PDF File - Tuberous Sclerosis Alliance
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PDF File - Tuberous Sclerosis Alliance
A MAGAZINE FROM THE TUBEROUS SCLEROSIS ALLIANCE SUMMER 2015 | VOLUME 136 Remembering Dee Triemer Cover Story PAGE 6 TS Alliance Honors Volunteers and Community Alliance of the Year PAGE 8 TSC Clinics “Up Close” — Israel PAGE 14 Databases and Registries: What Are the Differences? PAGE 18 A Call to Action: You Can Help By Participating in a Research Study PAGE 20 801 Roeder Road, Suite 750 Silver Spring, MD 20910 USA (301) 562-9890 Toll-free: (800) 225-6872 Fax: (301) 562-9870 www.tsalliance.org SUMMER 2015 • VOLUME 136 Message from the Leadership Kari Luther Rosbeck President and Chief Executive Officer Jaye D. Isham Kari Luther Rosbeck Vice President, Communications Strategy Managing Editor Laura Lubbers, PhD If you have opinions, questions or articles for Perspective, we would like to hear from you. Please contact the managing editor to obtain a submissions form and guidelines. President & CEO Chair, TS Alliance Board of Directors T his issue’s cover story about our beloved Dee Triemer serves as a reminder we can all make a difference in the battle against tuberous sclerosis complex (TSC). The TS Alliance has just launched an online journal tribute page to Dee at www.tsalliance.org/DeeTribute. You can share your favorite memories, post pictures with Dee and join us in starting the page with your answer to: “I am grateful I knew Dee because . . .” These pictures and memories will also help us create a photo montage for next year’s Community Alliance of the Year Award, which will now be called “The Dreamer Award” in Dee’s memory. We are all so very grateful to Dee for impacting our lives, and we hope you will all share your tributes on this new page. Another way many of you have paid tribute to Dee is by participating in a Spring event – Comedy for a Cure or a Step Forward to Cure TSC walkathon. These events are crucial not only for fundraising but also for community building and increasing awareness about TSC. Dee was a driving force behind these initiatives and often shared, “I have the best job in the world because I get to work with all of you.” This Fall, there will be more Step Forward to Cure TSC walkathons, all dedicated to Dee, as well as two more readings of our play, FOUR DECADES | ONE COMMUNITY, in Minneapolis, MN and Washington, DC. You can find walk dates elsewhere in this issue or by visiting www.StepForwardtoCureTSC.org. Visit www.tsalliance.org/4decades to get information on the play. Speaking of awareness, we hope you all know about the TS Alliance’s new #IAMTSC awareness campaign that launched nationwide in early April. This campaign features celebrities telling the personal stories of people with TSC in public service announcements (PSAs). The PSAs are currently showing on TV stations across the United States, and you can view them at www. IAMTSC.org today. To further increase awareness of TSC and epilepsy, the TS Alliance, in conjunction with the Child Neurology Foundation, will launch a campaign to increase knowledge about infantile spasms. We will provide more information about this exciting campaign as it becomes available. Also this Fall, the TS Alliance and the Tuberous Sclerosis Association in the United Kingdom are partnering to present the 2015 International TSC Research Conference: From Treatment to Prevention from September 10-12 in Windsor, UK. This conference is critical to set the stage for clinical trials to further our knowledge of treating TSC. To find out how you can participate in current clinical trials, please see page 20. Perspective is intended to provide basic information about tuberous sclerosis complex. It is not intended to, nor does it, constitute medical or other advice. The Tuberous Sclerosis Alliance (TS Alliance) does not promote or recommend any treatment, therapy, institution or health care plan. Readers are warned not to take any action without first consulting a physician. Commentary expressed herein reflects the personal opinions of the author and does not necessarily reflect the official views of the TS Alliance. Information contained in the TS Alliance database is confidential and not provided nor sold to third parties. Perspective is published quarterly by the National Tuberous Sclerosis Association, Inc. d/b/a Tuberous Sclerosis Alliance, a 501(c)(3), charitable organization. ©Copyright 2015 by the Tuberous Sclerosis Alliance. All Rights reserved. Materials may not be reproduced without written permission. Direct requests for reprint permission to the managing editor. Board of Directors Laura Lubbers, PhD, Chair David Fitzmaurice, Vice Chair Rebecca Anhang Price, PhD, Secretary Darren Miles, Treasurer Keith Hall, Past Chair Martina Bebin, MD, MPA John Bissler, MD Cassandra Carroll April Cooper Beth Dean Rita DiDomenico Steven Goldstein Colleen Johns Brendan Manning, PhD Ted Mastroianni David Michaels Debora Moritz Courtney O’Malley David Parkes Henry Shapiro Elizabeth Thiele, MD, PhD Endowment Fund Board of Directors Michael Augustine, Chair Doug Loftus, Secretary Rita DiDomenico, Treasurer James Achterhof Steven Goldstein David Michaels CONTINUED ON PAGE 5 2 P ER SP ECT I V E • S U M M E R 2 0 1 5 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance Special Events For more than 13 years, the TSC community, volunteers, sponsors, corporate partners and advocates helped raise more than $11.5 million through the Step Forward to Cure Tuberous Sclerosis Complex® movement. With your help we can be heroes to everyone affected by TSC. By joining a team, or walking as an individual, you’ll receive the following Step Forward Super Hero benefits: • Hassle-free onsite registration • Customizable fundraising page • Step Forward to Cure TSC walk shirt for raising $100 or more • Online certificates/prizes for fundraising more than $500 • Recognition for top team/fundraiser Sign up early, recruit friends and be a part of this fabulous movement! Visit www.StepForwardtoCureTSC.org today. Nationally Sponsored by: The Super Hero Dollar$ Program Location: Wantagh Park, Wantagh, NY Event Chairs: Rob and Denise Spear, [email protected] The Super Hero Dollar$ program encourages participants to fundraise through fun and team-oriented online activities while earning recognition and prizes. For each fundraising dollar raised, participants earn one Super Hero Dollar$ that collectively can be used to redeem prizes through an online portal. Throughout the year, online activities and team challenges are announced to encourage participants to continue their fundraising efforts and earn higher-level prizes. Super Hero Dollar$ are an excellent resource to kick start next year’s walk, thank local sponsors and volunteers, or simply boost your bragging rights on social media. Visit www.stepforwardtocuretsc.org/prizes to learn more. Date: October 17, 2015 Location: Oak Ridge Park, Clark, NJ Event Chair: Tresha Bisang, [email protected] TS Alliance of the Carolinas Date: September 26, 2015 Location: Jarvis Creek Park, Hilton Head Island, SC Event Chair: Amy Bredeson, [email protected] Date: September 27, 2015 Location: Miller Park, Shelter #1, Winston-Salem, NC Event Chair: Kasey Bragg, [email protected] Walk Chairs TS Alliance of Houston Date: September 26, 2015 Location: MacGregor Park, Houston, TX Event Chairs: Bill and Taska Fields, [email protected] The TS Alliance is sincerely grateful for our volunteer walk chairs across the country and the inspiring ways they interact with the community through contributing their never-ending abundance of energy, time, and resources. We are excited to announce three newly appointed Step Forward to Cure TSC walk chairs for 2015! We look forward to their contributions to the community and thank them for “stepping” up to the challenge! • Step Forward to Cure TSC Seattle – Devon McCollum • Step Forward to Cure TSC Western Pennsylvania – Kelsey Hudson • Step Forward to Cure TSC North Carolina – Kasey Bragg TS Alliance of the Pacific Northwest Date: October 11, 2015 Location: Warren G. Magnuson, Shelter #3, Seattle, WA Event Chair: Devon McCollum, [email protected] TS Alliance of Western Pennsylvania Date: October 11, 2015 Location: North Park Harmar Pavilion, Allison, PA Event Chair: Kelsey Hudson, [email protected] Step Forward to Cure TSC Fall Schedule A M a g a z i n e f r o m t h e Tu b e r o u s TS Alliance of New England Date: September 12, 2015 Location: Auburndale Park, Auburndale, MA Event Chair: Stacie Verrill, [email protected] TS Alliance of Tennessee Date: October 17, 2015 Location: H.W. Cox Park, Collierville, TN 38017 Event Chair: Brittany Schwaigert, [email protected] TS Alliance of New York and New Jersey Date: September 19, 2015 TS Alliance of the Intermountain West Date: October 17, 2015 S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 • P E R S P E C T I V E 3 Special Events Location: Liberty Park, Salt Lake City, UT Event Chair: Alisa Lambros, [email protected] TS Alliance of St. Louis and Southern Illinois Date: October 17, 2015 Location: Cliff Cave Park, St. Louis, MO Event Chair: Gwen Montaigne, [email protected] Location: Gring’s Mill, Wyomissing, PA Event Chair: Shelly Meitzler Raised: $16,197 TS Alliance of Connecticut Date: May 3, 2015 Location: Rotary Pavilion at Sand Hill/ Nevers Park, South Windsor, CT Event Chair: Rebecca Thereault Raised: $23,705 TS Alliance of Greater Kansas City Date: October 24, 2015 Location: Celebration Park, Gardner, KS Event Chair: Planning Committee, [email protected] TS Alliance of the Dallas/Ft. Worth Area Date: May 9, 2015 Location: Frisco Commons Park, Frisco, TX Event Chair: Joy Graydon Raised: $54,903 TS Alliance of Florida Date: November 14, 2015 Location: Florida International University, MMC Campus, Miami, FL Event Chair: Vanessa Vazquez, [email protected] TS Alliance of Wisconsin Date: May 9, 2015 Location: Regner Park Centennial Shelter, West Bend, WI Event Chair: Kristin Champagne Raised: $4,208 TS Alliance of Northern California Date: November 7, 2015 Location: Heather Farm Park, Walnut Creek, CA Event Chair: Diane Burgis, [email protected] TS Alliance of Southern California Date: May 16, 2015 Location: El Dorado Park East, Long Beach, CA Event Chair: Barbara O’Neill: Dawn Redfield Raised: $133,450 Spring 2015 Results TS Alliance of Greater Chicago Date: May 16, 2015 Location: Lake Storey Recreational Area, Galesburg, IL Event Chair: Karen Johnson-Wenger Raised: $5,894 TS Alliance of Arizona Date: April 18, 2015 Location: Eldorado Park, Scottsdale, AZ Event Chair: Debora Moritz Raised: $30,605 TS Alliance of Greater Alabama Date: April 25, 2015 Location: Emmet O’Neal Library, Mountain Brook, AL Event Chairs: Carol Pitard and Margaret Cox Raised: $102,384 TS Alliance of Delaware/Lehigh Valley Date: May 2, 2015 TS Alliance of the Delta Region Date: May 23, 2014 Location: Parc Hardy Park, Breaux Bridge, LA Event Chair: Katie Christensen Raised: $22,673 TS Alliance of DC Metro: National Walk on the Mall Date: June 6, 2015 Location: Constitution Gardnes, Washington, DC Event Chair: Brooke Carpenter Raised: $93,990 TS Alliance of the Upper Midwest Date: June 7, 2015 Location: Central Park – Jaycees Shelter, Roseville, MN Event Chairs: Jody Prudhomme and Maria Gibbons Raised: $47,941 TS Alliance of Ohio Date: June 13, 2015 Location: Thomas A. Cloud Park, Huber Heights, OH Event Chair: Lola Centeno Raised: $6,196 TS Alliance of the Rocky Mountain Region Date: June 13, 2015 Location: EB Rains Park, Northglenn, CO Event Chairs: Leslie Byers and Caroline Clough Raised: $16,554 Date: May 16, 2015 Location: Ty Warner Park and Pavilion, Chicago, IL Event Chair: Geri Greenberg Raised: $72,961 TS Alliance of Michigan Date: June 13, 2015 Location: Granger Meadows Park, Lansing, MI Event Chair(s): Treasa Dunlap Raised: $12,691 TS Alliance of Indiana Date: May 16, 2015 Location: Billericay Park, Fishers, IN Event Chair: Pat Schmutte Raised: $48,888 TS Alliance of Atlanta/North Georgia Date: June 13, 2015 Location: Marietta Square, Marietta, GA Event Chair(s): Reiko Donato Raised: $40,158 CONTINUED ON PAGE 22 4 P ER SP ECT I V E • S U M M E R 2 0 1 5 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance Government Relations Update House Approves $6 Million for TSC Research; Defense Bills Advance in Congress On June 9, 2015, the U.S. House of Representatives approved the fiscal year 2016 Defense Appropriations Act. We are pleased to report this legislation includes $6 million in additional funding for the Tuberous Sclerosis Complex Research Program (TSCRP) at the Department of Defense. This important achievement during a challenging fiscal year would not have been possible without the diligent advocacy efforts of TSC families and friends. On March 4, about 70 advocates traveled to Washington, DC to participate in our annual “March on Capitol Hill.” This herculean effort resulted in 22 Senators and 117 Representatives signing onto letters of support for the TSCRP. Many other advocates who were not able to travel to Washington, DC met with their Senators and Representatives back in their home states to make the case for continued funding. On June 11, the Senate Appropriations Committee approved its version of the fiscal year 2016 Defense Appropriations Act. While the Senate does not include specific funding levels for the TSCRP in its version of the bill, it did include sufficient funding for the overall defense health research programs to move the process forward toward a final House-Senate bill, which hopefully will be finalized in the fall or winter this year. June 17, in a speech on the floor of the Senate, Senator McCain announced, “I am aware of the outcry that has taken place at these various organizations, which are dedicated to improving the health of Americans, and so therefore of course I am not subjecting it to a vote.” Patient Advocacy Groups Push Back on McCain Amendment “21st Century Cures” Act Approved by House During the week of June 8, during Senate debate on the National Defense Authorization Act, Senator John McCain (R-AZ) introduced an amendment that would have significantly threatened future funding for the TSCRP and other defense health research programs. This amendment would have significantly narrowed the eligibility of research funding to very specific “military relevance” criteria. The TS Alliance proudly joined a coalition with dozens of patient advocacy organizations, professional medical societies, health research advocacy groups, and veterans’ organizations in a grassroots campaign to help defeat the McCain amendment. On June 10, the TS Alliance and 65 other organizations signed a letter to the Senate expressing opposition to the amendment and strong support for the defense health research programs. On On July 10, the House approved legislation to stimulate innovation in medical research and advance new treatments and cures for disorders like TSC. The “21st Century Cures” Act establishes a new $9.3 billion “NIH and Cures Innovation Fund,” which includes $1.75 billion annually in new investments at the National Institutes of Health and $110 million annually for modernizing the drug approval process at the Food and Drug Administration. During debate on the bill, the TS Alliance worked in coalition with other patient advocacy groups to oppose amendments that would have significantly weakened the Innovation Fund. These amendments were defeated and the bill was approved and sent to the Senate. The Senate may take up its own version of the legislation as early as the Fall. Message from the Leadership (continued) As part of our commitment to the global TSC community, staff members Kari Luther Rosbeck and Katie Smith visited associates from the TS Alliance of Israel in April and met with community members and physicians as well as visited the TSC Clinics there. You can read more about these activities on page 14. A M a g a z i n e f r o m t h e Tu b e r o u s of our preclinical consortium to accelerate the testing of potential new treatments for TSC. In closing, we salute everyone in the TSC community for continuing to support each other and the TS Alliance. Finally, the TS Alliance is pleased to announce some new staff members. Rich Gollub, CPA, is our new Controller and Chief Financial Officer and Cristina Angel is our new Administrative Assistant. Dani Brunner, PhD, also recently joined the organization as a Senior Scientific Advisor and will lead the implementation S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 • P E R S P E C T I V E 5 Remembering Dee Triemer A Mom, Advocate, Staff Member, and Force of Nature COVER STORY “On March 15, 2002, my world grew larger, my eyes opened wider, and now every day I try to make a difference. I want Ashley and my other children to be proud. I didn’t shrink and cry. I did something. That was my strength – my way of controlling what can’t be controlled.” – Dee Triemer B eloved friend and TS Alliance s t af f m e m b e r D e e Tr i e m e r passed away Tuesday, May 19, at her home. Dee was diagnosed with stage 4 cancer earlier this year. While there are no words to fully express everyone’s deep grief, Dee certainly made a profound impact not only in the TSC community but anyone whose life she touched. And that’s a reason to celebrate. “Dee was a TSC mom like me, and also worked for the TS Alliance. Her passion to support TSC families and individuals and her ability to rally many people, from neighbors to celebrities to help us make TSC a household name and raise funds for research and support programs offered by the TS Alliance, will be deeply missed,” said Reiko Donato. TS Alliance President and CEO Kari Luther Rosbeck met Dee 13 years ago. “On the day of her daughter Ashley’s diagnosis, Dee called me ready to take action. In true ‘Dee fashion,’ she had a to-do list ready to go, focused on what she could Reiko Donato with Dee. 6 P ER SP ECT I V E • S U M M E R 2 0 1 5 • A M a g a z i n e Kari and Dee. do to make a difference. Dee lived a life of service to others, always working to make a positive change for Ashley and the entire TSC community. Of course, she is tremendously missed and her tenacity, fortitude, compassion and commitment will be guiding forces for me and the staff.” As many know, Dee was nuts about shoes, especially ones with heels. On the day of her memorial, Facebook was awash in pictures of shoes and anecdotes as a way to remember her. “At last summer’s TSC World Conference, Dee fell in love with these shoes of mine,” remembers Janie Frost. “I could not wear them for any longer than 30 minutes at a time. Dee noticed that and snuck out with them, leaving hers behind! She told me fr o m th e Tu be ro us S c l e ro s i s Alliance Janie’s Shoes “Dee was, and remains, a beacon of light and inspiration for the TSC community. Your immense contributions cannot be easily measured. We and your entire circle of family and friends will always and forever cherish your memory.” that she would relieve me of them when I could only wear them . . . 10 minutes at a time! I will miss you Dee Carpenter Triemer, and wish you had these shoes!” Dee was born November 1, 1965 in Kinsport, Tennessee to Barry and Sharon Carpenter. She received a Bachelor of Business Administration from Kennesaw State University in 1991. She met her future husband, Michael Triemer, in Tampa, Florida where she worked as the Director of Human Resources for AT&T Atlantic. In 2002 they relocated to the Atlanta area with their four children shortly after their daughter, Ashley, was diagnosed with tuberous sclerosis complex. Dee quickly became a dedicated advocate for her daughter and others with TSC. She established the TS Alliance chapter in Tampa before moving to Georgia where she helped organize its first Step Forward to Cure TSC walkathon in 2003. TS Alliance founder Adrianne Cohen and Dee. A M a g a z i n e f r o m t h e Tu b e r o u s Dee working the live auction at the TS Alliance 40th Anniversary Celebration. “Dee was, and remains, a beacon of light and inspiration for the TSC community. Your immense contributions cannot be easily measured. We and your entire circle of family and friends will always and forever cherish your memory,” said Keith Hall, former TS Alliance Board Chair. After filling numerous volunteer roles with the TS Alliance and being named a 2007 Volunteer of the Year, Dee joined the TS Alliance staff in 2008 as Community Outreach Manager. She was later named Director of Special Events and Corporate Partnerships, leading the TS Alliance’s special event and communit y fundraising efforts. She oversaw the national Step Forward to Cure TSC program, which raised millions during her tenure. Dee also directed the TS Alliance’s signature event, Comedy for a Cure®. S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 She was a member of the Hamilton Mill United Methodist Church where she helped create their special needs program. Dee is survived by her parents Barry and Sharon Carpenter, her older brother Jerr y Carpenter, her former spouse Michael Triemer, and their four children – Christopher, 18, Jeffrey, 17, Ethan, 14, and Ashley, 13, along with numerous loving grandparents, aunts, cousins, nieces, nephews and friends. In May, the TS Alliance Board of Directors established the Dee Triemer Memorial Fund to honor and pay tribute in a meaningful way to Dee and to ensure her legacy, tireless efforts and achievements live on. Dee truly demonstrated that one person can make an impactful difference – as a mother, a volunteer, an advocate and a staff member. She literally touched thousands of lives. You can make an online gift to the memorial fund at www. tsalliance.org/TriemerMemorialFund. • P E R S P E C T I V E 7 TS Alliance Honors Volunteers and Community Alliance of the Year T an impressive five nominations. David raises awareness for TSC on behalf of his stepdaughter, Hannah, through his racing at the Stafford Motor Speedway in Stafford, CT. With the TS Alliance logo proudly emblazoned on his car’s hood, he takes every chance he gets to draw the attention to the fight against TSC. Left to right: Kari Luther Rosbeck, Heather Lens, Kristin Frausto, David Comeau, Geri Greenberg, Laura Lubbers Since becoming chair of the TS Alliance of Greater Chicago in 2012, Geri Greenberg has jumped head first into the fight against TSC. Through social gatherings, educational meetings, and walk support, Geri gives her all to support to her grandson, Derrick, and her local TSC he 2014 Volunteer of the Year and Community Alliance of the Year awards were presented at the Volunteer Appreciation Dinner in Washington, DC on March 5, 2015. 2014 Volunteer of the Year recipient Heather Lens was nominated by three individuals because of her passion for TSC awareness ignited by her daughter’s TSC diagnosis at 5 months old. As a leader in the start to the TS Alliance of Oklahoma, she has hosted both social and fundraising events and has big plans for her local TSC community. Kristin Frausto – Co-Chair of the TS Alliance of Southern California, Clinic Ambassador, registered nurse, student, and mother to two-year-old Evan – has proven herself a valiant fighter in the battle against TSC. Through Evan’s diagnosis, Kristin has become an advocate for TSC awareness who will not give up on our mission to find a cure for TSC while improving the lives of those affected. Race car driver David Comeau received a 2014 Volunteer of the Year award after 8 P ER SP ECT I V E community. A well-deserved winner of a 2014 Volunteer of the Year award, Geri continues her fight to bring awareness to TSC and offer support to those affected. Thank you to all of those who nominated and drew attention to the incredible work being done by these advocates. We look forward to their continued work on behalf of the TS Alliance and the TSC communities across the country. In addition to the Volunteer of the Year awards, the Community Alliance of the Year award was presented to the TS Alliance of Greater Chicago. Led by Chair Geri Greenberg, the TS Alliance of Greater Chicago is an incredible resource to local TSC individuals and families through the hosting of educational meetings, social gatherings, and annual fundraisers. Don’t forget to take notice of the local TSC heroes in your community. Nominations for the 2015 Volunteers and Community Alliance of the Year award will begin in the fall of 2015. Left to right: Kari Luther Rosbeck, Dena Hook, Geri Greenberg, Laura Lubbers. • S U M M E R 2 0 1 5 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance TS Alliance Endowment Fund: A Donation Option With Double the Tax Benefits M any of your investments are likely still worth more today than what you originally paid for them. And if you sell, you would pay capital gains taxes at a maximum rate of 20 percent. But by using appreciated securities you’ve owned for more than one year as a charitable gift, you will receive two tax benefits: 1. You are entitled to a federal income tax deduction based on the current fair market value of the securities, regardless of their lower original cost. 2. You will be exempt from paying capital gains taxes on any increase Case Study in value—taxes you would pay if you were to sell the securities. Cash vs. Stock: Which Gets More Bang for Your Buck? How to Make a Gift of Stock If you have the physical securities: • hand deliver them to the TS Alliance offices; or • mail the stocks and stock power separately. Throughout her working years, Kim saved and invested diligently to prepare for retirement. Now that she is retired, she is ready to diversify her portfolio and wants to use $100,000 in stock (which she originally purchased for $60,000, resulting in a $40,000 gain) to fund a gift to the TS Alliance Endowment Fund. Look at the chart below to see how Kim will benefit from giving her stock directly to us as opposed to selling it and donating the proceeds. If you don’t have possession of the physical securities: • instruct your broker to electronically transfer your intended shares; and • ask your broker to notify the TS Alliance Endowment Fund once the transfer is complete. Maximizing Tax Savings With a Gift of Appreciated Stock Kim’s Gift Options Gift of Cash Gift of Stock Value of Gift $100,000 $100,000 Kim’s income tax savings ($100,000 x 28% tax bracket) -$28,000 -$28,000 $0 -$6,000 $72,000 $66,000 Capital gains tax savings ($40,000 x 15%)1 After-tax cost of Kim’s gift Kim’s gift of stock delivers significant tax advantages over a cash donation, allowing her to support the TS Alliance Endowment Fund at a lower after-tax cost to her. In both scenarios, the Endowment Fund receives $100,000. 1$60,000 cost basis Let Us Help To learn more, contact Lisa Moss, Director of Donor Relations, at 301.562.9890 or 800.225.6872 or lmoss@tsalliance. org. Together with your advisor, we can help you fulfill your charitable goals while avoiding worries over tax consequences or market conditions. © The Stelter Company The information in this publication is not intended as legal or tax advice. For such advice, please consult an attorney or tax advisor. Figures cited in examples are for hypothetical purposes only and are subject to change. References to estate and income taxes include federal taxes only. State income/estate taxes or state law may impact your results. A M a g a z i n e f r o m t h e Tu b e r o u s S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 • P E R S P E C T I V E 9 Honorariums (January 2015 – May 2015) You can honor a friend or family member for an important occasion with a gift to the TS Alliance. It is a wonderful way to send a birthday or anniversary wish, or congratulations for retirement, a job well done, graduation, etc. Please include the name and address of the individual being honored so that acknowledgement of your kind donation can be sent. Tuberous Sclerosis Alliance honorarium cards are also available if you would like to make a gift in honor of family, friends, or colleagues. To receive tribute cards, call Tye Hoffman at (240) 638 4643 or by email at [email protected]. Tribute(s) for Adam Abad Ms. Olga M. Martinez Tribute(s) for Rebecca Anhang Price Mr. Ethan Levisohn Tribute(s) for Jacob Baker Shiloh Fire Department Auxiliary Tribute(s) for Vincent Bassano Mr. and Mrs. Vincent Bassano Mr. John Clemente Tribute(s) for Maggie Beaton Ms. Patricia Coffin Tribute(s) for John R. Beattie Mr. John G. Hazlett Tribute(s) for Thomas W. Beattie Mrs. Mary E. Dougherty Tribute(s) for Martin Becker Mr. and Mrs. Edward Winkler Tribute(s) for Taylor Bedini Ms. Peg Byron Tribute(s) for Edith L. Bernstein Mr. Nathaniel Duberstein Tribute(s) for Layne Boesiger Mr. Philip Livengood YourCause, LLC Tribute(s) for Elizabeth Boussie Mr. and Ms. Martin McGladdery Tribute(s) for Chloe Bredeson Beaufort County Schools Tribute(s) for Anthony Brewer Mr. and Mrs. Gustavo Baumzweig Mr. and Mrs. Richard A. Burten Ms. Gisely Cabrera Mr. and Mrs. Gregory Carbone Ms. Jennifer Ceglecki Ms. Maureen C. Covone Empire Agency, LLC Mr. David W. Harnett Mad World of Fitness, Inc. Mr. and Mrs. Mike McGarry Ms. Marie Murray Mr. and Mr. Christopher Papadopoulos Mr. and Mrs. William Sanchez Ms. Marlene Wolfe Tribute(s) for Victor Brown Anonymous Tribute(s) for Matty Campbell Mr. Joel Beckerman Brooks Sports, Inc. Mr. and Mrs. Donald R. Brown Mr. and Mrs. James G. Burkhart Mr. and Mrs. Robert L. Busby Ms. Rita K. Campbell 10 Carmel Dad’s Club, Inc. Christ the King School Mr. and Mrs. Steven A. Cobb Mr. Richard Collins Mr. and Mrs. G Terrence Crowley Ms. Mary Cunningham Mrs. Elizabeth Curtis Ms. Dorothy Davis Mr. and Mrs. Michael G. Garrison Mr. and Mrs. Worth Hartman Mr. and Mr. Paul Hegarty Mr. and Mrs. James S. Howie Mr. and Mrs. Todd H. Irwin Mr. Bernard P. Kavanagh Mr. and Mrs. Thomas C. Kessler Mr. and Mrs. Robert V. Kixmiller Ms. Lynn Larsen Mrs. Collette Leichtnam Mr. and Mrs. Joseph A. Magyar, Jr. Mr. and Mrs. William F. Marshall Mr. and Mrs. Robert Mayer Mr. and Mrs. Martin Moorman Mr. Steven Otte Mr. and Mrs. Dino Sarpa Mr. and Mrs. William R. Schnell Ms. Marilyn Siner Mr. and Mrs. Randy Sorensen Dr. and Mrs. Dirk A. Sterley Mr. Michael Williams Tribute(s) for Nathan P. Carroll Mr. and Mrs. John R. Carlson Tribute(s) for Faith Chadderdon Women of the Moose Tribute(s) for Elliot C. Cohen Ms. Roberta Addis Tribute(s) for Tommy Cox Ms. Jody Knudsen Tribute(s) for Keenan J. Creamer Booster The GE Foundation Tribute(s) for Eleanor Crystal Mr. and Mrs. Marc Cohen Tribute(s) for Hannah D’Amours Mr. and Mrs. Andre D’Amours Tribute(s) for Callie Darnell Mr. and Mrs. David J. Redd Tribute(s) for Andrew J. Deller Ms. Sandra Demmitt Microsoft Matching Gifts Program Tribute(s) for Jacob E. Dickison Mr. and Mrs. John G. Torkelson Tribute(s) for Nicholas Domzalski Mr. and Mrs. Raymond Domzalski Tribute(s) for Alexandra Donato Lawrence Smith Foundation Tribute(s) for Jeremy Elias Michael Bill Avner Memorial Fund/The Pittsburgh Foundation Tribute(s) for AJ Falbo Mr. Richard W. Jackson Tribute(s) for Ashley Falbo Mr. Richard W. Jackson Tribute(s) for Nicholas Falbo Mrs. Kimberly Grove Tribute(s) for Gabe Foley Mr. and Mrs. John M. Foley Tribute(s) for Jameson R. Fox Mrs. Michaela E. Essling Wehr Tribute(s) for Kelley D. Fox Mr. and Mrs. William Fox Tribute(s) for Barry Friedman Mr. and Mrs. Michael Parkes Tribute(s) for Fran Friedman Mr. and Mrs. Michael Parkes Tribute(s) for Gerald Friedman Mrs. Ina Goldstein Tribute(s) for Luke Grandia Mr. and Mrs. Marvin De Boef Tribute(s) for Deanne J. Guy Pleasant Valley United Methodist Church Tribute(s) for Anna Hathaway Mrs. Sharon L. Hathaway Tribute(s) for Chris A. Hawkey Mrs. Cheri L. Block Tribute(s) for Arthur Hightower Jacksonville Country Day School Tribute(s) for Mathew Hillier Ms. Patricia A. Gabriele Tribute(s) for Dana M. Holinka Mr. and Mrs. David A. Krinsky Tribute(s) for Emily M. Holinka Independent Rebuild Specialist, LLC Tribute(s) for Carly Holotka Mr. Joseph S. Holotka Tribute(s) for Kevin Jackson Mrs. and Mr. Judith Abrams Mr. and Mrs. Ron Wiener Tribute(s) for Annie Johnson Mr. and Mrs. Craig Bachouros P ER SP ECT I V E • Mr. and Mrs. William E. Braunlich Mr. and Mrs. Edmund P. Crump Ms. Shirley Harjes Mr. and Mrs. Roger Kiper Mr. and Mrs. Stanley G. Miller Mr. and Mrs. David W. Modjeski Mr. and Mrs. William T. Redgate II Ms. Martha S. Reese Mr. and Mrs. William J. Umphred Mr. and Mrs. Lawrence H. Weinberg Tribute(s) for Kendall Kesig Mr. and Mrs. Tomasean Swisher Tribute(s) for Brandon Kocher Mr. and Mrs. Charles Brodt Tribute(s) for Dale W. Kocher Mr. Suneet Bhatt Tribute(s) for Jackson Kozisek Mr. John B. Matthew Tribute(s) for Allison L. Kramer Mr. and Mrs. Scott R. Keating Tribute(s) for Lauren E. Krinsky Mr. and Mrs. Michael N. Meredith Ms. Donna Peterson Tribute(s) for Hannah LaForte Ms. Sandra Arky Mr. and Mrs. Edmund Barrett Mrs. Teddi Berkowitz Mr. and Mrs. Robert Klein Mr. and Mrs. N. Murray Kotler Mrs. Nancy Malamet Mr. and Mrs. Jerry Matez Mr. and Mrs. Richard Segal Mrs. Sandra Solomon Tribute(s) for Stephen Laib Mr. and Mrs. Ronald L. Laib Tribute(s) for Brianna LaVoun Ms. Marie Radigan Tribute(s) for Taylor Ledford Mr. and Mrs. John McFadden Tribute(s) for Emma J. Leist Stewart Title Company Tribute(s) for Madelyn Lens Booster Tribute(s) for Louis Letendre Ms. Deborah S. Fischer Tribute(s) for David C. Light Mr. and Mrs. Michael Parkes Tribute(s) for Jill A. Light Mr. and Mrs. Michael Parkes Tribute(s) for Nicholas F. Lyons Mr. George Snedeker S U M M E R 2 0 1 5 • A Tribute(s) for Brody Marlin Mr. Philip O. Katz and Ms. Leilani Eveland Mr. Kenneth Quickel Tribute(s) for Arlene J. Marszalowicz Mr. Alex Marszalowicz Tribute(s) for Carina Marton Carol Marton Tribute(s) for Carol Marton Ms. Jill Stier Tribute(s) for Herbert Marton Mr. and Mrs. David Selick Ms. Jill Stier Tribute(s) for Stuart Marton Carol Marton Tribute(s) for Gia Mason Ms. Joan Delcampo Tribute(s) for Joshua Michael Mrs. Carol Michael Tribute(s) for William Nasser Ms. Tammy Kirksey Tribute(s) for Lauren Niemeyer Ms. Kris Niemeyer* Tribute(s) for Carson O’Brien Mrs. Nancy Boothe Mr. and Mrs. Anthony Captline Dr. Shelly Dicesaro Mr. and Mrs. Gary Gegick Mr. Rothman Gordon Ms. Suzanne Korkus Mrs. Carol Obrien Mr. George Pawluk Mr. Jamison P. Roth Mrs. Lauren Stopperich Mrs. Sandra Yakovich Ms. Kimberly Zytnick Tribute(s) for Felipe Pancorvo Mr. Pablo Burbridge Tribute(s) for David W. Parkes Mr. and Mrs. Michael Parkes Tribute(s) for Eric Parkes Mrs. Ina Goldstein Tribute(s) for Jerome Parkes Mr. and Mrs. Michael Parkes Tribute(s) for Penney M. Parkes Mr. and Mrs. Michael Parkes Tribute(s) for Karina Partida Ms. Laurie Ahumada Mr. and Mrs. William G. Brown Mr. and Mrs. Guy Digiacomo Ms. Darby K. Downs Mr. and Mrs. Mark A. Molthan Mr. and Mrs. Douglas Nelson M a g a z i n e fr o m Mr. and Mrs. John J. Sullivan Mr. and Mrs. David Wear Tribute(s) for Bill Pfeiffer Mrs. Kay Peters Tribute(s) for Paige Pfeiffer Mr. and Mrs. Bill Pfeiffer Tribute(s) for Elena R. Quintana Mrs. Ursa Brown Mr. Nicholas Friend Mr. John Lissoway Mr. and Mrs. David Quintana Mrs. Robin Quintana-Ramirez Mr. Sammy Quintana-Ward Ms. Marisa Roddy Tribute(s) for Sarah Quintana Mr. Constance D. Ryder Tribute(s) for Anthony Rasavage Mr. and Ms. Mark Rasavage Tribute(s) for Tony Rasavage Mr. and Ms. Mark Rasavage Tribute(s) for Joel Ratner Mr. and Mrs. Philip Molstre Tribute(s) for Martha Ratner Mr. and Mrs. Edmund Barrett Mrs. Teddi Berkowitz Ms. Lynn Borislow Mr. and Mrs. Robert Klein Mr. and Mrs. N. Murray Kotler Mrs. Nancy Malamet Mr. and Mrs. Philip Molstre Mr. and Mrs. Richard Segal Mrs. Sandra Solomon Tribute(s) for Allyson Rhodes Mr. and Mrs. Raymond A. Peterson Tribute(s) for Karley Rhodes Mr. and Mrs. Raymond A. Peterson Tribute(s) for Sidney Rouse Mrs. Carol Rouse Tribute(s) for Christian I. Santos Ms. Sylvia M. Sparby Tribute(s) for Madalyn Scherer Mr. and Mrs. Joseph D. Garvey Tribute(s) for Brenna L. Scott Mr. and Mrs. Douglas Scott Tribute(s) for Nicole M. Seefeldt Mr. and Mrs. Marshall Seefeldt Tribute(s) for Benjamin Shapiro Mr. and Mrs. Richard Martin Tribute(s) for Joshua B. Sims Ms. J Michelle Funk th e Tu be ro us Tribute(s) for Samantha Sinclair Mr. and Mrs. Bob Sinclair Tribute(s) for Samantha Smith Mr. Frank Stovall Tribute(s) for Lillian R. Solise Mr. and Mrs. Alexander Jamieson Tribute(s) for Cuay Steele A Cure for Cuay Tribute(s) for Mason Tebbetts Mrs. Tara Cole Mrs. Kelly Trisler Tribute(s) for Benjamin Theis Mr. and Mrs. James Markfort Tribute(s) for Andrew R. Trundle Mr. and Mrs. Michael R. Trundle YourCause, LLC Tribute(s) for Isabella Vigil Ms. Patrilla Vigil Tribute(s) for Riley Vogel Ms. Dorothy Farley Tribute(s) for Will Wasserman Mr. and Mrs. Robert Pleshaw Tribute(s) for Landry Watson Lindsey Tanaka Tribute(s) for Yoda Wegner Mr. and Mrs. Warren Wegner Tribute(s) for Addilyn Wenger Ms. Kay Wenger Tribute(s) for Ilana Wiesel Mr. and Mrs. Nachum Wiesel Tribute(s) for Tyler Wooer Mr. and Mrs. Stephen Maassen Tribute(s) for Ben Yeamans Ms. Roberta Darrow Ms. Barbara Lauer Mrs. Sara Maxwell Tribute(s) for Katelyn Yeamans Ms. Roberta Darrow Ms. Barbara Lauer Mrs. Sara Maxwell Tribute(s) for Alyssa Youmans PASCO Tribute(s) for Kyle Zebrowski Mr. and Mrs. Eugene Zebrowski *Apologies to Kris Niemeyer whose Honorium gift was mistakenly listed as a Memorial gift in the last issue of this magazine. S c l e ro s i s Alliance Memorials (January 2015 –May 2015) Contributions are given to the Tuberous Sclerosis Alliance at the request of family members in memory of their loved ones. We extend our sympathies to the family and friends of those memorialized below. These generous contributions support the progress of our mission to find a cure for tuberous sclerosis complex. Tribute(s) for Mary Arnold Ms. Marsha M. Flaige Tribute(s) for Judy Artz Dr. Raymond W. Chan Tribute(s) for Dulla Athenais Mr. and Mrs. Daniel P. Barrows Tribute(s) for Sean Baird Mrs. Linda Baird Tribute(s) for Earnest Balken Mr. and Mrs. Gary L. Flatin Tribute(s) for Andrew Barnes Ms. Suz Biwer Mrs. Nancy Fehrenbach Mrs. Kristin H. Fewel Mr. and Mrs. Thomas Kirchen Kiwanis Club of Wauwatosa Mr. and Mrs. Robert W. Reinhardt Mr. and Mrs. Jeffrey P. Schwab Tribute(s) for Doris Bologna Mr. James L. Bobo Connecticut Energy Marketers Association Ms. Carol Hensch Mr. and Mrs. Paul Juliano Mr. Myron Sklar Mr. Andrew Summa Mr. and Mrs. Joseph V. Vittoria Tribute(s) for Alan Buchsbaum Mr. Peter Ostrow Mr. Irwin Rosenthal Tribute(s) for Brandon C. Cherebin Mr. and Mrs. Cesar Cherebin Tribute(s) for Ronda Cohen Mr. and Mrs. David A. Krinsky Tribute(s) for Matthew Colby Hope Help Heal Foundation, Inc. Tribute(s) for Donald Denton Mr. John Coolidge Tribute(s) for Justin Dorsey Mr. and Mrs. George Conlon Ms. Erin Kash Ms. Kellyann Kash Mrs. Maureen Kash Mr. and Mrs. David Kenna Mr. Richard Kenna Ms. Sharon A. Kenna Mr. and Mrs. Paul Miller Mr. and Mrs. Robert Spear Mr. and Mrs. Charles Waltemire Christine Warchal Tribute(s) for Joseph Elbogen Ms. Rita Sobel Tribute(s) for Heidi Erb Mr. and Mrs. Robert E. Gendreau Tribute(s) for Lois Farnsworth Mr. and Mrs. Stephen M. Collins Mr. and Mrs. David Gray Ms. Marisa Serafini Mr. and Mrs. G Stevens A M a g a z i n e f r o m Mrs. Catherine F. Vermillion Tribute(s) for Michael Ford Mr. and Mrs. Paul W. King Tribute(s) for Mary Foscato Orange County Cruisers, Inc. Tribute(s) for Tiara Goff Todd Aldrich Mr. and Mrs. Paul Altieri Anonymous Mr. and Mrs. Adam Antoyan Mrs. Linda Baird Mrs. Corey Bakkila Elke Barras Mr. Robert R. Black Vivian M. Browne Mrs. Julie Castillo Mrs. Lynnette S. Caughill Mr. and Ms. Alfred Cooper Ms. Carrie L. D’Ippolito Mrs. Kingsley Echlin Mrs. Anna Fitzpatrick Merideth Fleener Ms. Nicole Foster Mrs. Happy Garacochea Mr. Richard B. Glendinning, Jr. Ms. Tracy Hartman Ms. Sue Harvey Mrs. Stacy L. Healy Shelley Hoff Ms. Samantha Howard Mr. and Mrs. Matt Jorski Ms. Karen Keith Ms. Elizabeth Kelder Mr. and Mrs. David A. Krinsky Mr. and Mrs. Joe Krischel Ms. Trisha Leerssen Ms. Lisa P. Lindelef Mrs. Stacy Liolios Mr. and Mrs. Rudy Loewenstein Mr. and Mrs. James J. Maginn Dr. Sarah Mathias Ms. Lisa Mathies Mr. and Mrs. Mark Mayrsohn Kammie McArthur Mrs. Holly McMullen Mrs. Kammy Miller Mr. and Mrs. John Million Mr. Mark Mitchell Mrs. Sara Mix Mr. and Mrs. Mitch Munt Mrs. Michelle Nguyen Ms. Francesca Peck Mr. John F. Porrello Mr. and Mrs. Chris Pullis Mr. and Mrs. Roger Pullis Ms. Ashley Rangel Ms. Sharon Reuling Ms. Dawn Ringo Mr. and Mrs. Patrick J. Rolfes Mr. and Mrs. Christopher Rosbeck Mrs. Leslie B. Ryan Ms. Michele J. Rydel Ms. Meg Sawa Mr. and Mrs. Chris Schwartz Mr. Henry P. Shapiro and Ms. Christy Hobart Ms. Cynthia W. Sladics Mr. and Mrs. Jeffrey K. Sunahara Mr. and Mrs. Howard Taekman t h e Tu b e r o u s Mrs. Devon Thomas Ms. Diane Valeriano Mrs. Leslie F. Vandale Mrs. Karen R. Whitaker Ms. Chantelle Wolfe Dr. Joyce Wu Ms. Sue Yudovin, RN, MN Tribute(s) for Lawrence Greene Mr. Joel Beckerman Mr. and Mrs. William F. Berens Brooks Sports, Inc. Mr. and Mrs. Donald R. Brown Mr. and Mrs. James G. Burkhart Mr. and Mrs. Robert L. Busby Ms. Rita K. Campbell Carmel Dad’s Club, Inc. Christ the King School Mr. and Mrs. Steven A. Cobb Mr. Richard Collins Mr. and Mrs. G Terrence Crowley Ms. Mary Cunningham Mrs. Elizabeth Curtis Ms. Dorothy Davis Dr. and Mrs. Logan Desautels Ms. Judith Ernst Mr. and Mrs. Michael G. Garrison Mrs. Nancy Gill Ms. A. Lestine Grady Mr. and Mrs. Worth Hartman Mr. and Mr. Paul Hegarty Mr. and Mrs. Loran Hill Mr. and Mrs. James S. Howie Mr. and Mrs. Todd H. Irwin Mr. Bernard P. Kavanagh Mr. and Mrs. Thomas C. Kessler Mr. and Mrs. Robert V. Kixmiller Mrs. Collette Leichtnam Mr. and Mrs. Joseph A. Magyar, Jr. Mr. and Mrs. William F. Marshall Mr. and Mrs. Robert Mayer Mr. and Mrs. Martin Moorman Mr. Steven Otte Mr. and Mrs. Dino Sarpa Mr. and Mrs. William R. Schnell Ms. Marilyn Siner Mr. and Mrs. Randy Sorensen Dr. and Mrs. Dirk A. Sterley Mr. and Mrs. Denny Tracy Mr. Joel Tragesser Mr. and Mrs. Thomas A. Walsh Mr. and Mrs. Stephen Wheeler Mr. Michael Williams Mr. and Mrs. John Woodruff Tribute(s) for Margo Hamm Mr. and Mrs. Lee Kjeldsen West Chicago Garden Club Tribute(s) for Anne Heilman Dr. and Mrs. Jonathon Schwab Tribute(s) for Joey Holubowicz Mr. and Mrs. Dan Field Tribute(s) for Lori Ann Johnson Mrs. Shirley K. Brooks Tribute(s) for David Kassakoff Mr. and Mrs. Donald Schiff S c l e r o s i s Tribute(s) for Marianne Kreiger Mr. Kenneth Quickel Mr. and Mrs. Thomas Wynn Tribute(s) for Marilyn Kruger Mr. and Mrs. Joe Krischel Tribute(s) for Thomas Loftus Mr. and Mrs. Timothy Johnson Tribute(s) for William J. Malesky Mr. and Mrs. William J. Malesky Tribute(s) for Marjori Marton Mr. and Mrs. Myron Rapaport Tribute(s) for Brenda McDonald Mr. and Mrs. Charles Cunbow Tribute(s) for Kenneth J. Meade Ms. Karen A. Bandosz Mr. and Mrs. Vincent Bassano Ms. Barbara Borinsky Mr. John Clemente Mr. and Mrs. Robert D. Conners Mr. Thomas Destefano Ms. Ida DiClemente Mr. and Mrs. Vinny DiSpigno Ms. Lorna Garafalo Ms. Rachel LeGrady Prudential Foundation Matching Gifts Ms. Marie Roeder Mr. and Mrs. Robert Taormina Mr. and Mrs. James Zawistowski Tribute(s) for Mike Olavarri Mr. and Mrs. Edward Escobar Mr. and Mrs. Kenneth Escobar Tribute(s) for Janet Olson Ms. Debi Iaquinto Thomson Reuters Tribute(s) for John Parisher Mr. and Mrs. Raul Barrera Mr. and Mr. Lyndon Johanson K Jordan Enterprises, Inc. Mrs. Marci Kwan Mr. Earl Milam Mark Pratt Mr. Bob Turner Tribute(s) for Bud Peck Medical Imaging Northwest Tribute(s) for Drake Perez-Morin Holy Ghost Catholic Church Tribute(s) for Edward A. Rauchut Ms. Ilga Rauchut Tribute(s) for Theo Regello Mr. and Mrs. John Haruff Mr. and Mrs. Robert Hesik Mr. and Mrs. Bert Kadan Mr. Vincent Vargas Tribute(s) for Henrietta Rose Mr. and Mrs. Marvin Altenburg Mr. Ralph Bidwell Mr. and Mrs. Daniel Cottrell A l l i a n c e • S U M M E R Mr. Bill Johnson Mr. and Mrs. Marcel Killingbeck Mr. and Mrs. Mark Kloechner Mr. and Mrs. Robert Loomer Mr. Joseph Noll Mr. Dennis W. Panars Mr. and Mrs. John A. Panars Mr. and Mrs. Bill Parsell Mr. Leonard Rose Mr. and Mrs. Richard Smetanka Ms. Lisa Stemple Mr. and Mrs. Mike Strace Mr. and Mrs. Lawrence Vissotski Mr. and Mrs. Ed Wenzel Tribute(s) for Terrence K. Scott Mr. Thomas Archibald Ms. Geraldine T. Barton Mrs. Donna Conti Ms. Karen Febeo Mr. John Morris Ms. Kristen Olsen Mr. Daryl Wiesen Tribute(s) for Jean Sinclair Ms. Marguerita DiMattia Mrs. Stephanie Dorrell Mr. and Mrs. Edward M. Seavers Tribute(s) for Regina Sinclair Mr. Ralph D. Dills Mr. and Mrs. Robert Sinclair Ms. Marguerite B. Stathes Tribute(s) for Barbara A. Stopperich Mrs. Nancy Boothe Mr. and Mrs. Anthony Captline Dr. Shelly Dicesaro Mr. and Mrs. Gary Gegick Mr. Rothman Gordon Ms. Suzanne Korkus Ms. Joan McMahon Mrs. Carol Obrien Mr. George Pawluk Mr. Jamison P. Roth Mrs. Lauren Stopperich Mrs. Sandra Yakovich Ms. Kimberly Zytnick Tribute(s) for Gilda Strom Mr. and Mrs. Michael Elefante Tribute(s) for Hallie Testerman Mr. James Bender Mrs. Daaiyah Bilal-Threats Ms. Janet K. Bryner Mr. Andy Coons Mr. and Mrs. William G. Gross NEA, Office for Special Constituencies Ms. Rebecca Pringle Mark Saunders Ms. Dale Templeton Ms. Janice Ward Mr. John Wilson Tribute(s) for Dee R. Triemer Mr. and Ms. Matthew E. Price Mrs. Linda Blackwell Mrs. Tricia E. Bodnar Mr. and Mrs. Matt W. Bolger Mr. James H. Brown 2 0 1 5 • Ms. Karen Christian Ms. Mo Collins Mr. Kirk Dahlquist Mr. and Mrs. Tim Dills Mr. and Mrs. Steven Edwards Ms. Naomi B. Epstein Mr. and Mrs. Mike Fox Ms. Jennifer Ganote, RN Ms. Andrea Hall Mrs. Mary Hansbrough Ms. Frances Harper Mrs. Luwayne Johnson Mr. and Mrs. Ken Johnson Mr. Daniel F. Klein Mr. Leo Lawrenson Ms. and Mr. Laura Marks Ms. Meghan McGee Mr. and Mrs. David Michaels Mrs. Amy B. Miller Mr. and Ms. Jason A. Mitchell Dr. and Mrs. Greg Mlynarczyk HJC New Media Mr. and Mrs. David W. Parkes Mr. and Mrs. Chris Russell Mrs. Annie Szilagyi Dr. and Mrs. David M. Triemer Tribute(s) for Shar Troxell Ms. Ann E. Beaston Mr. and Mrs. Maurice Rollins Mrs. Deborah Zagroba Tribute(s) for Jeuel Vinson Mrs. Barbara M. Jones Tribute(s) for Jeb Ward Ms. Lynn G. Adams AT&T United Way Employee Giving Campaign Ms. Amy Pitser Barnhardt Mr. and Mrs. Scott F. Bauer Mr. Jon Bolton Mr. Edwyn Bowen Mr. and Mrs. James E. Broyhill Ms. Natalie Broyhill Mr. Henry Burnett Ms. Pam Byrd Mr. James G. Chrysson Dr. and Mrs. Harry R. Culp Mr. and Mrs. Walton W. Curl Ms. Diane P. Davis Mr. Cary Driver Mr. and Mrs. Paul Edmond Mr. and Mrs. R. Dean Featherston Firstgiving, Inc. Forsyth Medical Center Mr. and Mrs. Gerardo M. Galvan Mr. and Mrs. Thomas O. Goodson Ms. Lynn H. Gwyn Mr. and Mrs. Benjamin Hatch Ms. Beth Headley Mr. and Mrs. Charles Hoffman HS Dreher Capital Mr. and Mrs. Ted Irvin Ms. Annie M. Jenkins Ms. Catherine Jourdan Mr. and Mrs. Stanhope Kelly Mr. and Mrs. William J. Kennedy Jr. Dr. and Mrs. Andrew L. Koman Dr. and Mrs. A.D. Kornegay Mr. and Mrs. Robert E. Lamy Mr. John Little Mr. and Mrs. John C. Lovett P E R S P E C T I V E Mr. and Mrs. John M. Lowrey Mr. and Mrs. Douglas Lyles Ms. Cynthia Mann Ms. Lessie J. Mann Dr. and Mrs. David F. Martin Mr. and Mrs. Thomas K. McKiernan Ms. Betsy Miller Mr. Charles W. Miller Ms. Elizabeth B. Miller Mr. and Mrs. William M. Miller Ms. Janet L. Morgan Mr. and Mrs. John F. Morrow Novant Health, Inc. Ms. Amy Orser Mr. and Mrs. Richard S. Paules Dr. and Mrs. Gary G. Poehling Mr. Billy D. Prim Mr. and Mrs. James S. Rice Mr. and Mrs. William M. Satterwhite Mr. and Mrs. Paul Savage Mr. John V. Schweppe Mr. and Ms. Gregory Shelness Ms. Marie A. Sides Ms. Ellna Simpson-Elton Mr. and Mrs. Kenneth Sisk Mr. and Mrs. Michael R. Trundle Mr. and Mrs. James R. Urbaniak Mr. and Mrs. David Urquia Wake Forest Univeristy Health Sciences Mr. and Mrs. T. Robert Ward, Jr. Mrs. Eileen Wilhem Mr. and Mrs. Garrett Williams Mr. and Mrs. David W. Wingate Mr. and Mrs. Jonathan R. Wingate Tribute(s) for Raymond H. Wheeler Mr. and Mrs. Scott Palmer Tribute(s) for Christopher T. Winkler Mr. Jason B. Adams Ms. Elizabeth Beatty Mrs. Marisa Berlinger Ms. Margaret Bessel Ms. Mary Boylan Mrs. Melanie L. Braddock Mrs. Nancy Broughel Mr. and Mrs. Louis Brusati Mr. and Mrs. Bruce Davidson Mr. Allen W. Doss Mrs. Tracy J. Dykeman Ms. Gina Elliott Mr. and Mrs. Gene R. Harrison Mr. and Mrs. Robert Judisch Ms. Deborah Love Mr. Kevin McGarry Mr. Richard McGoldrick Mrs. Christine McGrath Mr. and Mr. William R. Murphy Mrs. Unhui Nguyen Mr. and Mrs. John O’Connor Mr. and Mrs. Emerson Osborn Mr. and Mrs. Jason Osborn Ms. Gina Romano Mrs. Helen Scholl Mr. and Mrs. Peter Vermilyea Mr. Karl T. Winkler Mr. and Mrs. Walter Winkler 11 ADULTS WITH TSC CORNER Why I Am Passionate About Adults with TSC BY KATHY HENKEL H ello, my name is Kathy Henkel, I am 58 years old and I live in Waynesboro, VA. My husband Charlie and I have been married for 39 years and we have two awesome children. Our daughter, who has been married for six and half years, is 35, and our 31-year-old son has been married for nearly two years. I am the volunteer Adult Regional Coordinator for Region 8. This region includes Delaware, Maryland, North Carolina, South Carolina, Virginia, West Virginia, and Washington, DC. I am also a volunteer on the TS Alliance’s Adult Task Force. I would like to invite you to the Regional TSC Conference in Winston-Salem, NC, on September 26, followed by a walk on September 27. If you would like additional information for this event or update your contact information for Region 8, please reach me by email (uneakmom@gmail. com) or by phone (540-949-0582). You can also send me a private message on Facebook (Kathy Eppard Henkel). I am often asked why I am so passionate, dedicated, and steadfast about TSC and adult issues. Where does my perseverance come from? I could write many books on our life’s journey, but my space is limited. My daughter, Kristy, was born in May 1980. She seemed perfect other than a unique white strand of hair and I was reassured this was normal. She was ahead of schedule until some odd behavior started. During our trips to the pediatrician, I was told this was baby play. My mother had seizures when I was younger and my “mommy” instinct demanded an EEG. After a misdiagnosis, we were blessed to get a neurologist who listened to me. After a woods lamp test and a brain CT, he said her pediatrician would speak to us. 12 P ER SP ECT I V E I’m still hearing from adults who need support from other adults and, as long as my health allows, I pray I will give hope to parents by continuing to support TSC adult needs. I wish the neurologist had because the pediatrician took us into a storage closet to tell us our daughter had tuberous sclerosis complex. He didn’t even pronounce it correctly, and he followed by saying we should “put her in an institution before you get too attached.” He got a mouthful from me, and I was loaned a medical textbook. Her neurologist immediately started the first of 160 ACTH injections for her infantile spasms and 21 days later (October 1980), we were sent home. I made a decision that day. Much has happened since that time, but I have never wavered from those choices. The most important choices were to keep my faith in God and not to blame myself for the genetic gene. I decided to focus on what I could control, not on what I couldn’t. I kept my marriage a priority, researched TSC, reached out to others and became an advocate with lots of love. We are blessed that Kristy has a mild case of TSC without any noticeable seizure activity for more than 30 years. After nearly two dozen surgeries, the world does not agree on its mildness. However, the TSC community understands my logic. She graduated from college, drives, runs her own home business and loves her life. • S U M M E R 2 0 1 5 • A M a g a z i n e We had applied for adoption and I was scheduled for a partial hysterectomy when some blood work confirmed the news of my son. In my eyes, he was another miracle and we were blessed he didn’t have TSC. I have heard how siblings feel slighted. No matter my fatigue, I said I would make my son know he was as loved, and as special as his “sissy.” The bond our family of four has built is amazing. No matter how hard sit was at times, I tried to find the good and give them some fun and laughter. I have been passionate about TSC adults long before my daughter grew into her adult years. Through the years of much TSC volunteer work, like selling Danish Kringles or gift wrap and making phone calls to name a few, I always spoke at great lengths on the rare occasion I was able to talk with a TSC adult. I always said these kids are going to grow up some day and the adults are our next main puzzle piece. This disorder is variable and we need to continue to do research for the adults. The TS Alliance has come a long way, and I am so excited the adult initiative is on fire. Thank you to the staff, especially Vicky Whittemore who I bugged before she left, and now Dena Hook. You see, years ago I so “needed” to hear TSC success stories and they were rare. I’m still hearing from adults who need support from other adults and, as long as my health allows, I pray I will give hope to parents by continuing to support TSC adult needs. The TS Alliance and this community form an unbreakable support group with a bond outsiders do not understand. No one should have it as bad in 2015 as I had in 1980, and I hope I have made a tiny difference! fr o m th e Tu be ro us S c l e ro s i s Alliance Announcing Junior Leader Program for Young Adults! A s part of our efforts to provide resources to all age groups from infancy through adulthood, the TS Alliance has worked with a team of volunteers to create the Junior Leader position designed for young adults ages 17-23. The Junior Leader Program was designed with post-high school education in mind – whether it’s trade school, certification or earning an associate’s concluding with an exit interview with the Community Outreach Manager at the TS Alliance. Upon completion of the program, participants select one of the following awards; an Amazon Kindle Fire Tablet or a $250 Amazon Books Gift Card. The TS Alliance is now accepting applications for the 2015-2016 Junior Leader Program. For an application please contact Christen Bell at cbell@ tsalliance.org or 800-225-6872 x232. or bachelor’s degree. The TS Alliance is offering an opportunity for young adults with TSC, or their siblings, to get involved with their local Community Alliance to offer support while raising awareness for TSC. The program, which launches in the fall of 2015, runs for the duration of the school year. Throughout the school year, program participants will complete a series of awareness and support activities, FDA Approves Rapamune to Treat LAM T he U.S. Food and Drug Administration recently approved Rapamune® (sirolimus), to treat lymphangioleiomyomatosis (LAM), a rare, progressive lung disease that occurs mostly in women (and a small number of men) with tuberous sclerosis complex (TSC). This is the first drug approved to treat the disease. “This approval of Rapamune is a huge advance for people with LAM,” says Kari Luther Rosbeck, President & CEO of the TS Alliance. “The TS Alliance salutes The LAM Foundation for its role in advocating for FDA approval as well as Dr. Frank McCormick who was the lead investigator for the pivotal MILES Trial that led to this approval.” The TS Alliance provided partial funding for the MILES Trial through a Rothberg Award for Courage in Research. LAM is characterized by an abnormal growth of smooth muscle cells that invade lung tissues, including the airways, and blood/lymph vessels that cause destruction of the lung, resulting in airflow obstruction, and limiting the delivery of oxygen to the body. LAM is a very rare disease. According to the U.S. National Library of Medicine, only between two and five women per A M a g a z i n e f r o m t h e Tu b e r o u s of the Office of New Drugs in the FDA’s Center for Drug Evaluation and Research. The safety and efficacy of Rapamune for treatment of LAM were studied in a clinical trial that compared Rapamune with an inactive drug (placebo) in 89 patients for a 12-month treatment period, followed by a 12-month observation period. The primary endpoint was the difference between the groups in the rate of change in how much air a person can exhale during a forced breath in one second (forced expiratory volume in one second or FEV1). The difference in the average decrease in FEV1 during the 12-month treatment period was approximately 153 mL. After discontinuation of Rapamune, the decline in lung function resumed at a rate similar to the placebo group. The most commonly reported side effects associated with Rapamune for the treatment of LAM were mouth and lip ulcers, diarrhea, abdominal pain, nausea, sore throat, acne, chest pain, leg swelling, upper respiratory tract infection, headache, dizziness, muscle pain and elevated cholesterol. Serious side effects including hypersensitivity and swelling (edema) have been observed in renal transplant patients. million women worldwide are known to have the disease. Rapamune, which is available as both a tablet and an oral solution, was originally approved in 1999 as an immunosuppressive agent to help prevent organ rejection in patients 13 years and older receiving kidney transplants. Because Rapamune’s sponsor demonstrated the drug may offer a substantial improvement over available LAM therapies, it received breakthrough therapy designation. Rapamune also received orphan product designation for this indication because LAM is a rare disease or condition. Development of this drug was also supported in part by the FDA Orphan Products Grants Program, which provides grants for clinical studies on safety and/or effectiveness of products for use in rare diseases or conditions. “Different FDA programs, such as orphan product designation and breakthrough therapy designation, provide sponsors with financial incentives and access to increased interactions and advice from FDA to facilitate development and timely approval of innovative treatments for rare diseases, which might not otherwise be developed,” said John Jenkins, M.D., director S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 • P E R S P E C T I V E 13 TSC Clinics “Up Close” — Israel SHAARE-ZEDEK TSC CLINIC, JERUSALEM AND THE CLINIC FOR MULTIDISCIPLINARY TREATMENT OF TUBEROUS SCLEROSIS AT SAFRA CHILDREN’S HOSPITAL, SHEBA MEDICAL CENTER, TEL HASHOMER R of treating epilepsy in TSC patients is truly challenging. ecently, TS Alliance President & CEO Kari Luther Rosbeck and Manager of Research and Global Affairs Katie Smith visited the two TSC Clinics now operating in Israel. This ar ticle continues an inter view series with the healthcare professionals who provide care and educational support to those affected by tuberous sclerosis complex (TSC), including: Were there any challenges you faced in starting your TSC clinic? If so, what were they? Left to right: Kari Luther Rosbeck, Hili Penso, Prof. Varda Gross-Tsur, Dr. Efrat Ben Shalom, Dr. Tal Gilboa, Katie Smith, Dan Bloom • Tal Gilboa, MD, Director of the Shaare-Zedek TSC Clinic; and • Michal Tzadok, MD, Director of The Clinic for Multidisciplinary Treatment of Tuberous Sclerosis at Safra Children’s Hospital. others. I finished my residency in pediatrics and was already interested in neurology, especially epilepsy and the neurogenetic disorders. My pediatric neurology training at the Montefiore Medical Center and Albert Einstein College of Medicine in Bronx, NY was fascinating. I was trained What motived you to choose by some of the world’s leading epileptolomedicine as a career and how gists and researchers who gave me the did you get interested in TSC? best foundation to develop my practice. I was perplexed by the complexity of Dr. Gilboa: Ever since I was a child I was west syndrome (infantile spasms) and its interested in biology. It was clear to me treatments. On a mentoring session at an that my career will be something related to American Epilepsy Society meeting, Dr. biology, genetics, and humans, so medicine Elizabeth Thiele told me that based on my was the perfect combination. Only during areas of interest I should establish a TSC medical school did I realize the reward clinic. “And how would I do it? ” I asked. that accompanies the profession: helping “Simply put up a sign,” she said. And so I did. Left to right: Katie Smith, Prof. Bruria Ben-Zeev, Dr. Shoshi Greenberger, Dr. Michal Tzadok, Dr. Einat Azaria-Lahav, Kari Luther Rosbeck, Dan Bloom D r. Tzadok : I a lways knew I wanted to go into medicine. I felt it could integrate a therapeutic profession with a constant ability to learn and grow professionally. I was drawn to TSC as a consequence of my primary interest in pediatric epilepsy, and the complexity 14 P ER SP ECT I V E • S U M M E R 2 0 1 5 • A M a g a z i n e Dr. Gilboa: Gladly, the head of the pediatric neurology unit at Shaare Zedek, Dr. Ruth Shalev, encouraged me to start running the clinic. We had a few families that had been followed in our clinic for some time, and we scheduled all for the TSC clinic with the entire team. The main obstacle was, and still is, financial. Since the clinic requires a team of expert physicians as well as other members, the cost is high, but the insurance coverage is only partial. Dr. Tzadok: When building our TSC multidisciplinary clinic, I found it a little difficult to convince patients and families to transfer from their local pediatric neurologist to a specialized clinic, which might be far away from their home. What are some of the specialized services and programs your clinic provides to the TSC community in Israel? Dr. Gilboa: Our team participates in every TSC meeting, conference or other activity in Israel. We participate in organizing scientific meetings, present our clinical work and cooperate with the TS Alliance of Israel. Recently, we helped with proofing of the translation of the TS Alliance information brochure into Hebrew. Dr. Tzadok: Our clinic organizes, in association with two other Israeli centers, an annual one-day conference for fr o m th e Tu be ro us S c l e ro s i s Alliance physicians and families that provides updates about recent medical, psychological and research issues. What are the most challenging aspects of your work as it relates to those affected by TSC? Dr. Gilboa: Dealing with families and children with chronic disorder is challenging, both professionally and emotionally. Of course, TSC is a multi-organ disorder and requires a vast knowledge; therefore, the best care can only be provided by a professional team. Breaking the news to a family, usually after meeting them for a very short time, is always a difficult situation. Dr. Tzadok: The fact that TSC is a systemic disease requires different fields of expertise to work in full cooperation in order to optimize patient treatment. the primary and stressful period following diagnosis of TSC in their children. I also see great importance in the fact that our staff of experts, each one contributing the relevant knowledge in his field of expertise, can significantly improve patients’ and families’ quality of life in every functional aspect affected by the syndrome. I can think of something – for one it is the psychiatric problems, for another it is the epilepsy and for the third it is the process of having healthy children. Dr. Tzadok: Honestly, I think that the ministry of health should recognize TSC as an “orphan disease,” thereby making sure the patients receive more extensive financial and social aid. Moreover, funding genetic screeing tests for patients, which is currently funded exclusively by the patients, would be of great help for many families. Do you have any research interests? If so, what are your current projects? Dr. Gilboa: Being a pediatric neurologist, specializing in epilepsy, I am interested in infantile spasms. We are currently in the initial phase of a study aimed at the outcome of infantile spasms. We are also participating in the TOSCA study, collecting prospective data on the natural history of TSC. What are the most fulfilling aspects of your work? Dr. Tzadok: My academic work focuses mostly on clinical research regarding novel treatments for refractory epilepsy. Dr. Gilboa: For me, the most fulfilling part is the long-term relationship with the families. I admire their strength, dealing with tremendous challenges, and I am grateful that they allow me to help their children. Knowing what you know about TSC, if you had the power to make a change in the lives of those affected, what would it be? Dr. Tzadok: I find a great deal of satisfaction in relieving families’ anxiety during Dr. Gilboa: Choosing one thing to change in my patients’ life is difficult. For each one How do you manage to balance your time between your clinical responsibilities and personal time, and what do you enjoy doing outside of work? Dr. Gilboa: I guess juggling is the appropriate term. I love reading, jogging, traveling with my family and cooking. I try to do it all, but it seems like there is never enough time. Dr. Tzadok: I think it is a question every doctor faces daily. I believe it is essential to define your priorities, both personally and professionally. In addition to a regular sports routine that includes jogging and swimming, which I am committed to, I enjoy traveling with my family, both in Israel and abroad. The TS Alliance Visits Israel Left to right: Dan Bloom, Katie Smith, Savion Yosef and Kari Luther Rosbeck. BY KATIE SMITH, MANAGER OF RESEARCH AND GLOBAL AFFAIRS O n April 23, 2015, TS Alliance President & CEO Kari Luther Rosbeck and I traveled to Israel to meet with the TS Alliance of Israel, the TS Alliance’s first Global Alliance. The Global Alliance Program officially launched in 2014 and was established as a way for the TS Alliance to share experiences and resources and to address unmet needs within the global TSC community by assisting in the start-up or support of TSC-related organizations in other countries. A M a g a z i n e f r o m t h e Tu b e r o u s Since 2013, we have been working with Dan Bloom and Savion Yosef, TS Alliance of Israel co-founders, to create the Global Alliance program and establish a formal partnership, which was finalized in 2014. Establishing this partnership occurred over many calls, emails, consultations with board members, banks and lawyers both in the United States and Israel. Leading up to our trip, we had several calls discussing what to prepare for, how we could best utilize our time and resources, S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 what information to bring, and topics to discuss when we spoke at the Community Meeting. Kari and I could not wait to meet • P E R S P E C T I V E 15 TS Alliance of Israel Community Meeting participants. everyone and see the growth that had taken place over the past two years. Arriving in Tel Aviv, we were welcomed with open arms. Dan and Savion picked us up from the airport and our whirlwind trip began! That night, Carol Hoffman hosted a wonderful dinner for us and the TS Alliance of Israel board members. Earlier this year, the TS Alliance of Israel held its first general assembly and elected an official board of directors with 12 members and oversight committee of two. We visited the first two international TSC Clinics to receive TSC Clinic designation from the TS Alliance—The Clinic for Multidisciplinary Tr e a t m e n t o f Tuberous Sclerosis at Safra Children’s Hospital, Sheba Medical Center in Tel Hashomer where we met with Clinical Director, Michal Tzadok, MD, and her team; and finally we went to Shaare-Zedek TSC Clinic in Jerusalem to meet with Tal Gilboa, MD. We also met with a third clinic considering TSC designation: Dana Children’s Hospital in Tel Aviv where we visited with Jonathan Roth, MD and Prof. Shlomi Constantini. Dr. Roth played an important role in developing the 2012 TSC Consensus Guidelines. On April 27, the TS Alliance of Israel held its first Community Meeting. The event was a great success with at least 60 attendees, including families, individuals, caregivers, clinicians and healthcare providers. Kari and I spoke about the TS Alliance, providing updates on our programs, research and global activities. It was a great honor to have been invited to participate in this meeting. A Global Alliance is a structured group of empowered and caring volunteers who work closely with the TS Alliance to accomplish the following: facilitate local connections for individuals and families affected by TSC, raise revenue and increase awareness while supporting the mission of the organization. I cannot imagine having better partners for the inaugural Global Alliance than the TS Alliance of Israel. We look forward to expanding this program, adding new Global Alliances and building our international network, fostering stronger links between the TS Alliance, communities and individuals around the world. If you are interested in learning more about starting a Global Alliance, please contact me at [email protected] or 800.225.6872. Nomination Open for Gomez Award N ominations are being accepted until August 1, 2015, for the Manuel R. Gomez Award. This award is given in memory of Manuel R. Gomez, MD, the “Father of TSC” in the United States. Dr. Gomez provided care and compassion for hundreds of individuals with TSC during his career, and he sparked interest in the diagnosis and clinical care of individuals with TSC. A nominee should be someone who has made a significant impact on our understanding of TSC in research and/or impacted the delivery of clinical care for individuals with TSC. The previous awardees review all nominations and serve as the Gomez Award Selection Committee. They include: 2014 – Petrus J. de Vries, MBChB, MRCPsych, PhD, University of Cape Town, Cape Town, South Africa 16 P ER SP ECT I V E 2013 – John J. Bissler, M.D., University of Tennessee Health Science Center, Memphis, TN 2012 – E. Martina Bebin, MD, MPA, University of Alabama at Birmingham, Birmingham, AL 2011 – Howard Weiner, M.D. New York University Medical Center, New York, NY 2010 – Mark Mausner, M.D. 2009 – Sergiusz Jóźwiak, M.D., Ph.D., Children’s Health Institute, Warsaw, Poland 2008 – Elizabeth A. Thiele, M.D., Ph.D., Carol and Jim Herscot Center for Children and Adults with TSC at Massachusetts General Hospital, Boston, MA 2007 – Ann Hunt, TS Association, Oxfordshire, UK 2006 – David Neal Franz, M.D., Children’s Hospital Medical Center, Cincinnati, OH • S U M M E R 2 0 1 5 • A M a g a z i n e 2005 – Elizabeth Petri Henske, M.D., Brigham & Women’s Hospital, Boston, MA 2004 – Hope Northrup, M.D., University of Texas – Houston, TX 2003 – E. Steve Roach, M.D., Ohio State University, Columbus, OH 2002 – David Kwiatkowski, M.D., Ph.D., Brigham & Women’s Hospital, Boston, MA 2001 – Vicky Whittemore, PhD, National Institutes for Health, Bethesda, MD To nominate yourself or someone else, please contact Katie Smith at the TS Alliance for the nomination form and other instructions at ksmith@tsalliance. org or 800.225.6872. fr o m th e Tu be ro us S c l e ro s i s Alliance NIH-Sponsored Workshop Held to Update Strategic TSC Research Plan BY STEVE ROBERDS, PHD, CHIEF SCIENTIFIC OFFICER T he National Institute of Neurological Disorders and St r o ke ( N I N D S ) , o n e of t h e National Institutes of Health (NIH), sponsored a workshop held March 10 -12, 2 015 , in B et he sda , M D, to update the strategic plan for TS C research for the next five to ten years. The workshop was attended by more than 80 invited attendees, including basic scientists, clinician researchers, program leads from five institutes of the NIH, leadership from the Department of Defense’s TSC Research Program ( TS CRP) , and the TS A lliance . In addition to TS Alliance staff, Board member Debora Moritz and TSCRP Integration Panel community representative Ron Heffron also participated in the workshop. The goals of this workshop were to: a) evaluate research progress since the last NIH-sponsored strategic plan was developed in 2002, b) identify key gaps and new opportunities for the field, and c) develop a new set of research recommendations and short- and long-term priorities for the TSC field. Workshop organizers recognized that input from the TSC community was vital to ensure that future TSC research is focused on the issues that matter most to those affected by TSC. Therefore, adults and teens affected by TSC and caregivers of individuals of any age affected by TSC were invited to take a short online survey to provide guidance and perspective into the direction of TSC research over the next ten years. Survey questions were developed by the TS Alliance with input from researchers participating in the workshop and from an advisory panel consisting of caregivers of individuals with TSC and adults affected A M a g a z i n e f r o m t h e Tu b e r o u s improving TSC disease models, developing clinical biomarkers for TSC, and facilitating development of new therapeutics and clinical trials. Some recommendations strongly supported initiatives that the TS Alliance were just beginning, including a TSC Biosample Repository and a TSC Preclinical Consortium. Also, participants saw a huge need for human-derived cells, such as induced pluripotent stem cells or cells derived from live donated tissue. Such cells would be valuable for testing potential new therapies before moving into clinical studies as well as understanding why the effects of TSC var y from person-to-person. Some recommendations require solutions that do not currently fit within a standard 5-year NIH funding cycle, such as measuring the long-term positive and adverse effects of clinical interventions, or the validation of surrogate biomarkers. Of course, basic research into TSC-related biology and supporting early career development of new TSC researchers are also critical aspects of a long-range strategy. Recommendations from the workshop are being prepared for publication in a peer-reviewed scientific journal and publicized to TSC investigators, major funding organizations, constituents and other stakeholders in the TSC field. The TS Alliance appreciates the contributions of all participants and the many individuals at the NIH who supported and enabled this workshop to succeed. We are especially grateful to Dr. Walter Koroshetz, Director of NINDS, and Dr. Laura Mamounas, TSC Program Officer at NINDS, who championed this idea and made it happen for the ultimate goal of accelerating innovative and impactful research to improve the lives of those affected by TSC. by TSC. Responses from 352 community members were received. When survey-takers were asked, “if you could choose ONE question for researchers to answer over the next five years, what would it be?” the common theme was how to eliminate manifestations—primarily epilepsy but also lymphangioleiomyomatosis (LAM) and angiomyolipomas, TSC-associated neuropsychiatric disorders (TAND), and the passing of TSC on to children. Caregivers reported the manifestations of TSC that were most problematic for their dependents were learning or memory difficulties, epilepsy, behavioral or social issues, and communication problems, followed closely by anxiety/depression and sleep problems. Affected adults who took the survey were, naturally, cognitively wellfunctioning and in general less affected by epilepsy. Anxiety or depression and kidney issues were the major problems faced by affected adults in this survey. In addition to the community survey, invited workshop attendees participated in considerable pre-work to gather data and align on goals ahead of the meeting to ensure the precious face-to-face time was utilized for discussions and consensus building. Four world-leading TSC experts donated their time to design the workshop and drive the pre-work forward in four groups: Dr. Kevin Ess (epilepsy), Dr. Elizabeth Henske (growth and tumor biology), Dr. Brendan Manning (molecular pathways and therapeutic opportunities), and Dr. Mustafa Sahin (neurocognition). During the workshop, attendees participated in five face-to-face breakout sessions to discuss key gaps in knowledge that were identified by the pre-work: understanding why TSC affects individuals so differently from person-to-person, gaining deeper knowledge of TSC signaling pathways, S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 • P E R S P E C T I V E 17 Databases and Registries: What Are the Differences? R esearchers use the term database and registry interchangeably, when in fact the term “registry” is a database, or collection of information that is stored on one or more computers in a secure facility. The term “registry” is more commonly used to describe a network of databases. The TS Alliance owns two different kinds of databases and collaborates with two other groups that have developed a network registry. What kind of registry/ database is this? Who owns the registry? Who can join? TS Alliance Database TSC Natural History Database (TSCNHD) Rare Epilepsy Network (REN) Registry Rare Diseases Clinical Research Network (RDCRN) Contact Registry Constituent Clinical Patient Contact Tuberous Sclerosis Alliance Tuberous Sclerosis Alliance Patient-Centered Outcomes Research Institute (PCORI) National Institutes of Health (NINDS, NCATS, NIMH, NICHD) • Adult with TSC • Caregiver or relative of someone with TSC • Healthcare provider or researcher • Friend of someone with TSC • Industry partners • Advocacy organization representative • Anyone with an interest in TSC *Minnesota Epilepsy Group, P.A., St. Paul, MN Texas Scottish Rite Hospital for Children, Dallas, TX New York University Medical Center, New York, NY Massachusetts General Hospital, Boston, MA Children’s National Medical Center, Fairfax, VA A person with a diagnosis of TSC who is a • Open to a person with TSC and epilepsy Open to any person with TSC who lives in the U.S. or any other country. who is at least 18 years old who can patient at one of the TSC Clinics* in the U.S. consent for themselves or a patient of that is conducting this TS Alliance sponany age who has a parent or legal guardsored research project is eligible to join. ian that can consent on their behalf. • Person lives in U.S. or any other country and must read and understand English. University of Chicago, Chicago, IL UCSF Benioff Children’s Hospital Oakland, Oakland, CA UCLA Medical Center, Los Angeles, CA University of Texas, Houston University of Alabama, Birmingham The Cleveland Clinic Foundation, Cleveland, OH University of Colorado, Denver Miami Children’s Hospital, Miami, FL Loma Linda University Medical Center, Loma Linda, CA Pennsylvania Medical Center, Philadelphia, PA Boston Children’s Hospital, Boston, MA Cincinnati Children’s Hospital Medical Center, Cincinnati, OH The following table describes the differences and similarities between the four types of registries/databases. TSC Natural History Database (TSCNHD) TS Alliance Database What is the intended use of the registry? • To disseminate information related to TSC • To identify individuals with TSC who are eligible to participate in research studies. such as local and regional meetings and • To learn more about the clinical features events; government action news; and of TSC and how it affects children and “what’s new” in research. adults over their lifetime. • To send information. Rare Epilepsy Network (REN) Registry Rare Diseases Clinical Research Network (RDCRN) Contact Registry • To accelerate research of people who have a rare disorder that is associated with seizures or epilepsy in the majority of patients. • To answer questions of interest to patients registered in the REN. To provide the following benefits to patients enrolled in the registry: • Information about TSC. • News about new ongoing clinical studies for TSC. • Information on activities from TS Alliance. Registrants will also have the opportunity to: • Share information about themselves with scientists and patient advocacy foundations. • Choose to be contacted directly by researchers to participate in clinical studies. 18 P ER SP ECT I V E • S U M M E R 2 0 1 5 • A M a g a z i n e fr o m th e Tu be ro us S c l e ro s i s Alliance Continued from previous page TS Alliance Database What type of information is collected? • Basic profile about the constituent such as name, gender, age, and contact information. The constituent’s connection to TSC, such as: • Has TSC • Family member has TSC • A healthcare provider or researcher TSC Natural History Database (TSCNHD) Rare Epilepsy Network (REN) Registry Rare Diseases Clinical Research Network (RDCRN) Contact Registry • A limited profile about the person with TSC is collected that includes birth date, gender, state or country of birth and residence. • Medical history about the person with TSC collected from review of health records. • Basic profile about the person with TSC and epilepsy or the caregiver of this person. • Survey questions related to seizure characteristics, seizure history, the affected person’s development, surgeries, other conditions and symptoms, and if applicable, caregiver’s quality of life • Basic profile about the person with TSC or family member with TSC and how they can be contacted. Other data that is collected includes: • Is constituent a TS Alliance volunteer? • Has constituent attended any TS Alliance events? • How has constituent supported the TS Alliance? Who enters the information? TS Alliance staff TSC Clinic research staff The person with TSC and epilepsy, or the caregiver of family member with TSC. The person with TSC or the caregiver of the family member with TSC. How do I join? Email [email protected] or call 800.225.6872 You need to be a patient at one of the clinics listed above. They will ask you to read and sign a consent form. https://ren.rti.org/Enroll www.rarediseasesnetwork.org How will my privacy • Your information is stored in a secure be protected? database. • The TS Alliance does not share information without permission. • Records are not sold or shared. • Your information is stored in a secure • This database does not collect your name, • Your information is stored in a secure database. database. address or other contact information. • Personal identifying information (such • Only the clinic that obtained your consent • The REN uses your name, addresses, as your name, addresses, telephone &telephone number to contact you. They has permission to contact you. number) will never be given to anyone will not share your contact information • Your medical information is stored in a without your permission. unless required by law. secure database. What if I have questions? Email Jo Anne Nakagawa at jnakagawa@ tsalliance.org or call (240) 638-4654 Email [email protected] or call 800.225.6872 Email [email protected] or call (301) 918-3728 or (888) 886-3745 (toll free in the US) Email Rajna Filip-Dhima, MS at [email protected] Volunteer Corner A s many of you know, our organization thrives on the support of thousands of volunteers across the country. They allow our organization to have a presence in 45 states through 34 Community Alliances, and we are always looking to expand our reach. As part of our initiative to grow community support and involvement we have revamped our volunteer information. We now have a list of applicable positions posted on our website at www.tsalliance. org/volunteer. When you visit the site you will find job descriptions along with location, required skills, required time, who the position reports to, and how to apply. Among the open positions are: A M a g a z i n e f r o m t h e Tu b e r o u s • Chair, TS Alliance of the Delta Region • Step Forward to Cure TSC Walk Chair: TS Alliance of Greater Kansas City; TS Alliance of Atlanta/North Georgia; and TS Alliance of Tennessee, Nashville. • Adult Regional Coordinator, Region 3 (Minnesota, North Dakota, South Dakota, Nebraska, Iowa, Wisconsin, Illinois) Recruiting on an ongoing basis are committee members for the local Community Alliance support meetings and gatherings, and the Step Forward to Cure TSC walks. S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 • If you do not have a Community Alliance near you but are interested in helping us expand our reach to new parts of the country, please contact Christen Bell at [email protected] and ask about starting a Community Alliance near you. For a complete list of current Community Alliances visit www.tsalliance.org and click on “Find a Local Branch.” Whether you have an hour a year, an hour a week, or an hour a day, we have a position that will fit your needs. Visit our www.tsalliance.org/volunteer to find a position that works for you. Questions? Contact Christen Bell at [email protected] or 800.225.6872 x232. P E R S P E C T I V E 19 A Call to Action: You Can Help By Participating in a Research Study Rare Epilepsy Network TSC or adults with TSC have signed up since last fall. Please sign up by August 31, 2015. You do NOT need to provide your social security number or copies of MRI and EEG reports. These are optional requests. If you have any questions, please contact Jo Anne Nakagawa at jnakagawa@tsalliance. org or 1-800-225-6872 extension 218. The REN is a collaboration between the Epilepsy foundation, RTI International, Columbia University, and organizations that represent patients with a rare syndrome or disorder that is associated with epilepsy or seizures. The REN is funded by the Patient-Centered Outcomes Research Institute (PCORI). California at Los Angeles, University of Texas at Houston Who are the Principal Investigators? Mustafa Sahin, MD, PhD (Boston), Darcy Krueger, MD, PhD (Cincinnati), Martina Bebin, MD (Birmingham), Joyce Wu, MD (Los Angeles), Hope Northrup, MD (Houston) Who is eligible to participate? Individuals diagnosed with TSC and autism spectrum disorder and/or intellectual disability are eligible to participate in this study if they are between the ages of 3 and 21 years old. What will we do? The study involves five visits over a two year period. Three of the visits occur on-site at a study location. The other two visits occur as phone calls. The on-site visits include blood draws, physical/neurological exams and behavioral testing. What is the time commitment/ cost to participate? There is no fee to participate in this study, and there will be no financial compensation for participation in this study. What results are provided? Summary scores of your child’s behavioral testing will be provided to you. Contact Information: If you are interested in learning more about this study, please contact Rachel Friedman at [email protected] or 617-919-3499. are diagnosed with TSC may be eligible to participate. Compensation: There is no compensation for your participation in this study; however, there is travel funding available. Details: For more information, please visit our website at www.tscstudy.com or email us at [email protected] or contact Rajna Filip-Dhima at 617-919-7068. This study is being offered by TACERN (TSC Autism Center of Excellence Research Network), which includes Boston Children’s Hospital, Cincinnati Children’s Hospital Medical Center, University of Alabama at Birmingham, University of California at Los Angeles, and University of Texas at Houston. NIH Lymphangioleiomyomatosis (LAM) and Tuberous Sclerosis Complex (TSC) Studies progression, and potential treatment of disease in patients with LAM and TSC. Study Goals: The National Institutes of Health (NIH), Cardiovascular and Pulmonary Branch, is conducting research studies on LAM and TSC. The purpose of these studies is to characterize factors and genes involved in the pathogenesis, For further information, please contact: Mary Haughey, RN, National Institutes of Health 0 Center Drive, MSC 1590 Building 10, Room 6D03 Bethesda, MD 20892-1590 Fax: 301-496-2363 Tel: 301-496-3632 Toll free 1-877-NIH-LUNG, #3 E-mail: [email protected] Do you or your loved one have TSC and epilepsy? Have you signed up for the Rare Epilepsy Network (REN)? Epilepsy caused by TSC is one of the rare epilepsies in the network and occurs in about 85% of individuals with TSC. As of June 25, 2015 less than 200 caregivers of children with Autism Spectrum Disorder (ASD) and Intellectual Disability (ID) Determinants in Tuberous Sclerosis Complex We are enrolling individuals between the ages of 3 and 21 years old with a diagnosis of tuberous sclerosis complex (TSC) and autism spectrum disorder (ASD) and/or intellectual disability (ID) for a new study. The goal of this study is to gain a better understanding of ASD/ID in individuals with TSC so that effective treatments and interventions for ASD/ID can be found. Where is this study taking place? Boston Children’s Hospital, Cincinnati Children’s Hospital Medical Center, University of Alabama at Birmingham, University of TSC Biomarkers of Autism Research Study: 3 to 12 Months Old with TSC Needed What: The purpose of this research study is to look for early signs of autism in chldren with TSC, a genetic disorder where autism is common. Who: Infants 3-12 months old who 20 P ER SP ECT I V E • S U M M E R 2 0 1 5 • A M a g a z i n e For a list of other TSC-related clinical trials, please visit www.tsalliance. org/clinicaltrials. fr o m th e Tu be ro us S c l e ro s i s Alliance Reading Recommendations Assistive Technology Solutions in Minutes, Book II By Therese Willkomm, PhD, ATP This book offers five-minute, low-cost approaches for taking ordinary items and turning them into extraordinary solutions for individuals with disabilities. Picking up where the first book left off, AT Solutions in Minutes, Book II demonstrates creative DIY problem solving without the need for power tools or electricity, empowering everyone to be spontaneous and create solutions to everyday challenges using everyday materials. skills to children with Autism Spectrum Disorder. The games include directions for assessing skills such as asking for toys, getting the attention of others, reading nonverbal gestures, understanding perspectives, and cooperating to solve problems. Using the principles of Applied Behavior Analysis, the book takes teachers through motivating, prompting, shaping, modeling, and reinforcing social skills while playing the games and helping students learn to participate in other activities such as demonstrating the social skill in role plays and the natural environment. Perfect for teachers struggling to help their students with autism learn to interact socially with their peers, these games are sure to become a much-loved part of students’ daily routines. From Anxiety to Meltdown By Deborah Lipsky Opening the Gate By Ingrid Floyd Opening the Gate introduces youth to the world of wheelchairs and prosthetics. Outstanding athletes Nick Taylor, Hannah McFadden, Jessica Long, Kevin Laue, A nt h o ny N et t o , a n d G re g Gontaryk recount the experiences that helped them participate effectively in sports and led them to the top of their athletic careers. Their stories will leave everyone laughing, inspired and ready to reach for their own dreams. Opening the Gate helps youth share in the experiences of athletes with disabilities through the book’s stories, a cartoon, activities, quotes and useful websites. Anxiety is the root cause of many of the difficulties experienced by people on the autism spectrum. Drawing on her extensive personal experience and using real-life examples to explain how autistic people think, the author highlights how meltdowns and tantrums differ from each other, and discusses the sources they can stem from. She identifies how to spot triggers and prevent outbursts from happening in the first place. Practical and simple solutions for avoiding anxiety are offered throughout, accompanied by calming techniques and suggestions for ways to deal with tantrums when they occur. My Life with TSC By Evan Moss Social Skills Games and Activities for Kids With Autism By Wendy Ashcroft, Anne Quinn, Angie Delloso Social Skills Games and Activities for Kids With Autism provides complete instructions for using fun, engaging games and activities to teach social A M a g a z i n e f r o m t h e Tu b e r o u s S c l e r o s i s A l l i a n c e • My Life with TSC, written and illustrated by 11-year-old Evan Moss, tells the story of what it’s like to live with tuberous sclerosis complex (TSC). Evan takes a whimsical approach to explaining the daily challenges he faces. He takes a serious topic, infuses his own sense of humor and wit and leaves the reader with a smile and a sense of hope. S U M M E R 2 0 1 5 • P E R S P E C T I V E 21 CONTINUED FROM PAGE 25 Special Events How did your interview impact your community and walkathon? I believe this interview helped with local media awareness, as well as educating about TSC. Jill Horner, who interviewed me, did a fantastic job of asking the right questions to give an overview of how TSC can affect an individual and some of the daily struggles. Overall, the interview brought attention to our walk; we had higher attendance this year and raised more money than in the past. I think the interview validates the need for as much media attention as we can gain. Comcast Newsmakers already invited me back next year for another interview, which will allow additional time before our walk occurs to get the information out there, as well as to reach out to them with any additional events we have going on in our community. As a parent of two children with TSC, I want anyone and everyone to know about our cause, our struggles, and how they can help to make sure we continue on the path to finding a cure. This opportunity allows other parents and caregivers to know they are not alone in the journey and we are all a support to each other through the celebratory times, as well as the tumultuous times we face with this Step Forward to Cure TSC In the News! The media plays a significant part in reaching prospective participants, creating positive buzz about your event and educating the general public about our cause. We sat down this summer with Shelly Meitzler, Chair for Step Forward to Cure TSC – Delaware/Lehigh Valley, to learn more about her exciting interview with Comcast Newsmakers, and Laura Marlin, Chair of TS Alliance of Indiana, who was featured on a local NBC affiliate. Shelly Meitzler How were you contacted by the media? I was contacted by Comcast Newsmakers about doing an interview after I sent a donation request letter for our 2015 walk. They responded back and said they would love to do a feature story about TSC and our upcoming walk. How was the interview? It was a perfect opportunity to get some media attention locally about TSC and our walk. Make Your Steps Count Partnering with the TS Alliance offers unique ways for individuals, community-based organizations and companies to strengthen the TS Alliance from the inside out. TSC research and programs are expensive, but community-driven events such as Step Forward to Cure TSC, help generate a significant amount of funding and give us the opportunity to engage the community in a successful and inspiring way. We need people with the following attributes: • Enjoy volunteering • Can inspire greatness in others 22 P ER SP ECT I V E • Team player • Have a “can do” attitude Teenagers can earn six or more qualified volunteer hours that can be applied to their high school graduation requirement. Join our Step Forward to Cure TSC movement today and be a part of something great! Across the country we need fresh and reinvigorated volunteers, teams, sponsors and planning committee members • S U M M E R 2 0 1 5 • A M a g a z i n e disease on any given day. This interview allowed me to describe some of the unknown that we worry about day to day and to know someone is interested in our story renews my faith that many people want to help, they just need to know how they can help. I look forward to my continued partnership with Comcast Newsmakers and was blessed to have the opportunity. Laura Marlin Why were you contac ted by the media? I actually contacted them! Then, once one station got the story, others joined in. It was exciting! What was the best part? I think the best part was the awareness it brought to the newscasters, staff and everyone in the station. Of course, we can hope that was brought to their viewers, but to experience it first hand was pretty rewarding. How did your interview impact your community and walkathon? I think it brought a lot of excitement to the community, and we had about 300 in attendance at the walk. It was very exciting! Then, to see the cameras there the day of the walk was also very inspiring. Everyone was so happy! as well as ideas on how to improve our walks. Learn fun and exciting ways to raise awareness in your community while raising necessary dollars to fund TSC research and TS Alliance support programs. For more information, contact Gail Saunders, Senior Manager of Events at (800) 225-6872 or gsaunders @ tsalliance.org for more details or visit www.stepforwardtocuretsc.org/volunteer. fr o m th e Tu be ro us S c l e ro s i s Alliance Pillar Hotels and Resorts Supports Step Forward to Cure TSC By Jolynda Ward On behalf of Pillar Hotels and Resorts, I had the pleasure of attending the Step Forward to Cure TSC walkathon in Frisco, Texas recently. Although it was a stormy, dreary day, it was amazing how many people came out to support this worthy cause. I have to admit, it was a great excuse for me to dress up in my favorite costume! As we gathered under the pavilion, hoping the rain would clear, you could feel the energy and excitement of all of Other Special Events The 14th Annual Comedy for a Cure® was held at the Globe Theatre in the heart of Universal Studios Hollywood on Sunday, April 12, 2015. The evening featured hilarious performances by Mark Eddie, Craig Shoemaker and a return to the Comedy for a Cure stage by TS Alliance supporter Larry Miller. We were also joined by our gracious Honorary Chair Jim O’Heir, Emcee Mo Collins, and Host Alex Skuby, who each continue to champion our cause. We were humbled to present the Leadership in Courage Award to the Heffron family and everyone in the room was charmed by 10-year-old Bao’s speech. An Honoree Tribute was also given to Helena Foulkes, Executive Vice President of CVS Health and President of CVS/pharmacy, for her years of commitment to TSC. The A M a g a z i n e f r o m t h e Tu b e r o u s these wonderful people coming together to support one another. We saw teams with matching t-shirts in support of a friend or family member and everyone was smiling, laughing and having a good time. I caught the eye of a little girl with big beautiful eyes. As our eyes met, her face broke out into a huge smile, as did mine. I sat next to her mother, and we started talking. Her daughter quietly wedged in between us as she continued to stare at me. In a quiet little voice she said, “I’ve always wanted to meet you.” In that moment, I realized that she thought I really was Super Girl! I put my arm around her, gave her a big hug and told her that I had always wanted to meet her too! She told me her name was Zena and she was a Super Hero as well. Her mom pulled out her phone and showed me a picture of Zena in a hospital bed, clearly just out of surgery, dressed in a tiny Super Girl outfit. Her Jolynda and Zena. face glowed as she told me about how much she loved me “aka Super Girl” and my eyes welled up with tears as I assured her she was the real Super Girl! I will never forget that beautiful little girl, and how it felt for a moment to be famous! Memories like this are what these walkathons are all about – making a difference one person at a time. event this year was dedicated the Goff Family in honor of Tiara Goff who lost her battle with TSC earlier this year. Tiara’s mom, Tiffani, gave an extraordinary and inspiring memorial speech. We thank all our partners for making the evening possible and helping raise $185,000 including the fabulous Comedy for a Cure planning committee, auctioneer Damon Casatico, Ingram Design Studio, Traci Hoffberg Events and Tom Bercu Presents, and our incredible major sponsors including CVS Health, Mallinckrodt, MarketCast, Variety, Emily’s Hope - the Szilagyi Family, Glacier Design Systems, Inc., Lundbeck, Maginn Family, Novartis, Twentieth Century Fox, and WNC & Associates Inc. S c l e r o s i s A l l i a n c e • S U M M E R 2 0 1 5 • P E R S P E C T I V E 23 801 Roeder Road, Suite 750 Silver Spring, MD 20910 Plan now to join us this Fall for a spectacular evening of theatre at one of the Tuberous Sclerosis Alliance’s FOUR DECADES | ONE COMMUNITY Celebrations! WEDNESDAY, SEPTEMBER 30: MINNEAPOLIS, MN THURSDAY, OCTOBER 8: WASHINGTON, DC For more information and to purchase tickets, please visit www.tsalliance.org/4Decades today.