Desirable Qualities for Board Member, Board Culture Statement and Board Nomination Process Statement. The final board meeting was held Dec. 17, 2009, in Orlando, FL, during the 23rd Annual Family Conference. •W elcomed new board members Gordon Wingate and Jennifer Clarke, whose terms began Jan. 1, 2010. •D iscussed CD and investment options with Austin Noll and Gordon Wingate to follow up with quarterly reports. •R eceived Dr. Kakkis’ final installment for the endowment. This completes the endowment commitment. •A nnounced that the Lysosomal Disease Network received a rare disease clinical network $5 million grant (19 grants total awarded). This grant requires advocacy group involvement. •D iscussed National Organization for Rare Disorders/EURORDIS global online community in development with MPS III as one of the targeted diseases. •P resented National Institute of Health meeting highlights that included importance of natural history studies, impediments of clinical trials, and update on newborn screening with inadequacies in screening available for MPS inclusion. • Presented current year-to-date fund development margins with targeted solicitation report. • Discussed top donor onsite meetings. •W alk/run breakfast will now include all fundraising events throughout the year for recognition. This tradition will continue in future years. •A nnounced that nine fact sheets have been updated for use and the ML II/ML III booklet is now complete. All booklets are now branded. •A nnounced that the Education and Publicity Committee is producing and editing a thorough membership survey. •A nnounced that the international MPS Web site will be integrated and maintained by the National MPS Society host. •P resented to the board that two Extraordinary Experience recipients were awarded for an SAT prep class and high school band camp. •A nnounced 11 grants were awarded in 2009 for medical durable goods, averaging $1,445. •D iscussed in detail the goals and board development plan for the Governance Committee. • Discussed the 2010 CYCLE conference that will be held in Los Angeles, CA. • Presented board duties and jobs for the Disney conference. •A pproved adhoc Governance Committee to be a standing committee in 2010 with no change in committee members. • Approved amendments to Board Travel Policy. 9 Financial Summary National MPS Society Financial Report Summary The Society annually obtains an audit of its financial activity and files a Form 990 with the IRS. For additional information, contact the Society’s office. 2009 Actual*2010 Budget Beginning Cash Balances Restricted for Endowment, Research $ 1,524,381 $ 1,737,860 and Family Assistance Unrestricted 668,206 612,040 Inflows Annual Fund Conference Income Donations/Fundraisers — General Donations/Fundraisers — Family Assistance Donations/Fundraisers — Research Dues Interest Operating Grant/Sponsored Revenue Corp. Gifts/Foundation Grants/Major Gifts/Endowment Walk/Run Research Fundraiser Sale Items Total Inflows $ 1,451,666 Outflows Administrative $ Bereavement Conference Education — Newsletters, Booklets, Web Page Family Assistance — Direct Fundraising Legislative Membership Database and Directory Office and Equipment Personnel Research Total Outflows 73,677 178,458 151,145 20,810 167,846 39,152 32,492 92,500 402,500 283,567 9,519 $ 1,074,000 40,081 $ 5,728 299,715 56,822 44,098 76,490 9,939 20,763 51,915 210,802 478,000 $ 1,294,354 75,000 159,000 133,000 18,000 100,000 38,000 38,000 150,000 80,000 280,000 3,000 43,300 15,400 297,500 58,300 51,200 60,500 15,000 24,500 51,000 230,924 440,500 $ 1,288,124 Ending Cash Balances Restricted for Endowment, Research $ 1,737,860 $ 1,560,701 and Family Assistance Unrestricted 612,040 575,075 * 2009 Unaudited data 10 International MPS Day, May 15, is a way to honor everyone in the MPS community. It offers an opportunity to remember all the children and adults who suffer from MPS and related diseases; to think about the children we have lost; to recognize the doctors and scientists who are dedicated to finding a cure; and to remember each other and be thankful for the strength and support we both give and receive. Following are some ways MPS day was celebrated this year. We took T-shirts left over from our walk/run and lollipops to Ryan’s brother, Adam’s, school and passed them out to students in his fourth grade class. We also handed out a little paper with some information. For Ryan’s sister, Jana’s, first grade class, we made little bags with inforomation, a purple balloon, ribbon, a marker and a lollipop. We asked the kids to write an MPS message on the balloon, blow it up and play with it on May 15. Ryan came with me to Adam and Jana’s classrooms and gave high-fives all around and a few hugs too. The kids are always excited to see him. For Ryan’s preschool class we made kites and took them outside and flew them. We also sent lollipops home with a sticker on them with information on it. The kids had a blast making and flying their kites. It was really cute to hear the preschoolers from Ryan’s class running with their kites outside yelling “MMMMPPPPSSSS!!!!!!” Marie Hunt (mother of Ryan, MPS II) Jay Raftery, father of Joey (MPS III), and a friend took a banner (pictured below) to New York City and were in the crowd outside the Today Show on May 15. Jay worked hard to spread awareness about MPS Day and also the Senate resolution. International MPS Awareness Day International MPS Awareness Day 2010 Grey Chapin (far right) raised more than $1,200 on MPS Day at her lemonade stand. Grey’s sister, Blair (left), has MPS III. 11 International MPS Awareness Day On MPS Day, I wore purple as a sign of strength, courage and hope for all the kids of the past, present and future who will battle these terrible conditions. My daughter Allison (MPS I) also wore purple and passed out purple lollipops and purple ribbon temporary tattoos to her classmates. This gave her a chance to tell her peers about her life and how MPS affects her. Allison also brought ribbon cards for all of the teachers in her school. My other daughter Ashley, 9, wore purple and held a fundraiser to benefit the National MPS Society. Students paid $1 to wear a hat, and were able to purchase purple lollipops and purple ribbon temporary tattoos for 50 cents each. Ashley also gave ribbon cards to her teachers. Last year Ashley and Allison made a video to help raise awareness. Go to www.youtube.com/ watch?v=jTdfZA1LRyo to view it. North Dakota residents will be proud to hear that both of our U.S. senators, Sen. Dorgan and Sen. Conrad, have agreed to co-sponsor a resolution to have May 15 declared National MPS Awareness Day by the United States Congress. We are even raising awareness in our federal government! Jennifer Restemayer On Friday, May 14, more than 80 people dyed their hair PURPLE. The event raised more than $1,100! Stefanie Boyce (mother of Jayden and Brooklyn, MPS III) On May 15 Matt Wojnarowski sang the National Anthem for the Columbus Clippers baseball game and the Clippers honored the Wojnarowski family by announcing National MPS Awareness Day! Taylor’s (MPS III) photo was shown on the big screen. To see a video of Matt singing, go to http://rachelwojnarowski.wordpress.com/2010/05/21/ columbus-clippers-national-anthem-video/. 12 Star Bowen (mother of Mikey Beaver, MPS II) On May 16, 2010, 10 MPS families met at the newly opened Morgan’s Wonderland in San Antonio, TX. Morgan’s Wonderland is a park designed specifically with the special needs child in mind. The park is fully enclosed and upon entering each person receives a bracelet with a tracking device so that a child can always be found. Every area is accessible by wheelchair. They have sensory areas for the touch with water stations, and for hearing with bells and chimes. They have playscapes with a nice rubber floor and wheelchairs can go up and thru the playscape. You can take a train ride around the park or walk the trail, with rest stops every so often that represent a different country. My favorite was the carousel. Usually when a person in a wheelchair wants to ride something like this, they might have to transfer to a chair, or if the wheelchair is allowed, it attaches to the base and just goes around. Here, when I rode with Karina, they attached her chair to a base and the front part of the base went up and down so it gave us the sensation that we were riding a horse. International MPS Awareness Day What an amazing day we had. We met so many wonderful people at the Texas celebration and had a fabulous time. It was so comfortable and relaxing at Morgan’s Wonderland, not only for me but Mikey as well. It felt like …life-altering medicine for a weary soul. We came away feeling new and refreshed. Frustrations, pain, turmoil, fears and daily tiredness were left at the front desk and not returned to us upon leaving. Mikey has always been a very happy soul but on that day he glowed like I have never seen before. Mikey Beaver (MPS II) Hodgkins (MPS II) and Guajardo (MPS III) families It was great to get together with other MPS families too. We all played for a while and then met under the pavilion for lunch. Thanks to my sisters, Toni and Carla Ellard, and my cousin Laura, we received donations from HEB, Walmart, Sun Harvest and Schlotzsky’s and were able to provide plenty of sandwiches, chips and fruit. Everyone brought a dessert to share. We held a small remembrance ceremony with a poem, a song and a balloon release for our MPS family members who have left us. All our kids had a great time. It really is a great place to bring any MPS child. It has to be a good place for MPS families when the park employees wear purple! We hope to make it our annual MPS Day celebration for Texas. Thanks to the Society for its support. Angela Guajardo (mother of Karina, MPS III) Sydnee Jensen (MPS I) and grandpa 13 Family News YOU ARE IMPORTANT TO US, PLEASE KEEP IN TOUCH. Please remember to let the Society know if you are moving. In addition to helping keep printing and postage costs down, you’ll help us keep our database up-to-date. Keep us informed of new addresses, telephone numbers, e-mail addresses, and any interesting news about your child. A Donor’s Story My younger brother, Sam, was born with MPS I when I was 5 years old. He was diagnosed when he was 9 months old and my parents were told he would need a bone marrow transplant in order to survive. So while the biggest concern on all of my friends’ minds was starting the first grade, I was worrying about bigger things. Upon deciding that a bone marrow transplant was the best plan of action, my parents immediately had me tested. I turned out to be a perfect match and everyone was thrilled. I understood that this meant I had a huge chance to help my brother, one that neither of my parents even had. Although I was never hesitant to do something so wonderful for my brother, I’ll admit I was nervous. I understood I would be asleep for the procedure, but it was more the waking up part that concerned me. I’ve never done so well with pain or needles, or hospitals for that matter. After being in and out of hospitals for months and months with Sam, I had gotten over my initial fear of them. But I was used to Sam being the one who was poked and prodded, not me. Even as a baby, he was always braver with that stuff than I was. So come transplant day, I was anxious to say the least. To my surprise, after only five hours I was awake and out of recovery. The pain that everyone had warned me about was almost nonexistent. I climbed right out of bed and went to my brother’s room without a wheelchair. Three hours later I held Sam and watched as my bone marrow was transfused into him. The next morning, I walked the three blocks from the Ronald McDonald House to the University of Minnesota Medical Center where Sam then stayed in a filtered room for the next month. Contrary to popular belief, donating bone marrow is nothing like donating an organ. After donating an organ, that organ is gone forever. Bone marrow replenishes itself in only a few months. I encourage everyone to join the Bone Marrow Registry because I know there are many children with illnesses similar to my brother’s who are not able to receive bone marrow transplants because there is not a match available to them. I also would like to point out that there is no better feeling than knowing you played such an important role in saving another person’s life. Jenna Caswell Friends Danny Latham (MPS I), Wyatt Blancheri (MPS I) and Braden Farrell (MPS I) enjoy the National MPS Society family conference. 14 Family News We would like to thank the MPS Society for purchasing Lucas a cover for his hot tub. Lucas, while only 3 years old, is unusually far along with his MPS III, according to Dr. Muenzer (UNC at Chapel Hill, NC). Lucas is already well into stage 2, so he has a lot of trouble with joint stiffness. Lucas is in physical therapy and water therapy, but due to his age the therapy center will not allow him to use their hot tubs. We never knew how much the hot tub had been helping him until we were no longer able to use it. The cover we did have was broken and finally came to the point where it was unusable. With money being tight and the cover a non-covered item with insurance we were at a loss. Thankfully the MPS Society was able to get us a replacement. Even the supplier, Rec Warehouse in Knoxville, TN, helped the MPS Society by selling the cover at dealer cost. This saved the MPS Society almost half of the amount that was originally quoted. Lucas has since been enjoying his hot tub daily and is now starting to gain some of his flexibility back. So again we would like to thank the MPS Society and Rec Warehouse for helping us. Lucas Hembree (MPS III) enjoys his hot tub. Chester and Jennifer Hembree On Feb. 9 I fell outside of my brother’s house and hurt my right knee/leg. Then I started having problems with my back and neck. My doctor gave me some steroids which helped, as well as physical therapy. I also do massage therapy and I love it! My back feels brand new, more flexible. The massage therapist also is working with me on balance and coordination. I sit on a huge ball and do several exercises, two minutes each. One is just sitting bouncing on the ball, then lifting my ankle up and down. Then marching and extending my legs. We also work the upper body. Each time they add new exercises and have also added a one-pound weight on my arms and legs. I feel stronger and more flexible. I wanted to share this with others, including those in wheelchairs; I believe this will help them feel stronger. It also may help younger children to begin exercises now, which may prevent issues in the future. Fanny Zambrano (MPS IV) Jillian, Lindsey and Kelsey Burke (MPS III C) Clara (MPS III) and Ethan Gibson 15 Family News I write this in hopes that it may help individuals or parents of children who have MPS I. We know MPS presents itself in various ways within the Scheie category and much more so in the MPS I category. I want to share my sister’s and my experience of the manifestation of the condition of MPS I. I am the youngest of three children, being born in 1967. Two of us were diagnosed as having MPS I when we were around 5 years old. That diagnosis was made at Dallas Scottish Rite Hospital. They provided assistance and knowledge at no cost to my mother. Identifying what was happening to their children was a great consolation to my family. I am very grateful to the Scottish Rite for the free care they give to children with orthopedic challenges. I have petitioned and became a member of my local Masonic Lodge. I also plan to become a Scottish Rite member. Around age 4 I went to live with my grandparents in rural Oklahoma. It was a great place for a kid to grow up. I climbed a lot of trees and built several forts and bridges. My grandparents allowed me to grow up a “normal” boy. I don’t think MPS weakens the bones. I have fallen several times out of trees or forts, even had a pretty bad motorcycle accident, and so far no broken bones. I was fortunate to be raised by my grandparents. They grew a lot of their own food and canned much of it. They were almost “organic” farmers before it was cool, as that was the only way they knew how to do it. We ate good wholesome food that grandma made with love. I did not have a lot of soda or candy. I grew up healthy with very few trips to the doctors. Many times ailments were doctored by grandma. She used her homemade salve and cough syrup and herbs. I think staying away from doctors and their medicines have contributed to my quality of life. My MPS was almost not mentioned growing up. It was like we pretended it was not there. My eyesight gradually got worse in high school. I had to sit in the front row to see the chalk board. A man from the vocational rehabilitation came to school to see if anybody needed help with getting college funding. After some coaxing from my friends and a teacher I went to talk to Mr. Carl Dollarhide. He quickly had me set up an appointment at Dean McGee Eye Institute 16 in Oklahoma City. There we met Dr. J. James Rowsey. He performed my cornea eye transplant when I was 18. He was a great doctor. After the surgery, I remember opening my eye and really “seeing” the colors around me. It was like they were fluorescent, bright and clear. It was amazing. I have never had the left eye done. I can barely see the big E on the eye exam chart with it. I think the reason I never had the left eye done is that the surgery slowed me down too much. Oklahoma City is a three-hour trip from here and there were a lot of trips back and forth. There was a long time I couldn’t do much bending over and couldn’t lift very much. I actually do quite well with one eye. I tell people I am waiting until they can plug in a new eyeball. Science is making tremendous strides. The only other eye issue I have experienced is when my ophthalmologist, Dr. Dennis Curtis, noticed I had lost some of my peripheral vision. I still have all of my central vision. He has watched it and believes the loss has stabilized. He is another excellent doctor who stays on top of research. At first he thought my loss of peripheral vision resembled Retinitis Pigmentosa, but after researching it he believes the cells in the peripheral vision should be the only ones affected by MPS. It was strange how change happened gradually. I was unaware I was losing my peripheral vision. When I meet people I can’t see them extending their hand for a handshake until I notice a strange look on their face, then I look down and see their hand. I also realized how much time I spent looking for a tool or and screw. Usually the needed item was right in front of me in my blind spot. Like MPS, the vision challenge doesn’t limit me much, just slows me down a little. Mr. Dollarhide also helped sign me up for Social Security Income. This helped me to be able to afford college. Oklahoma Vocational Rehab paid my tuition, books and fees. I now work for the Oklahoma Department of Human Services. I work for elderly and disabled people and love it. I have been on the other side of the desk and understand the importance of help offered by people like Mr. Dollarhide. What he did was very important in my life. I always had an outie belly button. I understand this is another expression of MPS. I decided to get it fixed, I think mainly for cosmetic reasons. It did great until a few years later, when I was loading some heavy rocks into my truck and a hernia continued When I was 39, my wife’s 90-year-old grandpa was helping me cut and nail cedar siding onto my house. By the end of the day, I was worn out and grandpa was going strong. I realized something was not right. I researched MPS on the Internet and found the National MPS Web site. The information I found was very helpful. When I was diagnosed in the early 70s there was almost no information known. I noticed that with Scheie’s syndrome there was possible heart valve trouble. I made a doctor’s appointment, and sure enough they found my aorta heart valve was leaking quite a bit. I went to a cardiologist who strongly recommended replacing the heart valve; I decided on a metal one. I did research and decided on the ON-X heart valve, but when they went for the surgery they discovered an aneurysm and had to put a Carbomedic heart valve in as it has a sleeve. I am doing great with the heart valve. The openheart surgery was no big deal. I have learned to cope with Coumadin and use a home meter to test for INR levels. My mitral valve is and has been leaking some. The doctors absolutely refused to replace it when they replaced the aorta valve. I guess that is a big deal to do both at the same time. So maybe some day the mitral valve also will need to be replaced. I hope I can get one of those valves that is grown from your own cells and don’t have to take anti-coagulants. One surgery I should have done sooner was the carpal tunnel surgery. I waited until I was 40 and by then most of the damage was done and as I understand it is irreversible. (Of course I know doctors can be wrong.) This is an incidence where acting like an ostrich with its head in the sand was less than beneficial. I now have quite a bit of weakness in my grip and numbness in both hands. With this surgery, I would recommend getting a surgeon familiar and experienced doing surgery on people with MPS. Again these challenges just slow me down a little. MPS I is not who I am. I have done many things in spite of this condition. I built my own house from the ground up. I recently totally remodeled an office building in town. I also have a few cattle and raise the best beef in the world. It is not totally organic, but it is wholesome and natural without any growth hormones or antibiotics, and the grass they eat has no herbicides or pesticides on it. People claim it is the best tasting and most tender beef they have ever tasted. Family News torn through beside the repair. I understand you can have some kind of net placed inside of your stomach, but I also hear of complications from that. So I am leaving it alone. A spiritual woman explained to me once that our navels are where our Solar Plexus is located. She told me my navel stuck out because my will is so strong. I believe that and should have left that surgery off my list. My sister’s experience with MPS is a little different than mine. Her knees were more affected, but my hands seemed more affected than hers. She had the heart valve replaced but chose the pig valve. She also had cornea eye transplants in both eyes. She was on Aldurazyme for about two years. She told me it was not worth it to try it. Karen was three years older than me. She died June 3, 2009. I am convinced the combination of medication or too much medicine was the cause of her death. In addition to Aldurazyme she also was on seizure medicine and pain medicine. Each person’s experience is different. In my experience, a diet with a lot of leafy green salads and fruits feels good to my body. Walking is my best exercise. I feel good mentally and physically. I also enjoy sweat lodges. The sweat lodge cleanses the mental, physical, emotional and spiritual bodies. If you want to try a sweat lodge find an Indian elder who doesn’t charge you for attending. If you can’t find a sweat lodge a sauna does a good job too. I am a firm believer that as a person is presented a challenge in life, we also are given gifts to help with our challenges. Everyone has challenges in their lives. People with MPS challenges are more noticeable than most people. I would be glad to visit you or your child with MPS I. Troy Splawn Rt.1 Box 1232 Antlers, OK 74523 [email protected] 17 Family News It took a lot for me to not e-mail every single picture of Ava at our Make-a-Wish Disney trip, so I tried to include the ones that displayed the times she enjoyed the most, in particular when we saw Barney! I have to admit, I’ve never been star struck until I saw Barney! Ava’s excitement and smiles literally brought me to tears. We love her so much and appreciate her life every day. We love to hear about the experiences and triumphs of other families. It keeps us motivated and inspired. Kelli Roessner Ava Roessner (MPS III) Luke has maintained over a 3.5 grade average and is a member of the National Honor Society. He has been involved with clubs at school, but the one that takes the cake is the Ultimate Frisbee Team! During high school he participated in two mission trips, and for more than six years has helped serve meals at the Bishop Ott Men’s Shelter. After Hurricane Katrina he volunteered every six to eight weeks for more than three years rebuilding houses in Mississippi and Louisiana. He is interested in becoming a biomedical engineer and has been accepted to Louisiana State University. For someone who doesn’t measure five feet tall, he has drive and a heart that is beyond measure. Luke Bosse (MPS VI) Mignon Bosse Like all of us with MPS children, we never knew how far we could stretch, how much we could love, how little sleep we could survive on, or how many amazing people and blessings could come to our aid in a time of need. I wanted to share how much I had learned from my daughter, Dove, who had MPS I, in hopes of supporting and perhaps even inspiring others. I wrote my own story called “It’s All a Form of Grace.” Then I began to collect stories from other mothers who had their own version of being asked to rise to occasions they never thought possible, and to grow in ways they could not previously imagine. All of us ultimately embracing the teachings brought by our children. During the past two years, I helped all of these mothers bring their stories into form. I then published “Fearless Nest/Our Children As Our Greatest Teachers,” an anthology of 22 essays. If you or someone you know would be served by reading the emotionally honest and heartfelt struggle of other mothers and how they found their way, go to www.FearlessNest.com or send an e-mail to [email protected]. Shana Parker 18 Shana Stanberry Parker with her daughter Dove Angela Stanberry (MPS I) Family News Jack, Matthew and Tyler (MPS III) Langan Jake and Sam Slawson (MPS I) Clay Howard (MPS II) gets the catch of the day! Opal Dummann with Uncle Sean Dummann (MPS III) 19 Fundraising News National MPS Society Receives 4-Star Charity Rating “On behalf of Charity Navigator, I wish to congratulate the National MPS Society on achieving our coveted 4-star rating for sound fiscal management. As the nonprofit sector continues to grow at an unprecedented pace, savvy donors are demanding more accountability, transparency and quantifiable results from the charities they choose to support with their hard-earned dollars. In this competitive philanthropic marketplace, Charity Navigator, America’s premier charity evaluator, highlights the fine work of efficient charities such as your own, and provides donors with essential information needed to give them greater confidence in the charitable choices they make. “Based on the most recent financial information available, we have calculated a new rating for your organization. We are proud to announce the National MPS Society has earned our 4-star rating for its ability to efficiently manage and grow its finances. Approximately a quarter of the charities we evaluate have received our highest rating, indicating that the National MPS Society executes its mission in a fiscally responsible way and outperforms most other charities in America. This “exceptional” designation from Charity Navigator differentiates National MPS Society from its peers and demonstrates to the public it is worthy of their trust.” Ken Berger President and Chief Executive Officer, Charity Navigator Sponsor a Child for a Cure 2010—Don’t get left behind! Fundraising Committee: Steve Holland, chair Ernie Dummann Steven Frye Jenifer Gibson Shane Gibson Anne Gniazdowski Tom Gniazdowski Angela Guajardo Larry Kirch Terri Klein MaryEllen Pendleton Naureen Sayani Laurie Turner Barbara Wedehase We are excited to launch the Sponsor a Child for a Cure program nationally! If your family has wanted to participate in a walk/run event to raise money for research we have created that opportunity. This program reaches out to families and members of the Society that want to sponsor an affected loved one or a child who has passed away, and help find cures for MPS and related diseases. Walk/runs across the country will be participating in this program. The event coordinators are ready for your calls! All you need to do is: • Submit a photo of your loved one to the race you wish to participate • Include the name of your child and address • Get sponsorship and send to the National MPS Society In turn, the event will: • Assign a runner to participate on behalf of your loved one • Send you a courage medallion and photo with your assigned participant • Publish everyone and all the money raised in an upcoming Courage magazine The Sponsor a Child for a Cure program ran a pilot in 2009 in both the Los Angeles and Boone, NC, walk/run events. This was very successful and exciting for the families who participated. The assigned runners were inspired by our heroes of MPS. Together they paved the path of continued hope. We hope the following stories from a few of our participants inspire you. continued 20 Fundraising News “I am not a regular runner like I was in my younger days. I knew I would be attending the walk/run in Boone, NC, but was unsure which I would do, walk or run. The Society asked me if I would carry a photo of one of our MPS children as I raced, as they could not attend, and of course the answer was yes! The inspiration of putting out effort for someone else, though I had not met them, made my decision clear: I would run as hard as my body would allow. The inspiration was needed at the half-mile, as my legs suggested I quit. Knowing what my running buddy must go through on a day-to-day basis, quitting was not an option. The race was finished, mission accomplished! Thanks to my new buddy for giving me the push. I wish I could return the favor.” Mike Schleter, Minneapolis, MN Mike Schleter, who ran for Connor David Vanderveen (MPS II), from Alberta, Canada, finished in third place in the age 40–45 5K. Lauren Hartman, Shire Pharmaceutical in Lexington, MA, finished in third place in the age 30-39 5K. “The morning of Nathan’s North Carolina Walk/Run was far from the bright, crisp, autumn-in-the-mountains vision I had of how race day was going to be; it was damp, chilly and rainy. Although I was very excited by the opportunity I was given to participate in this race, I awoke feeling a bit less enthused about leaving my warm hotel room to run 3.1 miles in the cold rain. That all changed when I was asked to run on behalf of Madison Dula. When I saw the picture of that beautiful, smiling little girl, I knew I could do it. Madison and I were a team and we were going to run together, no matter how gloomy the weather was! The best part of the whole experience was after I finished the race when I was able to meet Madison and her family. Race day may have been a bit gloomy, but my memories will always be bright and cheery!” Tonya Price and her daughter Madison Dula (MPS III), age 8. Lauren Hartman Jack Burke ran for his sister, Edie Burke (MPS I), who gained her angel wings at the age of 9. Jack finished in ninth place overall and first place in the age 13–19 5K event in Boone, NC. 21 Fundraising News Ways to GIVE • Renew your membership or sponsor another family • Gifts in honor of a special person • Gifts in memory of a special person • Matching gifts through your employer (check with your human resource office) 1. Request a matching gift form from your employer 2. Complete the employee section of the form 3. Mail to the Society and we’ll do the rest • Contribute through the Combined Federal Campaign if you are employed by the federal government — CFC #0845 • Designate the Society as a member of your local United Way. You will need to supply them with the Society’s name, address and Federal ID number (FEIN #11-2734849) • Annual Fund donation • Major gift (usually 10 times that of your Annual Fund gift) • Planned gift 1. Bequest in your will 2. Charitable remainder trust or charitable gift annuity 3. Charitable lead trust 4. Life insurance policy 5. Gift of appreciated assets (stocks, mutual funds and bonds) • Gifts may be applied to the Society’s general operating purposes or restricted to one of our designated programs. CONTACT: [email protected] or 877.MPS.1001 Fundraising Reminders • Don’t forget to submit a brief article for Courage about your fundraising success stories and suggestions—they are terrific resources for other families planning events. • Check out the fundraising section on the Web site for more information or to post your event. • For free MPS Society brochures and donor envelopes, or to submit information for the Web site or Courage, send an e-mail to Terri Klein at [email protected]. Keep in mind—Casual Dress for MPS, the Annual 5K Walk/Run and the Annual Fund are great ways to raise money for the National MPS Society. 22 A Warm Welcome introduces new Society members/families and offers members yet another chance to connect with one another. If you have a moment, please contact the new family to say hello and welcome them into our MPS family. If you have been a member for a longer period of time, but would like to introduce your family to the rest of the Society, please e-mail Laurie Turner at [email protected]. The National MPS Society welcomes the White-Harrison family from Gilbert, AZ. I’m a single mom and have worked in the daycare field for 23 years. My oldest son, Michael, is 23 years old and has been in the banking industry for about five years. Michael is a very outgoing person; he loves to play basketball and go to the gym. He is very sociable. He loves his brother and sister with all his heart. Michael is very supportive and has a wonderful heart. He has grown up and become a truly wonderful man. Justin is my middle son, but we usually call him Jweezy. He is 16 years old and attends Highland High School. Justin was diagnosed with MPS IV at the age of 3. He has such a big personality, is very outgoing, sociable, and loves basketball and music. Justin has been assistant manager with the Highland High School basketball team for two years. He also is student council treasurer. Justin is very thoughtful and caring, and loves his sister to death. After high school, Justin would like to be involved in basketball or music. Kianna is the baby of the family. She is 14 years old and goes to Highland Jr. High School. Kianna also was diagnosed with MPS IV at the age of 3. She loves school, shopping, reading, writing, and hanging out with family and friends. Kianna is very independent, and sociable when she gets to know you, very thoughtful, caring and loves to do things for people. Kianna and Justin are very close and love each other more than words can express. They bump heads here and there but their relationship is strong. After high school Kianna wants to be a lawyer and make a difference in the world of justice. She also loves cake decorating and hopes to pursue it in the near future. Kianna and Justin are both full of life and live every moment as if it was their last because you can only live a day once. – Darla A Warm Welcome A Warm Welcome One year ago I got a call from Bridget at Hope Kids asking if she could she give my number to Cami, whose son has MPS IV. That day changed my life forever. Since the kids and I have never had contact with anyone with MPS IV, it took a couple of days to grasp the concept that I am not alone anymore. I contacted Cami and we talked about her son Trey and his wonderful adventures, and I told her all the good things Justin and Kianna have done in their life. A couple months later we got to meet Cami and Trey and his grandmother. It was a truly wonderful day, and a new beginning to our life. In talking with Cami I learned about the National MPS Society. I feel truly blessed to have met the Lane family. I also am blessed to have met Jerry, Kaylene and Taylor Willis (Taylor has MPS), and Maryellen Pendleton who is aunt to Nana (Gwen), Justin, Kianna and Darla Allison Kirch (MPS III). We hope to attend the 2010 conference in California so we can meet other MPS families; those we have met so far are amazing. Together with family and friends we are going to start doing some fundraising and spread awareness of MPS. I would like to tell parents you are not alone. Find support groups and talk to people about what you’re going through. For me, 13 years ago I didn’t look for support groups, and I think it would have been better for me and the kids to be able to talk to people who were going through the same things. But it is never too late. continued 23 A Warm Welcome Thanks to the MPS Society for letting us tell our story. Special thanks to Terri, Jen, Laurie and Jocelyn for taking time to talk with me. It has meant the world to me and the kids that you are in our life. To read more about Justin and Kianna go to www.bigheartsandlittlemoments.blogspot.com. Upcoming Events One of the most important members of our family is our mom, Darla Harrison. She is the best mom in the world. We love her so much. She has taught us to be respectful and considerate of others, and to never be rude or disobedient toward her or other people. There is no way we will ever be able to repay her for what she has done for us. Our mom is the best mom we could 24 have ever dreamed of and we wouldn’t trade her for all the money in the world. She gave us birth and from day one we knew she was already the best. When we were diagnosed with MPS IV she never put her head down and said she couldn’t do it, she just showed everyone how strong she was and no matter what, she would give us a good, normal life and provide for us. Our mom is the strongest, most caring, considerate, kind, loving person, and we are glad we were blessed with a mother like her. We would like to say thank you, mom, for everything, and thanks for making us the wonderful kids we are today. We love you! – Justin and Kianna National MPS Society 2010 Family Conference Plans are under way for the Society’s 2010 family conference to be held Thursday, Sept. 30, through Saturday, Oct. 2, 2010, at Knott’s Berry Farm Resort Hotel in Los Angeles, CA. In addition to presentations from leading researchers and clinicians, interactive workshops will focus on topics our members have requested. Two additional conferences will be held prior to the family conference: Celebrating Your Child’s Life Experience (CYCLE) for bereaved families, and Independent Living for Adults with MPS and Related Diseases. Information and registration materials have been sent to members and are posted on our Web site, www.mpssociety.org. Mark your calendars now! Society Plans 2011 Family Conference The 25th Annual National MPS Society Family Conference will be held July 28–30, 2011, in St. Louis, MO. The beautiful Sheraton Westport Chalet Hotel is nestled in St. Louis’ impressive West Port Plaza area, just minutes from some of the city’s most popular attractions. West Port Plaza offers access to more than 30 restaurants, exclusive shops and entertainment. Save the date to attend this conference which promises to offer all the updates on research, medical care and topics that you’ve requested. Aurora Laorenza 13, MPS I, 2/22/10 3, MPS III, 2/6/10 Heather Dettmer Mark Stevenson 26, MPS III, 5/15/10 24, MPS II, 3/10/10 Eddie Ducham Sandra Christine Webb 23, MPS I, 5/10/10 10, MPS III, 4/25/10 Gabriella Michele Giannone 5, ML II, 2/28/10 Eddie Ducham, MPS I 11/13/86–5/10/10 Eddie Ducham: Small in stature, big in impact It was quite fitting, his mother said, that Eddie Ducham died early Monday evening during his beloved “Jeopardy!” Eddie, while small in physical stature, greatly inspired the people he met with his cheerful manner, ever-present smile and handshake. He was 23, and the son of Al and Jean Ducham of Midland. Eddie had Hurler syndrome, which meant his bone marrow was missing an enzyme that broke down sugars. He had a rare marrow transplant at age 2 1/2 that most likely extended his life. Just recently, though, he was diagnosed with cancer unrelated to Hurler. It is this cancer that took his life. The happy toddler who grew into a happy adult touched the lives of many people, both locally and afar. Casey Logdson first met Eddie when they were at H.H. Dow High School. They would sit together in class, and she looked forward to Eddie’s smiles every day. “One of my favorite memories with Eddie is when Jean had asked me to watch Eddie while she and Al went on a date. That was by far one of the best nights I have had. I ended up taking Eddie on a picnic to a local park and we brought his little CD player to listen to his music. Then we ended up back at his house to play two hours of shooting hoops (Eddie beat me, of course) and then the night came to an end with ‘Jeopardy!’ and ‘Wheel of Fortune’ reruns. As I sat there thinking about my life and thinking about Eddie’s, I realized that Eddie had changed my life for the better.” Remembering Our Children Brittany Austin Logdson touched on two of Eddie’s favorite things: music and “Jeopardy!” In fact, Eddie had been to the set of “Jeopardy!” twice and met with host Alex Trebek. New York parents Heidi and Keith Caswell’s son Sam is post transplant for Hurler syndrome, and first met Eddie 10 years ago at a Hurler conference. “From the first moment that I held his hand he took a piece of my heart,” Heidi wrote. “Eddie is pure love and pure joy. Although he was a ‘gift’ given to his parents for too short a time, he has touched more hearts in his lifetime than most do who live to be very old.” Eddie, a long-time participant in the special needs program at the Midland Community Tennis Center, lived in the moment and celebrated every step of the way, said Mike Woody, the center’s executive director. “No matter how much you helped Eddie he always surprised you in that you received more in return,” he said. “His joy and love for life made you smile from the inside out.” continued 25 Remembering Our Children Bridget Sullivan, executive director of Railway Family Center in Coleman, talked about how both Eddie and his family helped educate a community. “Together, Jean and Eddie showed us that Eddie was special, not because of his disabilities, but because of his incredible abilities—his attitude, his humor, his loving nature, his ability to teach people acceptance.” Eddie would attend Midland Lions Club’s parties with his parents, and that’s how Clint and Sandra House came to know him. “In spite of Eddie’s physical issues, he had a contagious, joyous spirit,” the Houses wrote. “He was affectionate, always enjoying hugs from his family and friends. We have great appreciation for the way Eddie enjoyed his life in the face of difficulties. He was a brave boy.” In the late ’80s, Eddie was one of the first children to undergo the rare bone marrow transplant for Hurler. “Eddie and our Jonathan were on the same bone marrow transplant floor,” wrote Jonathan’s mother Pam Dean of South Carolina. “They each had a bone marrow transplant to give them the enzyme their bodies were missing. Without this enzyme their life expectancy was 10 years. Eddie has helped pave the way for all of those who have come behind him to live. Without him laying the groundwork and walking through the protocols for bone marrow transplantation, others would not have been given the chance that they now have. Because he and his parents took the chance, others are now living complete and full lives.” Upon hearing of Eddie’s death, Dr. Chester Whitley, who oversaw his bone marrow transplant at the University of Minnesota Medical Center, e-mailed the Duchams. “Eddie was a very, very special young man and his shining face is clear in my mind right now. He— and both of you—have an indomitable spirit that has served you so well. And this spirit has been contagious, something that has been felt by many, and that has affected all of us who have known Eddie. It makes us all want the most out of life.” Reprinted from Midland Daily News, Midland, MI. Andrew Jump, MPS III 10/9/97–5/19/09 Andrew Taylor Jump entered into our lives on Oct. 9, 1997. We were so excited and could not wait for Andrew to be born. We waited seven years to have a baby after we had lost our twins prematurely. Andrew was the joy and promise we longed for. He was so beautiful and had a smile that was electrifying. When he giggled it sounded angelic because you knew he was happy. Little did we know that Sanfilippo syndrome had entered our lives with Andrew. Andrew initially did not let it slow him down; he was so strong and he gleamed with joy. No matter what type of day we experienced, Andrew would stare into our eyes and smile that beautiful smile. He made us realize that nothing else mattered and to cherish the time we had together. Andrew Jump (MPS III) Andrew was not just my son, he was my best friend. I was honored to be his father and to be his comfort. I would love to hold him in my arms and just stare into his eyes. Andrew had to succumb to more pain than I would wish upon anyone. Even though Andrew became nonverbal he was able to communicate what all of us take for granted. Love is strong and cannot be defeated by Sanfilippo syndrome or any other form of kryptonite. Andrew taught Paulina and me how valuable life is and that is why he will always remain our Superman. We love you and miss you so much, Andrew. Daddy, Mommy and Alexander 26 Remembering Our Children Susannah White, MPS I 4/15/99–7/24/08 Three Feet of Sunshine Remembering Susannah and sharing a ray of her sunshine in celebration of her 11th birthday by Allie Bergeron I was 13 when it finally hit me. Life isn’t fair, life has never been fair, and life is never going to be fair. I’d been told this since I was younger but I never really applied that statement to my own life. Bad things didn’t happen to good people was how I saw it. That made more sense anyway. What I still cannot make sense of is why someone so good would be taken so fast. Life is like a lake, not a box of chocolate. This is not to say that I don’t believe you never know what you’re going to get. But life is so much more than that. In this lake there’s knowledge and peacefulness but there is also turbulence, currents and creatures just waiting to pull you down to the bottom. Our goal: to make it across the lake. At 9 years old you would guess someone to be about waist deep. Susannah wasn’t just waist deep. She had swum across the lake, to its depths, around the lake and to the other side. Susannah suffered from a disease, the treatment for which had completely destroyed her immune system. The common cold that we pass off as part of our everyday life could have killed her. Everyday activities posed an extreme risk. Just being outside required her to wear a facemask. Before going inside her house, shoes were to be taken off, and hands thoroughly cleaned. Walking up to her door I remember a bucket filled to the top with mismatched and colorful shoes, and a sign on the door requesting everyone to wash their hands and not enter if they had been sick recently. Multiple bone marrow transplants and many years at the hospital couldn’t help her. She was 9 years old but she looked 3. She didn’t speak much so she communicated through sign language, grunts and her signature stance. Her stance consisted of her hands on her hips and stomping her foot, this meant she wanted something, or just felt like being sassy. Susannah was strong; she had looked death in the face quite a few times and won. She had seen pain and suffering firsthand. She didn’t get outside much, but when she did, she embraced nature; she loved it. She never took anything for granted; every hamburger or every bite of chocolate ice cream was a gift, not a necessity. She looked at everyone, no matter what race, with equality. Susannah was the most nonjudgmental person I have ever met. Being with Susannah, I quickly learned her rules, which I now apply to my own life. Rule One: Be organized. Susannah always had a list. She would hold out her fingers and count while you named what we were doing, in that order. You had to repeat this several times before she was sure of exactly what she would be doing that day. Rule Two: Be persistent. If you promised Susannah something, she reminded you until you followed through. When she wanted to swing, she would make the sign for swing over and over until you took her outside. Rule Three: Be inclusive. Susannah wanted everyone to play, no matter how big or small. Baby dolls, stuffed animals, and real animals that often weren’t supposed to be let out of their cages were invited to play with her. I remember the miniature kitchen set she had in her playroom. Susannah loved to “cook” and have “dinner parties.” Barney, Big Bird, Ben the Baby doll, and various American Girl Dolls were some of the regulars invited to these events. Rule four: Be yourself. If Susannah wanted to wear a swimsuit or her tutu that day, she did, even if it was the middle of January. In her opinion you didn’t need a special occasion to wear a princess crown. Everyone wanted her perspective on life. Everyone wanted her innocence, absolute joy and simplicity. People seemed to revolve around her as if she was the sun. And she was in her own way, our Three Feet of Sunshine. On July 24, 2008, Susannah won. She beat her disease and is now no longer in pain. Even though I cannot make sense of it or find the fairness in it, I know she’s in a place that suits her much better, a place where she can always be happy. A place where she belongs. Susannah White (MPS I) This piece is dedicated to Susannah Jacqueline White, and all who knew her. Allie Bergeron and her family were Susannah’s neighbors and very special friends during the time the Whites lived in Dallas. From the day they met, the two girls formed an instant and incredible bond. In tribute to Susannah, Allie wrote Three Feet of Sunshine as an assignment for her 9th grade English class; she, of course, earned an A. 27 Remembering Our Children Mark David Stevenson, MPS II 1/4/86–3/10/10 Mark David Stevenson was born Jan. 4, 1986, in Fort Smith, AR. At the age of 1, he and his family moved to Richfield Springs, NY. While living there, Mark was diagnosed at the age of 3 with Hunter syndrome. During this time Mark began early childhood intervention school in Herkimer, NY. At the age of 4, Mark underwent a bone marrow transplant at Children’s Hospital of Philadelphia, a procedure that helped to halt the effects of this disorder. At the age of 7, he and his family moved to Leighton, IA, and Mark enrolled in the Pella Community School system until the age of 21, with the exception of four years, during which time he was part of the Newton Community Schools. Mark enjoyed life to its fullest, given his limitations. He loved biking, walking, cruising, watching his favorite videos over and over, and puzzling. He had a zest for life and enjoyed life in its simplest pleasures. For several years he participated in Special Olympics in Ames and Des Moines, doing well in biking and bowling. Mark was a baptized member of the Second Christian Reformed Church in Pella. His favorite song was “Jesus Loves Me.” Mark enjoyed people and people enjoyed interaction with him. Mark went to be with Jesus on March 10, 2010, at the age of 24. He will be sorely missed by his father and mother, David and Ruth, and his older brother, Joel. Including Me My Lord Jesus, He just lifted His head, He just lifted His head, He just lifted up His head, My Lord Jesus, He just lifted up His head And saw all mankind, including me, Including me, including me! My Lord Jesus, He just lifted His hands, He just lifted His hands, He just lifted up His hands, My Lord Jesus, He just lifted up His hands And blessed all mankind, including me, Including me, including me! My Lord Jesus, He just lifted His cross, He just lifted His cross, He just lifted up His cross, My Lord Jesus, He just lifted up His cross And saved all mankind, including me, Including me, including me! by Canadian composers 28 Margaret and George Drynan Mark Stevenson (MPS II) with his mother, Ruth We were honored to be invited by BioMarin to attend the National Organization of Rare Disorders gala award ceremony recognizing significant performance, therapies and treatment breakthroughs in 2009. Special thanks to all who attended the meeting, including Ernie and Debbie Dummann, Jeff Bardsley and Barbra Wedehase. Thanks also to our Policy with Partners members who did a great job contacting their congressional delegation before our meetings, making our job very easy. If you’ve ever thought about going to Washington, DC, to meet with policy makers and tell your MPS story, we are offering a drawing for someone to accompany us later this year. To enter, send your name to Naureen Sayani at [email protected] or a written request to PO Box 14686, Durham, NC 27709-4686 (must be postmarked or e-mailed by July 20, 2010). The winner will be notified on Aug. 1, 2010. Legislative Update #51 policy makers to hear directly from an affected individual about the challenges of living with an MPS disease, explaining why, through his eyes, we need increased funding for the NIH and the FDA for effective treatments and cures. We sincerely appreciate his commitment to our membership. May 2010 On our recent trip to Washington, DC, volunteer Legislative Committee members spent three days calling on offices within the National Institutes of Health (NIH) and members of Congress. Our visits concentrated on advocating for several of our membership priorities, including the Society’s support for full funding of the Cures Acceleration Network, a more specialized drug review office within the U.S. Food and Drug Administration (FDA), and a $98 million increase for the Lifespan Respite Care Act that will help provide much needed respite for MPS family members. Also discussed was a $10 million appropriation to build the human, scientific and organizational capacity necessary to evaluate products targeted to rare diseases at the FDA, and establish a new Division for Biochemical and Genetic Diseases within the Office of New Drugs. This will facilitate an improved regulatory process for rare diseases. We also are in support of the creation of a Rare and Neglected Disease Caucus. To help move our agenda forward we concentrated our efforts on the Appropriations Committee. We had a total of 23 meetings in this short time and were delighted to hear so much support from congressional members for MPS priorities. One of our volunteers was Jeff Bardsley who has MPS. It was wonderful for the Cures Acceleration Network (CAN) The National MPS Society, like many other disease-focused organizations, is concerned about the lack of therapies that reach the stage of clinical testing, and the even smaller number of therapies that ultimately are approved by the FDA and are made available. Your Society supports CAN, legislation written by Sen. Arlen Specter (D-PA), which was signed into law with the passage of the Patient Protection and Affordable Care Act (Section 10409) this past March. This is a new position that would give the NIH additional flexibility to push translational therapies in a more robustly, innovative and expedited way. However, even though this became law, it has not been funded. Thanks to our many Policy with Partners members, your board of directors and staff who sent e-mails, faxed letters and made phone calls that resulted in a hearing on April 28 with members of the Senate and Francis S. Collins, director of the NIH. Following is an excerpt of Dr. Collins’ testimony to members of the Senate: “I think CAN is a very exciting idea. The institute directors will all be gathering for a retreat to talk about this, because this is an opportunity in a very flexible way to try to push forward new and exciting approaches to therapeutics. The idea here is, as authorized but not yet appropriated, to provide large grants that include participation by public and private sector partners. It includes some flexible research authority to allow us in a DARPA-like fashion to move such projects forward rather quickly. And if appropriated at a reasonable level, it would allow multiple projects to go forward simultaneously with project managers who are authorized to both bring in resources when you need it and to kill projects that are failing, which is critical in this high-risk area as well. I think from my perspective as a physician who’s anxious to see therapeutic successes come forward, this is a mechanism that we very much need and hope to be able to utilize.” Go to www.mpssociety.org to read the Society’s legislative priority talking points. As always, contact any member of the Legislative Committee with questions about how you can help and advocate for all who experience MPS. 29 Legislative Update | May 2010 New Division for Biochemical and Genetic Diseases The National MPS Society, along with 111 patient and professional organization partners, is advocating for resources to provide a new, more specialized FDA drug review office focused on streamlining the development path for rare biochemical and genetic diseases. We have requested a $10 million appropriation to build the human, scientific and organizational capacity necessary to evaluate products targeted to rare diseases at the FDA to establish a new division for biochemical and genetic diseases within the Office of New Drugs. There are more than 7,000 rare disorders that together affect more than 25 million Americans and their families. In the last 25 years, less than 5 percent of these disorders have a treatment approved for marketing by the FDA. Treatments for many of these diseases may never be developed because of roadblocks in the development process, such as a lack of investment and a challenging regulatory environment. The FDA will hold hearings on June 29 and June 30; the Society has sent written testimony of its support. Rare and Neglected Disease Caucus Legislative Committee: Ernie Dummann, chair Steve Chesser Jennifer Clarke Debbie Dummann Steve Holland Terri Klein Dave Madsen Austin Noll MaryEllen Pendleton Laurie Turner Barbara Wedehase Kim Whitecotton 30 While in Washington, we encouraged members of Congress to join the formation of the Rare and Neglected Disease Caucus to help address specific issues related to developing treatments for rare diseases. The papers were filed on May 18, 2010, and two members of Congress have signed on: Rep. Joseph Crowley (D-NY) and Rep. Fred Upton (R-MI). We are still looking for two senators to sign on. The Society investigated whether to have an MPS Congressional caucus, but felt that our Society would benefit from joining with other disease organizations. Thanks to the Kakkis EverydayLife Foundation for moving this forward. Screening Your Candidates for Fall 2010 Election Mid-term elections will be Nov. 2, 2010, with at least 36 out of 100 seats in the Senate, and all House seats up for election. Many of these senators, representatives and other candidates will be in their own states during the month of August and on weekends throughout the summer visiting their constituents. There will be a number of forums: town hall meetings, debates, picnics, or call to meet and have a one-on-one conversation. This is a perfect opportunity for you and your family to be active in deciding who is the best candidate on issues that are important to our MPS families. Whenever possible, take your MPS child and thoughtfully tell your candidates what is important to your family, whether it be special education, increased funding for the NIH, funding for respite care, Medicaid funding, and/or streaming the protocols with the FDA to expedite effective treatments. Or all of the above. If you are able to meet with your candidates, be sure and do some follow-up correspondence to reiterate issues of importance. Opening the lines of communication can prove to be very effecting when your Legislative Committee calls on members of Congress. If you have questions, please contact any of the Legislative Committee members or call the MPS office. Legislative Update | May 2010 NIH Receives $1 Billion Boost in 2011 Budget A $1 billion boost for the NIH announced in the 2011 budget quelled fears that President Obama’s proposed non-security discretionary spending freeze would decrease budgets at federal science agencies. Numbers released from the White House’s Office of Management and Budget tells of slight increases in the budgets for the NIH. To see President Obama’s FY2011 budget request in its entirety go to www.Whitehouse.gov/omb/budget/fy2011/assets/budget.pdf. Senate Resolution 528 — National MPS Awareness Day Thanks to Sen. Lindsey Graham (R-SC), Colin Allen and Leigh Ellen Lybrand for their successful passage of S.R. 528 recognizing May 15, 2010, as National MPS Awareness Day. Although originally reported as S.R. 530, when recorded, the actual resolution is 528. This day was envisioned to honor and remember those with MPS and related disease while conveying knowledge and understanding to members of our local community, state and our elected officials in Congress. Thank you notes were hand-delivered to the following senator’s who co-sponsored this resolution: Sen. Mark Begich (D-AK), Sen. Kent Conrad (D-ND), Sen. Daniel Inouye (D-HI), Sen. Lisa Murkowski (R-AK), Sen. Richard Burr (R-NC), Sen. Byron Dorgan (D-ND), Sen. John Kerry (D-MA), Sen. Bill Nelson (D-FL) and Sen. Arlen Specter (D-PA). Sincere thanks to all who contacted their senators to co-sponsor. Ernie and Debbie Dummann with Colin Allen and Leigh Ellen Lybrand, staff from Sen. Lindsey Graham’s office (R-SC) 31 Legislative Update | May 2010 New National Health Reform Law Helps MPS Patients Keep Insurance The historic healthcare reform laws of 2010 (Accountable Care Act or ACA) will provide many health insurance protections for MPS patients. Implementing the provisions included in both The Patient Protection and Affordable Care Act (March 23, 2010), along with improvements from the Health Care and Education Affordability Reconciliation Act of 2010 (March 30, 2010), represent a huge undertaking for the government. The National MPS Society is committed to ensuring that MPS patients take advantage of the full benefits of this important law. The law will be implemented over several years, but some important provisions that help MPS patients keep their insurance become effective later this year. These include: • Elimination of lifetime caps: By October 2010 insurance companies may not establish lifetime dollar benefits for essential health benefits. • Elimination of retroactive insurance cancellation (a.k.a. “recissions”): By October 2010, insurance companies are not permitted to retroactively cancel insurance. • Dependent coverage of children to age 26: Starting in September 2010, insurance plans that offer dependent coverage must extend that coverage to dependants up to age 26. In some cases, the effective date is the date of the first open enrollment period after September 2010. Many insurance companies have already adopted this requirement. Check with your insurance company for more details. Other important provisions of the new law are focused on creating new insurance opportunities for patients and making health insurance more affordable. The MPS Society will keep you informed of key changes as details emerge. 32 Walking with a purpose Area student raising awareness for MPS After watching a fatal disease cripple her family, an area teenager is hoping to raise awareness so families won’t have to feel the negative effects of the disease in the future. Emily Durcholz, 17, Brazil, has organized a fundraising walk to raise awareness for Mucopolysaccharidosis (MPS), a genetic disorder medicinenet.com refers to as “one of a series of inherited metabolic disorders affecting a type of complex carbohydrate called mucopolysaccharide that is deposited in body tissues because the person lacks the specific enzyme needed to metabolize it.” Those inflicted with the disease are unable to produce any of the necessary enzymes needed to function and eventually stunts many major abilities, including mental development. Emily is the daughter of Chris and Annette Durcholz. The disease has been a constant source of pain for the family, who lost their 11-year-old son, Zach, to MPS III, or Sanfilippo, in 1998. Sanfilippo is a neurological disorder which can lead to, among other things, hyperactivity, dementia and seizures. Making Headlines One of the goals of the National MPS Society is to increase awareness of MPS diseases. With the assistance and persistence of our members, we are making great strides. Don’t forget to let the MPS Society know when you are featured in a media story! The nightmarish situation arose again for the family with the birth of their fifth child. Ben was also born with MPS III. Ben, 8, is not expected to experience a longer life than his late brother, as people with MPS generally don’t live beyond their early teen years. Hoping to raise awareness for the disease, Emily, a junior at Northview High School, is organizing an MPS walk, “Beat It For Benny,” which she plans to conduct at Deming Park, Terre Haute, Sept. 25. It is one of several MPS walks being conducted all over the country throughout the year. Durcholz said she saw the walk as crucial not simply for her family, but for anyone who may experience the hardships she and her family have experienced with the ailment. “This walk is for everybody,” she said. “For people like my brother, the damage is done. The goal is to raise awareness to as many people as possible.” With the official walk date still more than five months away, Durcholz said most of the specifics in terms of planning are still in the preparatory stages. Currently, she said she is focusing on collecting donations. Thus far, she has received portions of money independently from friends and family, but is hoping to bring them in from all over the area as “Beat It For Benny” draws closer. All told, she said her collection goal is $5,000. All of Emily’s efforts have earned her great admiration from her family members who have endured the same MPS hardships she has. Her mother, Annette, said she is “very proud” of her daughter and was very happy to see her take such as interest in raising awareness for the disease. “(Emily) has spent countless hours of her own free time to try to help make a difference in the lives of MPS kids and their families,” Annette said. “She has seen first-hand the devastation MPS causes to kids and their families and the fact that she wants to help change that is remarkable.” Durcholz urged anyone interested to donate to the cause. She stressed that if properly funded, medical centers could not only begin to cure MPS, but similar neurological diseases such as Pompe disease. More than anything, Durcholz said her goal was to raise awareness so as to offer assistance to future victims, whose quality of life is greatly damaged by their unfortunate circumstances. “Finding a cure for MPS is very crucial in my mind,” Durcholz said. “It halts children. My brother can’t enjoy his childhood. If people can ban together for a cure, I really think they should.” © Copyright 2010 Brazil Times. Reprinted with permission. 33 Making Headlines ABC News, as part of its Good Morning America program, recently aired an in-depth interview with the Bellontine family, whose daughter, Grace, has MPS III. The interview also featured Dr. Gregory Pastores, assistant neurology professor, NYU Langone Medical Center. To see the segment, go to http://abcnews.go.com/Health/video/graces-story-10012107&tab=9482931§ion=1206835&pla ylist=3547557&page=1. Following is an excerpt from an article that appeared at HealthyRockford.com, April 22, 2010. Written by Mike DeDoncker. To read the complete story, go to www.healthyrockford.com/health/forwomen/x932351640/ Roscoe-mom-runs-to-cope-with-young-daughter-s-illness. Roscoe mom runs to cope with young daughter’s illness Kelly Hubert has her best thoughts while she’s running. She’d rather not have the ones that creep in on her when she’s able to sit quietly at home. That’s when she has the chance to think about her oldest daughter, Livia, who is here on borrowed time and how the 3-year-old’s fatal genetic disease— Sanfilippo syndrome—might work its final devastation on her. “My husband, Jake, and I had always been very into fitness,” Hubert said, “but for some reason, I was just driven to start running after the diagnosis. I found that when I ran, I was able to find this focus and determination inside me. “It’s when I have my best ideas and I’m the most focused, and it has brought back a little bit of control in my life because I’ve lost the ultimate control with her diagnosis. The endorphins kick in, and it’s the drug that helps me through the day.” Allison Restemayer (MPS I) was featured on KXMB TV, Bismark, ND, when she participated in a fashion show, the proceeds of which went to the Make-a-Wish foundation. To read the story or view the video, go to www.kxnet.com/getArticle.asp?ArticleId=546652. Case Hogan, 3, (MPS II) recently was featured by the Columbia Daily Herald, Columbia, TN. 34 The Standing Ovation Award is intended to honor amazing people in our MPS family for their resilience, courage, tenacity and passion for life while facing the many challenges of having MPS. This award was created by Denise Dengel, an adult with MPS I, who knows the daily struggles of living with MPS and envisioned an award to honor the individuals who also battle MPS each and every day. We give a standing ovation to: Peggy Shipley, MPS I Jeffrey Bardsley, MPS II Jeffrey Bardsley is a 23-year-old recent graduate from the University of Richmond in Richmond, VA, where he currently is finishing his master’s of accountancy degree. He was born and raised in McLean, VA, and has an older brother, Edward, who lives in California. Jeff has been receiving Elaprase® infusions since the phase I/II clinical trials approximately 10 years ago. He has found enduring support in his family and friends who have helped make living with a genetic disorder a non-definitive factor in his life. Whether he is out and about with his friends in Washington, DC, or just relaxing with a good book, he refuses to let Hunter syndrome significantly impact his life. After graduation this spring, Jeff plans to pursue a career as a CPA working in the Washington, DC, area. He also looks forward to becoming more active in his work with the MPS community, biotech industry leaders and organizations like the MPS Society, as a patient advocate working to ensure that innovative new therapies continue to reach patients and that the voices of young adults living with rare genetic diseases are heard. Standing Ovation Let’s Give a Standing Ovation To… Jonathan Fischer, MPS III Jonathan is 37 years old and has MPS III A. He has far exceeded the life expectancy as laid out at the time of diagnosis; this is probably his greatest accomplishment. He remains in good health and lives at home with his mom and dad, with mom being able to provide 100 percent of his care. As a child, Jon loved watching Magnum PI, Knight Rider, Dukes of Hazard and the Flintstones. He loved to be read to and listen to music, Elvis Presley being one of his favorite singers. Jon has settled down now and even though the TV is on he rarely indicates he is aware of what is on. Jon is still able to enjoy eating his favorite foods: McDonald’s cheeseburgers and fries, pizza, and macaroni and cheese. Jon has the ability to make every day a good day. 35 Standing Ovation Kamiel Booth, MPS IV Kendra Gottsleben, MPS VI I am a little social butterfly, so spending time with people is one of my most favorite things to do. I love to talk with people about pretty much anything. I tell people I am an open book and do not feel afraid to ask questions. I believe that if we as people do not ask questions then it makes learning about others much more difficult. The key individuals in my life are my family and friends. I have been supported in all my goals, dreams and accomplishments by these wonderful people. I could not ask for a better support network. I am extremely lucky to have such incredible people in my life. There is always someone to call when I need help or advice. I also like to be creative while working on projects on my computer, such as movie slideshows, making brochures, business cards and advertisement flyers. Doing these projects is a lot of fun because I start out with nothing but a blank canvas and end up with a cool finished project. I make movies for graduations, weddings, anniversaries and other events. I also have made advertisements for friends who have started small businesses. The greatest thing that makes me happy is when I can make someone smile and laugh if they are having a bad day, or just on any regular day. I know how awesome it feels when someone takes time out of their day to say “Hi” or to just stop to say “How is your day?” I also believe humor is key to a healthy life. I have laughed at myself many times for some silly thing or another and if you cannot laugh at yourself then what can you laugh at? Helping people in any way I can is my goal in life. I feel that my life experiences should not go to waste, and if I can pass it on for others then great! Throughout my life I have encountered road blocks and at that point I have had to make a decision in what to do. Either I turn around and stop going that direction, or I figure out a new route to get to the other side of the road block. For people who truly know me, the first option of stopping in the direction I am going to turn around is not a choice for me. I do not let many people or situations deter me from where I want to end up. This does not mean the road has always been easy going for what I want, but the true me never gives up. Life has challenges but those difficulties are what make us who we are. My proudest accomplishment is having people say to me that even though they are not in a wheelchair, as short as me, or have a medical condition, they feel like they can relate to me. To me that makes me proud because it means that people can see we all have differences, but at the same time similarities. It doesn’t matter what issues we have in life, we can always make connections with others. I also am proud of myself because I will soon be a college graduate from Augustana College with a double major in sociology and psychology. Ganesh Somarouthu, MPS VII Megan Rust, ML II 36 National MPS Society Executive Director Barbara Wedehase attended the Brains for Brain meeting held March 5–7, 2010, in Frankfurt, Germany. Brains for Brain, a task force of experts in the different fields of neurosciences, began in 2006 to maintain contact between basic scientists and clinicians, with the aim to develop innovative therapeutic strategies to overcome the blood-brain barrier. Why is Brains for Brain needed? • to promote collaboration between MDs and PhDs • lysosomal disease (LD) researchers are under-represented in research programs • LDs are great models for pediatric neurodegenerative diseases • allows for genuine pan-Europe/USA collaboration • collaborations within the lysosomal advocacy organizations • strong interest among pharmaceutical companies The task force takes advantage of the expertise of the most distinguished European scientists and leaders in basic and applied neurotechnology, and neurology grouped together to create a coordinated effort toward the comprehension of pathophysiology processes of neurological disorders in LDs, the implementation of knowledge of the blood brain barrier, and the development of new molecular and/or biochemical strategies to overcome the blood brain barrier to treat these central nervous system (CNS) disorders. “We still do not know whether storage of mucopolysaccharide is really the “primum movens” of the metabolic disaster or rather other processes might be more important (inflammation, alteration of ion channel activity, lack of chaperone molecules, etc.). The understanding of these basic aspects might be extremely valuable to unravel why most of the LDs have an attenuated and a severe form, some with and without CNS involvement, although the relative loss of enzyme activity may be similar.” — from the Brains for Brain Web site (www.brains4brain.eu/) The scientific sessions included pathophysiology and LDs, blood brain barrier and pathophysiology, crossing the blood brain barrier and therapeutic options, biotech and advocacy collaborations. The National MPS Society is proud to support the work of Brains for Brain. During the meeting, Barbara gave a brief overview of the mission and programs of the National MPS Society, and announced its 2010 financial support of $15,000 for Brains for Brain. Clinical Trial of Human Growth Hormone A clinical trial of human growth hormone (HGH) is being conducted at the University of Minnesota Children’s Hospital. Children with MPS I, II or VI with short stature are invited to participate. HGH is a U.S. Food and Drug Administration-approved treatment for short stature, however there is no data at this time on using this treatment specifically in children with MPS. The goal of this clinical trial is to determine what, if any, effect HGH has on growth velocity, bones, and cognitive functioning of children with MPS I, II and VI. For additional information contact Lynda Polgreen, MD, assistant professor, University of Minnesota, Pediatric Endocrinology, at 612.624.4459 or [email protected]. MPS III patients needed for research study Research News: Hope for the Future Society plays role in global taskforce Brains for Brain This research project will focus on how the immune system is affected in patients with MPS III A or B. A blood test will be done to measure blood cell count. To participate, patients must: • be less than or exactly 20 years of age with a confirmed diagnosis of MPS III A or B • not use medications that suppress the immune system at time of enrollment • not have respiratory, urinary or other infections at the time of enrollment The study will take place at your local healthcare provider’s office or at The Research Institute at Nationwide Children’s Hospital, Columbus, OH. For more information and to make an appointment, contact Chelsea Rankin at 614.355.2897 or [email protected]. 37 Research News: Hope for the Future Clinical Trials MPS I MPS I Intrathecal Enzyme Replacement Clinical Trial for Cognitive Decline The Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center in Torrance, CA, and the University of Minnesota are collaborating on a study of intrathecal enzyme replacement therapy (ERT) for cognitive decline in patients with MPS I. The purpose of this research study is to find out whether giving ERT with Aldurazyme® as an injection directly into the cerebral spinal fluid (the fluid around the spinal cord and the brain) can stabilize (keep from getting worse) or improve cognitive decline in patients who have MPS I. The term “cognitive decline” refers to a change for the worse in our ability to think and learn. Difficulty with thinking, memory, language, concentration and decision making are some signs of cognitive decline. To be eligible for this study, you or your child must be willing and able to comply with the study procedures and meet certain criteria: • 6 years of age or older MPS I Intrathecal Enzyme Replacement Clinical Trial for Spinal Cord Compression The Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center in Torrance, CA, is conducting a study of intrathecal enzyme replacement therapy (ERT) for spinal cord compression in patients with MPS I. The purpose of this research study is to find out whether giving ERT (with Aldurazyme®) as an injection directly into the spinal canal (called intrathecal injection) can help reduce spinal cord compression due to MPS I and can provide an alternative to surgery. To be eligible for this study, you or your child must be willing and able to comply with the study procedures and meet certain criteria: • 8 years of age or older • diagnosed with MPS I • diagnosed with spinal cord compression Study participants will have: • up to 16 intrathecal ERT treatments given one to three months apart over one and a half years; and • diagnosed with MPS I • physical examinations (general and neurological); • show evidence of cognitive decline on a screening evaluation • other diagnostic tests; and Study participants will have: • up to 10 treatments given one to three months apart over two years (treatment group) or four treatments given three months apart beginning at month 12 (control group); • physical examinations (general and neurological); • neuropsychological testing for cognitive decline and MRI of the brain; and • reimbursement/payment of travel expenses. Additional details about this clinical trial can be found at www.clinicaltrials.gov; search under “mucopolysaccharidosis.” • reimbursement/payment of travel expenses. Study centers other than at Harbor-UCLA may be available. Additional details about this clinical trial can be found at www.clinicaltrials.gov; search under “mucopolysaccharidosis.” If you are interested in this study or would like more information, contact: Dr. Patricia Dickson 310.781.1399 [email protected] If you are interested in this study or would like more information, contact: 38 Dr. Agnes Chen or Dr. Patricia Dickson 310.222.4160 or 310.222.4145 [email protected] or [email protected] continued MPS II Intrathecal Enzyme Replacement Clinical Trial Shire Human Genetic Therapies is sponsoring a clinical trial at the University of North Carolina at Chapel Hill to learn if direct administration of recombinant enzyme into the fluid around the brain and spinal cord is safe and a possible treatment for children with MPS II with developmental delays. “A phase I/II safety and ascending dose ranging study of idursulfase administration via an intrathecal drug delivery device in pediatric patients with MPS II who demonstrate evidence of central nervous system involvement and who are receiving treatment with ElapraiseTM,” said Joseph Muenzer, MD, PhD, principal investigator for the clinical trial. Currently there is no approved therapy for treating the brain and spinal cord in patients with the severe form of MPS II. The goal of this study is to give a new preparation of iduronate2-sulfatase (idursulfase-IT) directly into the fluid surrounding the brain and spinal cord (intrathecal administration). The new form of iduronate-2-sulfatase has not been used before in patients with MPS II and is considered investigational. It has not been approved by the FDA or any other regulatory agency. This phase I/II clinical trial is planning to enroll 16 patients with MPS II between the ages of 3 to 8 years with evidence of early neurocognitive decline using an open-label, three-dose trial design. This clinical trial will initially have both a treatment group (12 study patients) and a control group (four study patients) with the control group eligible to receive intrathecal enzyme after a six-month observational period. The monthly intrathecal administration of idursulfase-IT will be given using a Port-A-Cath® II Low ProfileTM intrathecal implantable access system manufactured by Smiths Medical MD, Inc. (St. Paul, MN) that requires surgical implantation. To be eligible for the investigational intrathecal enzyme replacement clinical trial, study patients needs to have some developmental delay, but cannot be severely impaired, have received and tolerated a minimum of six months of weekly intravenous Elapraise and have adequate hearing (with or without hearing aids) to complete developmental assessments. Patients with MPS II are not eligible if they have a shunt for the treatment of hydrocephalus, have had a cord blood or bone marrow transplant or have other medical conditions that may place the individual at an increased risk during the investigational clinical trial. If you are interested in obtaining more information about the clinical trial, please contact Dr. Joseph Muenzer at 919.966.1447 or the study coordinator, Heather Preiss, RN, at 919.843.5731 at the University of North Carolina at Chapel Hill, NC. MPS III Shire Pharmaceuticals Group, as part of its research to evaluate new approaches to the problem of treatment of the central nervous system, is hoping to move its MPS III A program forward. If the trial to directly administer the enzyme into the central nervous system of individuals with MPS II is successful, Shire hopes to expand its research initiatives to include MPS III A. The Shire Web site is www.shire.com. Research News: Hope for the Future MPS II MPS IV BioMarin will be conducting a Morquio Clinical Assessment Program or MorCAP that will involve about 15 centers in many countries and will evaluate the disease situation for patients globally. Finally they expect to have a phase III double-blind placebo controlled study that might include 50–100 patients from many centers. Being in the MorCAP program will improve a patient’s chances of being in the phase III. Additional information can be found at www.morquioBMRN.com. MPS VII A gene therapy clinical trial for MPS VII, also known as Sly syndrome, has been put on hold pending additional data. ML II/III There currently are no programs in place for developing treatment options for ML II/III. 39 Research News: Hope for the Future Treatment Therapies MPS I Aldurazyme®, administered once-weekly, has been approved in the United States and in 15 countries of the European Union for long-term enzyme replacement therapy (ERT) in patients with a confirmed diagnosis of MPS I, to treat the non-neurological manifestations of the disease. Aldurazyme was developed by BioMarin and Genzyme under a joint venture agreement that assigns commercial manufacturing responsibilities to BioMarin, and worldwide sales and marketing responsibilities to Genzyme. Additional information can be obtained at www.aldurazyme.com or by contacting Genzyme at 800.745.4447. MPS II ElapraseTM is a long-term ERT for patients with a confirmed diagnosis of MPS II which has been approved for use in the United States, Canada and many countries in Europe. Elaprase was developed and is produced by Shire Human Genetic Therapies (formerly TKT), and is given as weekly infusions to replace the missing enzyme that Hunter syndrome patients fail to produce in sufficient quantities. Additional information can be obtained at www.shire.com or by contacting OnePathSM toll-free at 866.888.0660. OnePath provides assistance with insurance, product access, treatment centers and education about Elaprase and MPS II. MPS VI Naglazyme™ is the ERT for individuals with a confirmed diagnosis of MPS VI and has been approved for use in the United States and in many European countries. Developed and produced by BioMarin Pharmaceutical, Inc., Naglazyme has been shown to improve walking and stair-climbing capacity. For more information, contact BioMarin Patient and Physician Support at 866.906.6100 or [email protected]. Surrogate Endpoint Trial (SET) for individuals with MPS III A Sponsored by Shire Human Genetic Therapies SET is a one-year, multi-center study designed to study the natural progression of Sanfilippo A syndrome, or MPS III A, in approximately 20 patients. During a period of 12 months participants in the study will be evaluated to assess the severity and progression of MPS III A, as measured by developmental age and milestones, central nervous system function (including cognition, speech and motor skills) and biochemical markers of the condition (levels of heparan sulfate and its breakdown products in blood urine and cerebrospinal fluid). Additional information can be found at www.clinicaltrials.gov (identifier NCT01047306), or contact: Shire HGT Medical Information, 484.595.8850, [email protected] or Amy K. Fisher, MS, CGC, Shire HGT Global Medical Affairs, at 857.413.9553 or [email protected]. 40 In 1995, Cerner Corporation, a leading supplier of healthcare information technology, founded the First Hand Foundation. A nonprofit organization, First Hand assists individual children with healthrelated needs when insurance and other financial resources have been exhausted. The Foundation helps with clinical necessities (such as medication and surgeries), medical equipment and travel related to a child’s care. Additionally, the Foundation implores doctors, hospitals and equipment providers to discount their services below listed prices. Funding is distributed directly to the child’s immediate healthcare provider. Since inception, the First Hand Foundation has distributed $10 million to 85,000 individuals in 66 countries. For more information or to apply for funding, go to www.cerner.com/firsthand. Twist ‘n Write Penagain Pencil makes writing easier for kids TM The Twist ‘n Write pencil is a new model specifically designed to fit smaller hands and bring back the fun in writing. A thick 2 mm pencil lead never needs sharpening. The wishbone shaped design forces the school-taught “tripod” position. It is great for those with special needs (carpal tunnel, arthritis, ADHD and many more). It is being sold at Staples, Walgreens, Office Depot, CVS, Office Max and Amazon for less than $2.00. For more information, visit www.penagain.com/twistnwrite.html. New NAGLAZYME.com Web Site Up and Running The new NAGLAZYME.com is now live and available for you to visit. You will find expanded content about MPS VI, its diagnosis and treatment with NAGLAZYME® (galsulfase) enzyme replacement therapy. The new Web site also has expanded features and functionality. Hunter disease e-clinic Hunter disease e-clinic is a virtual training clinic, designed specifically for the purpose of learning to diagnose and manage patients presenting with characteristic of rare genetic metabolic diseases. For more information, visit www.sickkids.ca/lysosomalresearchgroup. Resources | Helpful Information First Hand Foundation strives to change children’s lives around the world, one child at a time The Miracle League The Miracle League is an organization that affords children with disabilities the opportunity to play baseball. Players are paired up with a buddy and everyone has a chance to play—batting, running the bases, etc. Even children without the use of their arms or legs can participate. The Miracle League has more than 200 leagues across the country, as well as Puerto Rico, with 100 specialized rubberized fields (for safety) and 100 fields under construction. It serves more than 80,000 children and young adults with various disabilities. For more information, visit www.miracleleague.com, call 770.760.1933, or send an e-mail to [email protected]. 41 Resources | Helpful Information MPS I Web site www.MPSIdisease.com A Web site has been developed by Genzyme to provide parents and patients with information and resources on MPS I. This site provides valuable information on the disease, diagnosis, on-going clinical trials, and other references and services available to patients. Visit www.MPSIdisease.com. MPS I Registry Access to information is critical to providing the best care for patients with MPS I. However, information on the disease is limited because of its rarity. A resource developed by Genzyme is now available for your physician or health care professional that is dedicated to improving the understanding of MPS I. With the MPS I Registry, your physician can access your data and compare it to aggregate data from around the world. Ask your physician to call 1.800.745.4447 ext. 17021 for more information. MPS II Web site www.hunterpatients.com Shire HGT educational Web site focuses on MPS II (Hunter syndrome). The site is a resource center for the MPS II community to access information about the genetics, diagnosis, and management of MPS II, as well as information about the drug development process. In addition, the Web site provides a comprehensive overview of MPS II, including resources for patients and healthcare professionals, information on clinical trials and a patient outcomes survey, as well as the ability to stay informed as new information about MPS II becomes available on the site. Shire HGT expects to update and expand the site on a regular basis. MPS VI Web site www.MPSVI.com BioMarin’s Web site, www.MPSVI.com, is designed especially for individuals with MPS VI (Maroteaux-Lamy syndrome), their families, and for healthcare professionals who care for patients with MPS VI. This site provides education and information about MPS VI which may be helpful to share with family members, educators and healthcare providers. 42 Aldurazyme® Web site www.Aldurazyme.com A Web site has been developed by Genzyme to provide parents and patients with information on Aldurazyme. The site includes a link to ask questions regarding MPS I or anything else related to treatment. Feel free to use this mechanism to reach a healthcare professional at Genzyme who will respond to your query in a timely manner. Visit www.Aldurazyme.com. MPS IV Registry www.morquio.com Information about MPS IV can be found at www.morquio.com. Also available at this Web site is the Morquio registry where adults with MPS IV can register and families can register their child with MPS IV. Once registered, it is recommended that updates be made at least yearly. This natural history information is critical for development of treatments for MPS IV, providing evidence of drug effectiveness and supporting the approval of the drug. MPS VI Community Web site www.MPSVI.net Log into the first Web site devoted entirely to the MPS VI community and: • Meet other people with MPS VI • Tell your story • Chat in real time • Search postings by topic Register for free to connect with your MPS VI community. www.fda.gov/cder/drugSafety.htm The U.S. Food and Drug Administration (FDA) has added a new feature to its Web site that provides consumers with specific safety information about individual drug products. The new Drug Specific Information Web page presents information on more than 200 approved drugs. Each drug has a “core page” with links to all information about the product on the FDA’s Web site, including general risk information and any past alerts issued about the drug. Health Care Coverage Options www.nahu.org/consumer/healthcare The National Association of Health Underwriters has created a database that provides information on health insurance options for low-income U.S. residents and people who change jobs or have pre-existing health problems. The Health Care Coverage Options Database provides a state-bystate list of public health insurance programs for low-income residents, such as Medicaid and the State Children’s Health Insurance Program. It also lists 32 states that offer high-risk health insurance pools for those with pre-existing health problems. BioMarin Offers Help with Insurance Questions for MPS VI BioMarin has developed a free and confidential service designed to assist with healthcare insurance questions. The BioMarin Patient and Physician Support program (BPPS) can help families evaluate their current healthcare insurance coverage, provide information on potential healthcare insurance options that may be available in your state, and educate insurance companies about MPS VI. To contact a BPPS patient advocate, call their toll free number 1.866.906.6100. Shire HGT Offers Support for MPS II Resources | Helpful Information Drug Safety Information www.hunterpatients.com Shire Human Genetic Therapies introduced OnePath support center to help understand the complex issues pertaining to ERT, coverage, coding and reimbursement. When you call OnePath, you’ll be assigned a personal case manager who will help address any questions or concerns associated with ERT. OnePath case managers have access to many important resources; they also get to know you and can anticipate your needs. OnePath case managers can also address questions about insurance and other issues related to ERT. Toll-free number: 866.888.0660 Genetics Home Reference http://ghr.nlm.nih.gov/handbook This Web site contains a comprehensive “Guide to Understanding Genetic Conditions,” with basic information about genetics in clear language and links to online resources. Genzyme Treatment Support Offers MPS I Families Insurance Counseling Genzyme Treatment Support is a free and confidential service staffed by a team of nurses, social workers, and other health care professionals act as patient advocates and provide confidential one-on-one insurance counseling to patients and their families. For more information, call 1.800.745.4447, Monday through Friday. Mercy Flight Southeast offers free flights for those in need The mission of Mercy Flight Southeast is “Coordinating free air transportation for children and adults with medical or compelling humanitarian needs.” For more than 25 years, Mercy Flight Southeast has coordinated these FREE missions, which are generously flown by a team of volunteer pilots who give of their aircraft, their skills and their fuel, to help those who are in need. For more information, visit www.MercyFlightSE.org. 43 Resources | Helpful Information Have an Extraordinary Experience The Family Support Committee is pleased to introduce Extraordinary Experiences, the newest Family Support program. Extraordinary Experiences was developed to help all of our unique and special children, regardless of their diagnosis or abilities, to create their own extraordinary experience. This program was developed specifically for individuals ages 14–24 diagnosed with MPS and related diseases. Grants of up to $1,000 are available for special camps, events, class trips and other unique opportunities. The Society will partner with the individual and his or her family to help cover registration fees and travel expenses, and other fees associated with his or her extraordinary experience. Extraordinary Experiences was initiated in response to a grant the National MPS Society received from BioMarin/Genzyme LLC to honor Spencer Holland (MPS I). Spencer was a pioneer and trailblazer for many individuals diagnosed with MPS. He and his sisters participated in clinical trials for enzyme replacement therapy. They openly shared their life experiences which inspired other children and adults affected with MPS. Spencer will always have a special place in our hearts. The National MPS Society thanks you, Spencer, and everyone with MPS and related diseases for being an inspiration to many. Special thanks to BioMarin/Genzyme LLC for this wonderful gift which will allow special young adults to have an extraordinary experience. More information about Extraordinary Experiences can be found at www.mpssociety.org or by contacting Laurie Turner at [email protected] or 207.843.7040. Mini-Miracles Mini-Miracles is an adaptive clothing line designed for the special needs child. Their philosophy is to promote dignity, comfort and quality of life for every child, while giving back to the community by donating to local Canadian charities. Mini-Miracles clothing line consists of items chosen to meet the basic needs of the special needs child. They reflect the research and experience that the owner, pediatric special needs nurse Victoria Allen, has acquired working with special needs children. The clothing is made of the highest quality Peruvian cotton and has different options available for different needs (e.g., gastro-intestinal feeding tube access pocket, cut to fit diapers, etc.). Featured adaptations: • Flat seams to reduce friction • Discrete adaptations so clothing looks normal • Easy access—snaps, Velcro, stretchy fabrics • Roomy seat to accommodate diapers (all ages) • Longer rise in the back to accommodate sitting in a wheelchair • Elastic waist for ease of dressing and increased comfort • Meets Health Canada regulations for safety and flammability Visit www.minimiracles.ca for more information. 44 Suitable for: • Limited range of motion and impaired dexterity • G-tube feeding • Wheelchair • Cerebral Palsy • Muscular Dystrophy • Developmental disabilities • Contractures • Toilet/changing needs • Catheters and colostomy bags • IV tubes • Rigidity Resources | Helpful Information Tissue bank aims to improve treatment of developmental disorders The National Institute of Child Health and Human Development (NICHD) Brain and Tissue Bank for Developmental Disorder at the University of Maryland in Baltimore is a tissue resource center designed to further research aimed at improving the understanding, care and treatment of developmental disorders. The NICHD Brain and Tissue Bank serves as an intermediary between the research community and people who wish to donate tissue for research upon the time of their death. The Bank safely stores the tissue until qualified researchers request the tissue for research which has been approved by their Institutional Review Board. Both people with developmental disorders and people free of disorders are encouraged to register and donate tissue. Often times it is the comparison of the unaffected with the affected which unlocks the medical mystery of a disorder. The availability of tissue from donors with MPS and other storage diseases is especially limited. As more tissue becomes available and more researchers dedicate their life’s work to this disorder, new discoveries can lead to new treatments and, perhaps one day, to a cure. It is only through the study of donated tissue that important answers will be found. If you are interested in becoming a registered donor, or if you have questions regarding the donation process, contact Melissa Davis, project coordinator, at 800.847.1539. Morgan’s Wonderland: Finally, a place where everyone can play! Located in San Antonio, TX, Morgan’s Wonderland is the world’s first ultra accessible family fun park designed specifically for children and adults with special needs, their family members, caregivers, friends and the entire community. This 25-acre park is a unique oasis which, through the spirit of inclusion, allows people of all abilities to play, learn and share life-changing experiences together, in a fun and safe environment. For more information, go to www.morganswonderland.com/index.html. Brave Community offers customized information about rare diseases BraveCommunity.com provides a dynamic source of news, information and personal insights about certain rare diseases for patients and their families, friends and healthcare professionals. The Web site searches the Internet and posts Web content and news stories relevant to certain rare genetic diseases to help you stay informed. BraveCommunity.com also provides disease summaries, information about the clinical trial process and relevant publications. Users can sign up to personalize content and share own stories. Learn more at www.BraveCommunity.com. 45 Resources | Helpful Information With Open Arms: Embracing a Bright Financial Future for You and Your Child Financial Guide for Parents of Children with Disabilities and Other Special Needs Caught up in the daily responsibilities of caring for a child with a disability, parents often push financial planning to the back burner. Postponing financial planning is understandable when a child’s daily needs are more pressing, but this lapse can result in someone else choosing a child’s future, should parents become unable to oversee his or her care. Easter Seals and the National Endowment for Financial Education® (NEFE®) have collaborated to create a 72-page financial planning booklet for parents, caregivers, grandparents or others involved in the care of a special needs child. Included is information on estate planning, finding the right lawyer or knowledgeable financial planner, wills, special-needs trusts, government benefits, savings options insurance plans and other available resources. Easter Seals and NEFE encourage families to start financial planning when their child with a disability is at a young age. Following is excerpted information from With Open Arms: Embracing a Bright Financial Future for You and Your Child. For a complete copy of the guide, visit www.easterseals.com/site/ PageServer?pagename=ntl_with_open_arms, or to order a printed copy of this free booklet, send a $5.00 check for shipping/handling, payable to Easter Seals, to: With Open Arms/Easter Seals, 233 South Wacker Drive, Suite 2400, Chicago, IL 60606. Estate Planning and Finding the Right Lawyer As you begin the estate planning process, find a good lawyer. Because laws affecting Americans with disabilities change frequently and require special expertise, you will not be able to handle your estate on your own, nor will the average lawyer. While you may know someone who specializes in estate planning, this individual may not be familiar with the legal issues specific to your situation. Only a lawyer who specializes in estate planning for families who have a child with special needs can guide you through the complicated details of your estate. To find a lawyer who specializes in this area, ask other parents for references. Check with a local advocacy agency such, as The Arc for recommendations. The National Academy of Elder Law Attorneys (NAELA) also may provide some names. Interview prospective lawyers by asking questions like, “How many special needs trusts have you written?” and “Are you familiar with recent developments in disabilities law?” If the lawyer writes only a handful of special-needs trusts every year, this person may not have the specific skills you need. Wills Your last will and testament is the document that explains how you want your estate to be distributed after you die. First, a will can name a guardian for your child. Second, it provides a 46 road map for loved ones on how you would like things handled after you’re gone. A bequest (or legacy) is a gift of personal property made by a will. Finally, it is important to note that your will should prevent your estate’s assets from going directly to your child with disabilities. While it’s natural to want to give everything to your special-needs child, assets of more than $2,000 can disqualify your child from receiving government benefits like Supplemental Security Income (SSI) or Medicaid. There are special planning techniques, such as special needs trusts (discussed later in this article), that can be used to safeguard your child’s eligibility for government benefits. There are many pitfalls involved in leaving your estate to chance. If you die without a will, the state could distribute your estate without regard on how it might affect your child. Then, there’s the matter of probate charges and taxes, that could consume a chunk of your hard-earned wealth if you die without a proper estate plan. If you die without a will and your child should need a conservator or guardian, a state court could appoint that guardian on its own. Therefore, your will (or trust) should name a guardian or conservator for your child. This will enable a court to consider your wishes before appointing a guardian. continued After you die, a trust can be used to manage your child’s financial affairs regardless of his or her age. A trust is a sophisticated legal document. Therefore, you must hire an estate planning attorney to draft the trust document. Income from the trust can be accumulated or distributed as needed. A spendthrift provision can be used to protect the assets held by the trust from your child’s creditors. As we will discuss later on, a special type of trust is best suited for your disabled child. Conservatorship/Guardianship Until your child is 18 years old, you are legally responsible for his or her welfare. That means you have legal powers to make certain decisions for your child. By law, your child is considered to be an adult when he or she turns 18, or (in some states) marries before the age of 18. Therefore, it may be necessary to appoint a guardian or conservator to manage the affairs of your adult child. Because conservatorship limits the ability of people to make decisions for themselves, establishing conservatorship is not something to undertake lightly. As your child approaches adulthood, you will have to determine whether your child can make decisions in his or her own best interest. If you determine that conservatorship is right for your child, and you and your spouse are still in good health, you probably will want to serve as your child’s conservator after he or she turns 18. As you plan your estate, you will have to make the difficult choice of selecting a conservator if you die before your child. You will want to name this person in your will. This is a tremendous responsibility for someone. Sometimes, siblings or other family members can fulfill this role. But in some cases that’s not appropriate. Make sure that whoever is appointed understands the magnitude of the responsibility and willingly accepts it. Letter of Intent A letter of intent is your message to the future. It is a document that you will share with trustees and future guardians. It is not legally binding, but provides a guide for your child’s care-givers or the courts on how you would like your child to live after you’re gone. Typically, a letter of intent includes three major sections. The first gives a complete medical history of your child, including hospital visits, doctors, allergies, and medications—anything related to your child’s health. The second section offers practical advice, including housing and services needed, names of advocacy organizations, and daily care requirements (even down to listing your child’s hairdresser, clothing sizes, favorite foods and colors, or behaviors that anger your child). The third part states your hopes and dreams. It might name favorite teachers who share your life vision, as well as people who may work with your child who have different views. List everything you can think of that might affect your child’s future. As much as possible, involve your child in writing a letter of intent. Share your letter of intent with the person who will be responsible for your child and ask how he or she feels about it. If you doubt that this person will respect your wishes, you may want to choose another guardian. While the letter of intent may have nothing to do with the legal aspects of your estate, it is the one document that really speaks to your survivors about how you want your child to be treated. Siblings Although you may wish to divide your estate equally among your surviving children, your child with disabilities may need more assets. As you begin planning, work with your lawyer and/or financial planner to develop a plan for your child’s future while considering your other children as well. If appropriate, include your children in the planning process and explain your decisions. Siblings of special-needs children may be quite willing to give up a share of an inheritance if it means that their special-needs brother or sister can live independently. Studies show that sharing information helps relieve concerns siblings have about their special-needs brothers and sisters. Also, you will have to work closely with your other children to define the nature of their caregiving role after you’re gone. Insisting that an unwilling sibling take responsibility for a brother or sister with a disability ultimately will lead to unenthusiastic care. Make sure your children are “on board” and capable of any caregiving responsibilities they accept. continued Resources | Helpful Information Trusts What is a Trust? A trust is a legally enforceable agreement in which a person (called a trustee) is named to hold property or assets for the beneficial use or enjoyment of another person (called the beneficiary). The grantor (or settlor) is the person who established the trust. The principal of the trust is referred to as the corpus (or res) and is distinguished from the income of the trust. In making this distinction, the principal of a trust can be invested to provide income over the life of a beneficiary. However, a trust can be drafted to permit the principal to be used in case of an emergency. 47 Special-Needs Trusts A special-needs or supplementary-needs trust offers a reliable way of safeguarding a child’s eligibility for benefits, while providing for additional needs not covered by the government. General Conservatorship or Guardianship of the Person and Estate—This type of conservatorship usually gives full decisionmaking powers about someone’s life to the appointed person. With a general conservatorship, the conservator can make decisions about housing, clothing, medical care, food, contracts, etc. and is established for people who can’t make decisions on their own. Limited Conservatorship or Guardianship—This kind of conservatorship limits the powers of the conservator to mirror the needs of the individual. A limited conservatorship is established for someone who may not be in a position to handle everything, but can make certain life decisions by himself or herself. (For example, a limited conservatorship may apply only to health care decisions.) A limited conservatorship encourages selfdetermination and independence by granting the conservator powers only for those areas the individual can’t manage. 48 A special-needs trust enables a trustee to pay for items and services beyond the bare necessities the government provides. For example, if your child’s television were to break, the trustee could purchase a new one. If your child wanted to vacation with friends in Florida, the trust could pay for that as well. A special-needs trust can pay for everything from ball games and movies to private rehabilitation and vitamins. This is where your letter of intent really comes into play. Should your child’s trustee perceive a Florida trip as a waste of resources, your instructions could help relieve the trustee’s concerns about squandering money. Rather than your child receiving direct bequests, the trust should serve as the recipient of all inheritances or gifts. Notify grandparents, other relatives, and friends who might want to leave a bequest to your child and ask them to leave it to the special-needs trust instead. Funding the Special-Needs Trust How do you amass sufficient money to fund a special-needs trust? You may have more assets than you realize—although some may not be available until your death. Ask your financial planner for other ways to boost your resources. Here are some ideas: • Life insurance • Standard government benefits, such as Social Security survivor benefits • Savings and investments, including money in retirement funds • Assistance and inheritances from friends and family members • Property, such as a home or rental property • Military benefits Saving and Investing You may want to consider seeking the advice of a financial planner, especially one who specializes in disabilities planning. This kind of specialist can help not only with your general finances but also can look at your life, taking into account your family’s special considerations. To find someone who cares to address your specific issues, check with your lawyer, other parents, local advocacy organizations, or NAELA. You also can begin to investigate saving and investing on your own. Following are some saving and investment vehicles: Dollar-cost averaging is an investment strategy whereby you invest a consistent amount (such as $50 or $100) at regular intervals (say each month or quarter). Mutual funds pool your money with that of many other investors. Instead of buying just a few assets, a professional fund manager purchases many stocks, bonds, and/or other assets, which diversifies your investment. In other words, you don’t end up with all your eggs in one basket. Treasury securities include federal government bills, notes, and bonds. Interest payments are guaranteed. Your principal is safe as long as you retain the security until it matures—the time when the government agrees to pay back the principal. Stocks are an investment in a company; to put it simply, you own part of the business in which you invest. Stocks tend to be a higherrisk investment because they are affected by a company’s performance, the economy, and political events. To lower the risk associated with stock ownership, it’s a good idea to own stock in more than one company. It’s also wise to purchase stock across different industries or sectors, a tactic that diversifies your investments. Also, most experts advise investors to hold their stocks for the long term. Company-issued and government-issued bonds. When you purchase a bond, you are lending your money to the issuer. A bond is a legal promise to pay you interest for the use of your money, as well as repaying the principal. While there are some risks associated with bonds, the potential return can often be greater than if your money was simply sitting in a savings account. Life insurance is one of the foremost tools people use to fund their special-needs trusts. There are two basic types of life insurance: term and permanent coverage. Term insurance is about protection; it is not an investment. This is not the type of life insurance experts usually suggest as a vehicle to fund specialneeds trusts. Permanent life insurance covers you permanently without your having to prove insurability (as long as you don’t let the policy lapse). In time, the cash value of your policy can add up to a large sum of money, an amount continued Real estate investment might include residential rental property, raw land, a real estate investment trust, or commercial (business) real estate. As you think about purchasing real estate, consider that you will have to pay property taxes. Also, the property might be difficult to sell if you need the money right away. Over the long term, real estate can yield high returns but there is potential for great losses as well. Retirement Planning A big part of your savings strategy involves your future retirement. Employer-Sponsored Plans Individual Retirement Accounts Coverdell Education Savings Account For people with children, the government has provided an incentive for parents to save for education expenses through the tax-deferred Coverdell Education Savings Account. Check with a knowledgeable financial planner about whether a Coverdell Education Savings Account could jeopardize future government benefits for your child with special needs. In addition to a $3,000 per year personal IRA contribution, you may contribute up to $2,000 per child per year to a Coverdell Education Savings Account—until the child reaches the age of 18. Like the Roth IRA, contributions to the account are not tax deductible, but earnings accumulate tax-free. What’s more, withdrawals from these ESAs can pay for tuition, books, supplies, and room and board (for full-time students). If the child doesn’t attend college, the money must be withdrawn by the time he or she turns 30; otherwise, those earnings are subject to income tax and the 10-percent penalty. Or you can roll an ESA over to another member of the family without penalty. Rules about ESAs can change. Check with your financial advisor regarding the latest information and whether an ESA makes sense for your situation. Your Government Benefits Medicaid Medicaid is a program, paid for by the federal government and the states, that covers the cost of certain medical care and procedures for lowincome people. Every state administers its own program and handles things a bit differently. For a child under 18 to receive Medicaid benefits, your income and assets must fall below a certain level. Some people who might qualify for Medicaid include low-income families with medically needy children under the age of 21 who meet certain requirements, Supplemental Security Income (SSI) recipients, infants born to Medicaid-eligible women, children under six years old, and pregnant women whose family income falls at or below 133 percent of the federal poverty level. To find out more, visit www.cms.gov or call 410.786.3000. Resources | Helpful Information against which you usually can borrow. You will pay more at first for a permanent policy than you will for term insurance, but your premium won’t change. This is the type of policy most people use to fund special-needs trusts. Medicaid Waiver Programs Waiver programs are for children with disabilities who would otherwise not qualify for Medicaid or SSI because of their parents’ income. In addition to medical coverage, waiver programs may cover a number of targeted services and supports. You must qualify before you can sign up for most waiver programs. If you do qualify, enroll even if you must add your name to a waiting list. In some states, there is a co-pay for services based on parents’ income. For more information, call 1.800.633.4227 or call your state Medicaid office. Medicare This government health insurance program is available to children with certain disabilities, such as chronic renal disease, which requires a kidney transplant or maintenance dialysis. These children can qualify for Medicare if they have a parent who is receiving Social Security or who has worked enough to be covered by Social Security Disability Insurance. Contact Medicare for specific information by calling 1.800.633.4227 or visiting www.medicare.gov. State Children’s Health Insurance Program (SCHIP) This program is administered through individual states, which set eligibility and coverage following broad federal guidelines. Recipients must be qualified as low income, be ineligible for Medicaid, and be uninsured. Programs differ, but all must offer at least these services: in-patient and out-patient hospital services, doctors’ surgical and medical services, lab and X-ray services, and well-baby/child checkups, including immunizations. Some states may provide additional benefits. SCHIP is available in all states and the District of Columbia. You continued Start Saving Now Even if you are not wealthy, you can make a big difference in your future and your child’s future if you start planning today. Although you may never save vast sums of money, you can set priorities and find ways to bridge the shortfalls if you begin tackling these things now. Making a Spending Plan How can you meet your goals? You can begin by creating a basic spending plan in four easy steps: 1. List your monthly income. 2. Identify your expenses. 3. Compare your income and expenses. 4. Make appropriate changes. 49 Resources | Helpful Information can apply for SCHIP for your child at state public schools. In some states, you can apply through the or public health departments, state social service agencies, or state welfare agencies. Contact 1.877.543.7669 or www.insurekidsnow.gov. Children With Special Health Care Needs (CSHCN) Provision of the Social Security Act If your child is eligible for SSI, he or she also will be eligible for CSHCN, a program administered via state health agencies. Although there are differences, most CSHCN programs help provide specialized services through arrangements with clinics, private physicians, hospital-based outpatient and in-patient treatment centers, and social services. CSHCN programs are known by a variety of names, including Children’s Special Health Services, Children’s Medical Services, and Handicapped Children’s Program. Even if your child is not eligible for SSI, a CSHCN program may be able to help you. The Institute for Child Health Policy publishes the Directory of State Title V CSHCN Programs: Eligibility and Scope of Services; visit www.ichp.edu or call 352.392.5904. State-Mandated Insurance Programs State-mandated insurance programs are for those who have been refused health insurance, offered health insurance at a higher-thanstandard premium, or have been offered health insurance with a rider that substantially reduces coverage. A small business owner may obtain this type of coverage for an employee who has a child with special needs. It is definitely worth exploring your state’s program. Nonmedical Benefits From Social Security Available to Children with Disabilities There are several ways a child may be able to claim non-medical benefits from Social Security. Supplemental Security Income (SSI) SSI benefits are available to children with disabilities, under age 18, whose disability is expected to last more than 12 months or result in death and whose parents’ income and resources are limited. When your child reaches age 18, he or she then becomes eligible for SSI if his or her income and assets meet Social Security guidelines and if the disability interferes with employability. (The ability to qualify for SSI after 50 the age of 18 is a major reason financial advisors suggest that you keep assets out of your child’s name.) If a child qualifies for SSI, he or she also will qualify for Medicaid. Social Security Disability Insurance (SSDI) When you qualify for Social Security retirement or disability benefits, your disabled child also may qualify to receive benefits based on your entitlement to benefits. The definition of child includes your biological child, adopted child, or stepchild. If the parent has died, children under the age of 18 may collect dependent SSDI benefits on the parent’s record (if qualified.) These benefits are available to all children, regardless of whether the child has a disability. SSDI benefits can continue into adult- hood if the child has a disability that began before age 22. For information about SSI or SSDI, contact the Social Security Administration at 1.800.772.1213 or www.ssa.gov. Insurance Making sure you have adequate insurance is particularly important for families who are dealing with disability issues. Health, life and disability insurance policies are your buffer against catastrophic expenses and losses. To maximize medical coverage for your child, it is essential that you understand your policy. Examine your policy and its coverage. There are many types of medical coverage, including health maintenance organizations, preferred provider organizations, point-of service-plans, indemnity plans and exclusive provider organizations. What type of medical plan do you have? Does it cover certain kinds of therapy? Are there any provisions for mental health care, emotional behavioral disorders, or other mental health disabilities? Even if your health care plan pays for your child’s mental or physical health care needs, you may still be subject to paying deductibles, coinsurance, and/or co-payment fees. Factor these costs into your spending plan. continued The Arc of the United States 1010 Wayne Ave., Suite 650 Silver Spring, MD 20910 301.565.3842 www.thearc.org Easter Seals 230 West Monroe St., Suite 1800 Chicago, IL 60606 1.800.221.6827 312.726.6200 TTY: 312.726.4258 www.easter-seals.org Financial Planning Association 1.800.322.4237 www.fpanet.org National Association of Protection and Advocacy 900 2nd St. NE, Suite 211 Washington, DC 20002 202.408.9514 www.protectionandadvocacy.com National Organization for Rare Diseases (NORD) P.O. Box 8923 New Fairfield, CT 06812-8923 1.800.999.6673 www.rarediseases.org Resources | Helpful Information Resources National Parent Network on Disabilities (NPND) Pacer Center Parent Advocacy Coalition for Educational Rights 1130 17th St. NW, Suite 400 Washington, DC 20036 202.463.2299 www.npnd.org S.N.A.P. (Special Needs Advocate for Parents) 1801 Avenue of the Stars, Suite 401 Century City, CA 90067 1.888.310.9889 310.201.9614 www.snapinfo.org National Council on Disability 1331 F St., NW, #1050 Washington, DC 20004 202.272.2004 www.ncd.gov National Information Center for Children & Youth with Disabilities (NICHCY) P.O. Box 1492 Washington, DC 20013-1492 1.800.695.0285 www.nichcy.org 51 MPS Classifications 52 Mucopolysaccharidoses (MPS) and related diseases are genetic lysosomal storage diseases caused by the body’s inability to produce specific enzymes. Normally, the body uses enzymes to break down and recycle materials in cells. In individuals with MPS and related diseases, the missing or insufficient enzyme prevents the proper recycling process, resulting in the storage of materials in virtually every cell of the body. As a result, cells do not perform properly and may cause progressive damage throughout the body, including the heart, bones, joints, respiratory system and central nervous system. While the disease may not be apparent at birth, signs and symptoms develop with age as more cells become damaged by the accumulation of cell materials. Syndrome Eponym Enzyme Deficiency MPS I Hurler, Scheie, Hurler-Scheie a-L-Iduronidase MPS II Hunter Iduronate sulfatase MPS III A Sanfilippo A Heparan N-sulfatase MPS III B Sanfilippo B a-N-Acetylglucosaminidase MPS III C Sanfilippo C Acetyl CoA: a-glycosaminide acetyltransferase MPS III D Sanfilippo D N-Acetylglucosamine 6-sulfatase MPS IV A Morquio A Galactose 6-sulfatase MPS IV B Morquio B b Galactosidase MPS VI Maroteaux-Lamy N-Acetylgalactosamine 4-sulfatase (arylsulfatase B) MPS VII b-Glucuronidase Sly MPS IX Hyaluronidase ML II/III N-acetylglucosamine-1phosphotransferase I-Cell, Pseudo-Hurler polydystrophy Board of DIRECTORS Ernie Dummann, president; chair, Legislative Committee Debbie Dummann 6721 St Ives St. Anchorage, AK 99504 907.337.6014 [email protected] MPS III parents Steve Holland, chair, Fundraising Committee Amy Holland 1752 Hilltop Circle Fort Worth, TX 76114 817.625.6999 [email protected] MPS I H-S parents STAFF Kristine Klenke, vice president; chair, Family Support Committee 7604 Sherry Creek Road Worden, IL 62097 618.888.2204 [email protected] MPS II parent Austin Noll 3735 Redwood Circle Palo Alto, CA 94306 650.521.0089 [email protected] MPS III parent Laurie Turner, program director [email protected] Angela Guajardo, treasurer Luis Guajardo 1815 Post Oak Road Edinburg, TX 78539 956.287.2887 [email protected] MPS III parents Kim Frye, secretary; chair, Education/Publicity Committee Stephen Frye 3625 E. Thousand Oaks Blvd., STE 217 Westlake Village, CA 91361 818.263.7420 [email protected] MPS II parents Jennifer Clarke 186 Odd Road Poquoson, VA 23662 757.868.7569 [email protected] MPS III parent Tom and Anne Gniazdowski 315 Meadowview Court Springboro, OH 45066 937.748.8809 [email protected] MPS II parents MaryEllen Pendleton 56 E. Vinedo Lane Tempe, AZ 85284 480.831.2157 [email protected] MPS III aunt Tami Slawson 1342 Oak Mesa Drive LaVerne, CA 91750 909.593.1237 [email protected] MPS I parent Dr. Klane and Amy White 3421 West Laurelhurst Drive, NE Seattle, WA 98105 206.523.2727 [email protected] MPS I parents Kim Whitecotton 1413 Emigrant Way Modesto, CA 95358 209.544.2708 [email protected] MPS II parent Gordon Wingate 16319 Jordyn Lake Tomball, TX 77377 832.498.1724 [email protected] MPS III parent President Emerita Marie Capobianco Steve Holland Mary Majure Couture Linda K. Shine Barbara Wedehase, executive director [email protected] Terri Klein, development director [email protected] Naureen Sayani, office manager [email protected] SCIENTIFIC ADVISORY BOARD Alessandra D’Azzo, Ph.D. Gideon Bach, Ph.D. Lorne A. Clarke, M.D. Robert Desnick, M.D., Ph.D. Matthew Ellinwood, D.V.M., Ph.D. Louis Elsas, M.D. Mark Haskins, Ph.D., V.M.D. John Hopwood, Ph.D. Laird Jackson, M.D. Joseph Muenzer, M.D., Ph.D. Elizabeth Neufeld, Ph.D. Beth A. Pletcher, M.D. Mark Sands, Ph.D. Edward Schuchman, Ph.D. William Sly, M.D. Charles H. Vite, D.V.M. Steven Walkley, D.V.M., Ph.D. David Wenger, Ph.D. Chester Whitley, M.D., Ph.D. John H. Wolfe, Ph.D. Ed Wraith, M.D. National MPS Society PO Box 14686 Durham, NC 27709-4686 NON-PROFIT ORG. U.S. POSTAGE PAID CHAPEL HILL, NC PERMIT #74