An article in Stanford magazine tells the stories of four families, their quests for answers, and the hope they found through the Undiagnosed Diseases Network, a research initiative created by the National Institutes of Health that now has a dozen clinical sites, including at Stanford.
The Millers
Danny Miller noticed that his infant son, Carson, was developing differently from other babies, but tests by neurologists and behavior specialists detected nothing unusual. His own research led him to suspect cerebral palsy, and doctors agreed, diagnosing Carson when he was 15 months old.
But when the Millers' second son, Chase, began to show similar symptoms, cerebral palsy seemed unlikely for both boys. The condition occurs in about two out of 1,000 births; and the odds of both of the Millers' sons having it were one in a million.
'It was very scary,' Miller says, recalling the years of searching for answers and coming up empty. 'As a parent, you go through a lot of self-doubt, a lot of blame. You wonder, 'What did we do wrong?' ... We were both really determined to try to find answers, and we weren't getting them.'
The Millers' luck changed when they were admitted to Stanford's branch of the Undiagnosed Disease Network. There, whole-genome sequencing revealed that both boys had a genetic disease known as MEPAN syndrome that caused their mitochondria -- the parts of cells that produce energy -- to function poorly, leading to severely impaired movement.
The network put the Millers in contact with other people with MEPAN syndrome. As the article reports, "Miller acknowledges how scary it was to find out that their sons have a rare genetic condition with no proven treatments, but he was relieved to know what they faced."
The Wongs
Lauren Wong's story is similar. She and her fraternal twin, Nathanial, were born prematurely in 2015. When her parents noticed that Lauren wasn't developing normally, the family neurologist diagnosed cerebral palsy, but later ruled it out.
Lauren was accepted at the network in 2017 and within a month, the team at the Stanford center identified a defective a copy of a gene called ALG13. As it turns out, at least 40 to 50 other children in the world -- most of them girls -- have the same mutation. Some were like Lauren, who has severe cognitive and physical challenges and is fed via a tube in her stomach. Others were more active, and one was even able to walk and run.
As Lauren's mother, Mary Wong, says in the article:
Even with the diagnosis, we're still not sure where this is going to take us. But at least we have a group of people that have the same diagnosis, and we can go to them for advice.
The Villaneuvas
Shortly after Anahi Villanueva's birth, her mother noticed that she was just sleeping -- "She didn't even cry." Doctors soon realized that Anahi had gone into a coma. Blood tests results indicated a heightened level of lactic acid, a hallmark of mitochondrial disorders.
The network accepted Anahi when she was 6. When she was 9, doctors diagnosed a new mitochondrial disorder based on a genetic mutation she had that had been previously undocumented in scientific literature.
Anahi's allows her to walk and speak as long as she avoids taxing activities. Though Anahi now has a diagnosis, she is one of only two people with her condition. Their symptoms and mutations aren't exactly the same, so it remains unclear how her disease will progress in the future.
The Bejars
Miguel Bejar was born in 2015 with heart deformations that limited his blood flow. Doctors successfully performed heart surgery, but three months later, new symptoms appeared and a genetic test indicated a rare chromosomal anomaly. As he grew older, doctors discovered that Miguel's brain was underdeveloped, and his muscles were weak. As a preschooler, he fell easily and still couldn't speak.
Miguel's father, who works as a lead operating room assistant at Stanford Health Care, applied to the Undiagnosed Diseases Network in 2018 and Miguel was accepted within weeks. The network team is sequencing his DNA and looking for multiple syndromes that could explain all of Miguel's symptoms.
While Miguel's father awaits the results, he tries to reconcile the pain of uncertainty with the tenderness he feels for his son. As he says in the article,
[I]t's one of the best experiences, taking care of a child with necessities. It brings the best out of your human side. You go beyond a lot of your limits on the way you love life, and the way you appreciate life and people.
Photos by Timothy Archibald
Link:
Families find answers, and community, through the Undiagnosed Diseases Network - Scope
- Cerebral Palsy: Diagnosis - May 7th, 2011 [May 7th, 2011]
- Cerebral palsy treatment NeuWellness - May 14th, 2011 [May 14th, 2011]
- cerebral palsy treatment in india-indian cerebral palsy video 1 - May 20th, 2011 [May 20th, 2011]
- CP Cerebral Palsy Acupuncture Treatment Research. www.thetole.org - May 24th, 2011 [May 24th, 2011]
- cerebral palsy treatment in india/dr vipul shah/ indian cerebral palsy - June 9th, 2011 [June 9th, 2011]
- cerebral palsy treatment in india/indian cerebral palsy/dr vipul shah/follow up - June 23rd, 2011 [June 23rd, 2011]
- TheraSuit treatment for Cerebral Palsy - July 3rd, 2011 [July 3rd, 2011]
- Stem cell treatment for Cerebral Palsy-Jerica Cole's post interview.avi - July 15th, 2011 [July 15th, 2011]
- Cerebral Palsy Treatment.... Hindi - August 19th, 2011 [August 19th, 2011]
- Stem Cell Treatment for Cerebral Palsy (Periventricular Leukomalacia) - August 21st, 2011 [August 21st, 2011]
- Stem Cell Treatment for Cerebral Palsy at the XCell-Center in Germany - August 25th, 2011 [August 25th, 2011]
- cerebral palsy treatment,lilou,essentis,therasuit,banana,spider,nazarov,guez - August 29th, 2011 [August 29th, 2011]
- cerebral palsy treatment,helena,essentis,therasuit,guez,spider,nazarov,guez - September 30th, 2011 [September 30th, 2011]
- walking before training lokomat for cerebral palsy treatment - September 30th, 2011 [September 30th, 2011]
- TheraSuit Therapy for Cerebral Palsy - Case 1 - October 2nd, 2011 [October 2nd, 2011]
- Cerebral palsy patient Atillia before stem cell treatment 2.wmv - October 10th, 2011 [October 10th, 2011]
- Stem cell treatment for Cerebral Palsy-Jerica Cole's pre interview.avi - October 11th, 2011 [October 11th, 2011]
- Stem Cell Treatment - Cerebral Palsy (2) - Video - October 16th, 2011 [October 16th, 2011]
- magic treatment for cerebral palsy -indian cerebral palsy treatment in india/delhi - Video - October 18th, 2011 [October 18th, 2011]
- Cerebral palsy patient Atillia after stem cell treatment 1.wmv - Video - October 19th, 2011 [October 19th, 2011]
- Cerebral Palsy: A new treatment: Part 1 - Video - October 21st, 2011 [October 21st, 2011]
- Cerebral Palsy Hyperbaric treatment in Margate Florida 954-975-3563 - Video - October 22nd, 2011 [October 22nd, 2011]
- Cerebral palsy patient Gabor after stem cell treatment 3.1.wmv - Video - October 29th, 2011 [October 29th, 2011]
- Stem Cell Treatment for Cerebral Palsy - Video - October 30th, 2011 [October 30th, 2011]
- Brian's Story: Dr. Huo's miraculous acupuncture treatment of Cerebral Palsy - Video - October 30th, 2011 [October 30th, 2011]
- Hyperbaric Oxygen Therapy Treatment for Cerebral Palsy - Video - November 1st, 2011 [November 1st, 2011]
- After Stem Cell Transplant treatment for Cerebral Palsy - Video - November 2nd, 2011 [November 2nd, 2011]
- indian cerebral palsy treatment-dr vipul shah - Video - November 6th, 2011 [November 6th, 2011]
- Stem Cell Therapy for Cerebral Palsy - Video - November 10th, 2011 [November 10th, 2011]
- Cerebral Palsy(CP) Scientific Treatment Research Center - Video - November 10th, 2011 [November 10th, 2011]
- Cerebral Palsy Treatment - November 17th, 2011 [November 17th, 2011]
- Stem Cells: Treatment for Cerebral Palsy - Video - December 10th, 2011 [December 10th, 2011]
- Stem Cell Therapy - Cerebral Palsy Treatment || Holly Catalano Update - Video - December 29th, 2011 [December 29th, 2011]
- Lasertherapy Bular - Treatment of Infantile Cerebral Palsy - Video - January 4th, 2012 [January 4th, 2012]
- Cerebral palsy patient Bianca after stem cell treatment 3.wmv - Video - January 4th, 2012 [January 4th, 2012]
- Cerebral Palsy Treatment by Dr.Babu Sudheendra Nath - Video - January 31st, 2012 [January 31st, 2012]
- The Methodist Hospital in Houston Is First to Offer New Device to Improve Walking - February 1st, 2012 [February 1st, 2012]
- Baby Logan inspires family to help - February 14th, 2012 [February 14th, 2012]
- Santi KM Bhagat: The 8 Million That Health Care Reform Forgot - February 14th, 2012 [February 14th, 2012]
- Ben's Bells: Patient grateful for Brownies' efforts - February 19th, 2012 [February 19th, 2012]
- Family’s appeal to improve care for disabled Jack, 3 - February 20th, 2012 [February 20th, 2012]
- Families, hospitals fighting Medicaid cuts - February 20th, 2012 [February 20th, 2012]
- Barrow family’s appeal to improve care for disabled Jack, 3 - February 20th, 2012 [February 20th, 2012]
- Earnings Beat for Acorda - February 21st, 2012 [February 21st, 2012]
- Dance to support Shriners Hospital for Children - February 25th, 2012 [February 25th, 2012]
- US trip holds hope for city boy - February 28th, 2012 [February 28th, 2012]
- Santanu Mitra - February 28th, 2012 [February 28th, 2012]
- City hospital to offer walking op - February 28th, 2012 [February 28th, 2012]
- CBR's Newborn Possibilities Program Provides Cord Blood Banking at No Cost to Families with an Identified Medical Need - February 29th, 2012 [February 29th, 2012]
- Charity golfers to the fore - February 29th, 2012 [February 29th, 2012]
- Assistive Mobility Devices Designed by Mobility Research Now Offered by Rehabmart.com - March 2nd, 2012 [March 2nd, 2012]
- Help to give Aiden, 2, chance of better life - March 4th, 2012 [March 4th, 2012]
- Conman Neil Jackson jailed for six years after false sickness claims for son - March 4th, 2012 [March 4th, 2012]
- Tesco manager conned £60k out of staff for son's 'fatal illness' and spent it on holidays - March 6th, 2012 [March 6th, 2012]
- Tesco manager conned £60,000 out of staff for son¿s ¿fatal illness¿ and spent the money on holidays to Hawaii and Las ... - March 6th, 2012 [March 6th, 2012]
- Ontario At The Centre Of World-Leading Brain Research - March 6th, 2012 [March 6th, 2012]
- R5.5m claim after baby born with cerebral palsy - March 6th, 2012 [March 6th, 2012]
- Uncertainty over NHS reforms threatens future of world leading cerebal palsy centre - March 6th, 2012 [March 6th, 2012]
- Birth Injuries from Medical Malpractice Can Create a Lifetime of Financial and Emotional Challenges for Victims and ... - March 7th, 2012 [March 7th, 2012]
- Ontario brains put their heads together - March 7th, 2012 [March 7th, 2012]
- ‘PediaSuit’ helps cerebral palsy patient walk - March 9th, 2012 [March 9th, 2012]
- Charity Caudwell Children donates wheelchair to Norwich youngster - March 10th, 2012 [March 10th, 2012]
- Elgin Easter Seals gets more space, bilingual programs - March 11th, 2012 [March 11th, 2012]
- A war on brain illness should be declared - March 12th, 2012 [March 12th, 2012]
- More children now living with 'life-limiting' conditions - March 12th, 2012 [March 12th, 2012]
- Assessing innovative intervention for children with cerebral palsy - March 15th, 2012 [March 15th, 2012]
- Cerebral Palsy In Children - Innovative Intervention Evaluated - March 15th, 2012 [March 15th, 2012]
- Cerebral palsy hindering 4-year-oldâs movement - March 17th, 2012 [March 17th, 2012]
- West Fargo boy with cerebral palsy can now walk without crutches; parents credit stem cell therapy - March 19th, 2012 [March 19th, 2012]
- Cerebral palsy research brings hope to new mums - March 21st, 2012 [March 21st, 2012]
- Center offers hyperbaric treatment - March 21st, 2012 [March 21st, 2012]
- $100-million Children’s Treatment Centre to be built in lower city - March 22nd, 2012 [March 22nd, 2012]
- White Lodge Centre marks 50 years in 2012 - March 22nd, 2012 [March 22nd, 2012]
- Telethon Delivers Life Changing Services - March 23rd, 2012 [March 23rd, 2012]
- Teachers allegedly call special-needs kid 'disgusting' - March 31st, 2012 [March 31st, 2012]
- Cerebral palsy drug may offer hope for treatment - April 20th, 2012 [April 20th, 2012]
- Prevention of cerebral palsy - April 20th, 2012 [April 20th, 2012]
- Study gives new hope on cerebral palsy - April 20th, 2012 [April 20th, 2012]
- Prrvention of cerebral palsy - April 20th, 2012 [April 20th, 2012]
- PRB at Wayne State/DMC discover window of opportunity to prevent cerebral palsy - April 20th, 2012 [April 20th, 2012]