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By Nora Murphy, on February 8th, 2010
Moving Ahead Together: Celebrating the Legacy, Shaping the Future of Maternal and Child Health
March 6-10, 2010
Gaylord National Hotel and Convention Center
National Harbor, MD
The goal of the 2010 AMCHP Conference is to advance the health of women, children and families by promoting innovations in MCH policy and programs, sharing best practices, developing state MCH leadership, and fostering multidisciplinary approaches to address key health issues impacting MCH. Attendees will describe cutting edge maternal and child health programs, methods, and policies from across the country; engage in networking opportunities with MCH professionals, researchers and government leaders to share ideas, information, and experiences; and identify practices and policies designed to strengthen partnerships between state MCH programs and families. Click here to download the Exhibitor Prospectus. For more information please contact the Conference Department at amchpexhibits@conferencemanagers.com or (703) 964-1240 x 11.
Register today online to attend the conference. If you have any questions, please contact Registration Manager Lynn Parrazzo,lynnporrazzo@conferencemanagers.com or call AMCHP’s Conference Department at (703) 964-1240.
By Nora Murphy, on February 7th, 2010
Women’s Health 2010: The 18th Annual Congress
Mar 26 – 28, 2010
Washington, DC
Women’s Health 2010: The 18th Annual Congress is sponsored by the VCU Institute for Women’s Health and Journal of Women’s Health, in collaboration with National Cancer Institute and the American Medical Association. This year’s Congress also marks the 95th Anniversary meeting of the American Medical Women’s Association (AMWA), an organization devoted to the advancement of women in medicine and the improvement of women’s health. For more information, please contact 914-740-2100 orvcohn@liebertpub.com.
By Nora Murphy, on February 6th, 2010
This is such a journey! I just found this post on facebook from nine months ago. It was from Ayrie’s last surgery in Chicago, just before we moved to Minneapolis. It’s hard to believe all we’ve gone through in the last nine months both generally and health related. I actually took a stress quiz in one of my classes and a score of 160 was ‘over stressed. I scored a 330! The highest in the class by far. A lot of it was related to all of the changes we’ve gone through.
May 2009
Ayrie’s out of the operating room, but still in a deep anesthesia induced sleep. Everything went well, he didn’t look any better or worse than last time. We have given him 5 cidofivir injections and it’s keeping the RRP from getting worse, but not helping it get any better. He can’t be on this drug long term be cause it has terrible side effects. I need to find an innovate, fearless ENT in Minneapolis who will push the envelope and let us try some experimental therapies.
I just got scolded by a nurse for reading Ayrie’s chart… I guess my own child’s chart is not my property and it’s not my right to read it without permission from the doctors. Our medical system is CRAZY and protects hospitals over informing patients and families. My number one job, as it relates to Ayrie’s health, is to be his advocate. But it’s hard to be an advocate when you don’t have access to all of the information!
So what’s changed? We didn’t establish a good relationship with an ENT in Minneapolis and fly to Boston for creativity, fearlessness, exceptional skill and information. (If you are reading this, have a child with JORRP and are considering traveling to get exceptional care, consider Dr. Christopher Hartnick at Mass. Eye and Ear., a specialty teaching hospital for Harvard University). We are now using avastin and propranalol instead of cidofovir, which are working much better and have virtually no side effects. The system is still crazy and every hospital interprets HIPPA differently. And I am still trying to learn how to be a good advocate for Ayrie, and how to help other people feel like they can be good advocates for the child that they love.
xo
nora
By Nora Murphy, on February 5th, 2010
Thank you, thank you, Nadine for being our first contributing supporter. Your generosity is greatly appreciated.
Nora, Ayrie & Shiya
By Nora Murphy, on February 5th, 2010
Sometimes people don’t know what to say to me. And that’s okay. If the roles were reversed I think I would feel the same. But there must be some information out there that helps you know what to say when your friend or loved one is going through a hard time because their child has a disease, illness or disorder. I found this advice here, written by Betsey Kirkemo, and I’d love to hear your feedback or other suggestions.
1. Resist all temptations to utter clichés. While well meaning and often true, these off-the-cuff statements often contain messages that the parent is unable to comprehend, and it comes across as dismissive, uncaring and condescending. Imagine how she might feel upon hearing, “God only gives us what we can handle” or “You should feel blessed that God chose you to be the parent” or “It is what it is”. While clichés are often true, they are unwelcome and not compatible with allowing someone to grieve.
2. Offer to cry with them. The most isolating experience I’ve ever felt was being unable to express my grieving with friends who were unwilling to allow me to express my emotions. Grieving is natural and completely warranted, and what we need the most to process and work through how we feel so we can become good advocates. Grieving? You may think that grieving is isolated to death or divorce, but it’s a process we parents of special needs children understand and must endure over a lifetime.
We grieve the fact that our kids will never be able to grow up typically… to graduate high school… to attend college… to leave home and be able to support themselves… to make qualified decisions on their own… to marry and have children. The lessons are never far behind us, and if we become too complacent, another challenge rears its ugly head and forces us to continue mastering the lesson of grieving once again.
3. Interact with our child the way you would interact with your own child’s friends. Our child perceives and learns differently, but what we want most for him or her is to be treated like any other child.
4. Avoid telling them how you think they should feel. Chances are they won’t appreciate hearing “You shouldn’t feel that way…” Feelings just are, and like snapshots, they only reflect the moment the picture was taken. It doesn’t mean they feel that way ALL of the time. Validate the feeling and know that they will return the favor some day.
5. Learn how to be a compassionate and sympathetic listener. This is true for all of our friendships, and it’s what builds intimacy and commonality. It doesn’t require you to fix or to offer solutions-just listen and offer support.
6. Don’t avoid sharing your own stories with them. We love being friends too, and we relish your own family’s accomplishments. It bridges the gap between support and isolation.
7. Don’t dismiss their worries as crazy or negative thinking. When my ex-husband and I began the tedious chore of establishing a special needs trust for our daughter, a few friends were horrified to hear of the intricate details we were discussing. Part of our estate planning assumes that our daughter will not be able to make decisions for herself, so we had to account for every possible scenario if we were to die. We were told that we were excessively morbid and accused of not thinking positively, when the simple truth was we were being realistic and wise.
By Nora Murphy, on February 3rd, 2010
It seems that this article is saying that the new drug might treat JORRP and RRP. What do you think? Click here for the full article.
The new treatment is based on a form of genetic therapy called “antisense,” or AS, in which a synthesized strand of DNA or RNA targets the EGFR genes within a head and neck tumor. The therapy blocks the production of a protein produced by the gene. According to Dr. Grandis, expectations were exceeded in a phase I study of the therapy that was designed primarily to determine the safety and potential toxicity of EGFR AS injections in patients with advanced head and neck cancers…..
Head and neck cancers are a group of biologically similar cancers originating from the upper aerodigestive tract, including the lip, mouth, nasal cavity, paranasal sinuses, pharynx and larynx, that affect more than 45,000 individuals in the U.S. each year. Head and neck cancers are strongly associated with environmental and lifestyle risk factors, including tobacco smoking, alcohol consumption and certain strains of the sexually transmitted human papilloma virus.
By Nora Murphy, on February 2nd, 2010
Okay, this post does not have much directly to do with rare pediatric diseases but it has a lot to do with what interests me… getting real people to make small changes that significantly support people’s health related needs!
An undergraduate student at Harvard observed at hospitals and realized that often there was nothing the doctor could do to treat a patient because the causes could not be solved with a prescription… think homelessness or lack of food. So the student, Rebecca Onie, found a way to help doctors address the non-medical needs of the patients. Her solution is a relatively inexpensive and common sense solution to a complex problem.
Read a description of Project HEALTH here:
In the mid-nineties, Rebecca Onie spent six months in the pediatric unit of Boston Medical Center talking to physicians and low-income families. She heard the story of a child waking up at night with an asthma attack, her bed covered in cockroaches. There was a doctor who repeatedly prescribed antibiotics for a child’s ear infection, even though he knew the real issue was that the family was sleeping in a car. Onie was a college sophomore at the time, and was following up on a hunch that health issues and the more visible symptoms of poverty needed to be addressed in a coordinated and integrated way. “So I asked these doctors, if you had unlimited resources what would you give these patients?” Onie says.
Based on her research, she devised a straightforward solution: Project HEALTH.
Or see the official website here.
By Nora Murphy, on January 31st, 2010
“My friend’s child was just diagnosed with a rare disease. What do I say?”
“My sister has been struggling to take care of herself and her family through her son’s illness over the past two years. What else can I do to show her that I am here for her?”
“My cousin just lost her daughter to a rare disease and regular greeting cards seem wrong. But I want to send something to show my support.”
If you have had thoughts like these, you are going to love these cards. As a caregiver myself, I had tears running down my face when I read these cards from Solace Creek. The speak from the heart as the founders, Mary and Mark Peters, have together endured the diagnosis and ongoing treatment of Cystic Fibrosis in the youngest of their four children, and of stage-3 Breast Cancer in Mary.
I’ve post two below to give you an idea of what they are like, but you can visit the website directly to see more cards and gift ideas. Click here to be directed to the Solace Creek website.

Front: For surely you did not choose this battle ~ Rather it chose you
Inside: Inspired by your warrior spirit ~ I am here for you ~ Ready to fight at your side

Front: When the Caregiver load ~ Takes its toll
Inside: I will renew and care for you
By Nora Murphy, on January 29th, 2010
Here’s and excerpt from an email that I sent Ayrie’s surgeon this Sunday morning:
I am not sure how Ayrie is doing. This Monday will be 4 weeks since the date of his last surgery. This past week he has sounded as though he breathing is tight… I’m not sure how else to explain it. It’s as though he isn’t quite getting the full volume of air with each breath. He is also getting short of breath more quickly. So today I gave him two 5mL doses of prednisolone and two vials of 2.5mg/ 3mL abuterol by inhalation to see if this was an asthma type issue in the lungs. There seemed to be a small but not significant improvement in his breathing. And now, as he’s sleeping, there’s a squeaky sound at the end of each inspiration. His voice also has not recovered at all….
By Sunday evening we had agreed that Ayrie and I would fly to Boston the following morning (14oo miles away!) Family members picked up Shiya that night (Ayrie’s 2-year-old brother) and Ayrie and I packed for our trip. I emailed all of my professors, made some phone calls, collected paperwork and generally stayed up all night with worry. Luckily Ayrie slept soundly.
Family picked us up at 5am and we left for the airport. The hardest part of the trip was that Ayrie couldn’t eat or drink. No airport snacks, not juice on the airplane. But overall everything went really smoothly. My mom picked us up at the airport and we were at the hospital by noon.
The surgical floor called up the the pediatric floor right as we walked through the 10th floor doors so Ayrie and I changed into scrubs quickly and we headed right downstairs.
We had our favorite anesthesiologist, Dr. Collins, and he drew a silly face on the anesthesia balloon. Ayrie loved making the face get big and small with his breath. Later Ayrie told me that the “mask room” was fun. This was a major breakthrough!
It was a long time before I was called down to the PACU. Much longer than usual. It turned out that Ayrie was having a hard time breathing when he was coming out of the anesthesia and Dr. Collins was worried about complications. So he brought Ayrie back into the OR and looked for potential complications with a camera that goes into his airway.
Quite a few more wonderful people came to visit us in the OR (Amy, his pediatric nurse, and Nancy, the OR nurse) and then Dr. Hartnick came. We looked at the photos and he was pleased with the small amount of regrowth. But then he told me that Ayrie has tracheomalacia (also referred to as floppy trachea). The symptoms are similar to asthma, is is mis-diagnosed more than half of the time.
At first I was shocked, and then didn’t know how to feel. There is no internet connection on the pediatric floor so I had no information. What is this new disease my son now has?! Thankfully his nurse, Sylvia, printed out information for me to read. And Dr. Hartnick set up a consult with pulmonology so I able to get my questions answered. I still feel like I don’t have the full picture, but like Dr. Hartnick reminded me, I am not going to have everything figured out in the first day! Overall I’m glad that it seems like it’s not asthma, and the Tracheomalacia is something that improve as he gets older and as his airway gets larger. He has medication that he will use as needed that will also treat some asthma symptoms, but without bad side effects, so even if there are some asthma things happening, this will help. The medicine doesn’t seem to have bad side effects so that’s definitely something positive.
And just to add to the mix, the next morning Dr. Hartnick came to see Ayrie, who was breathing noisily, and when I asked, “What does that sound like to you?” He said, “Tonsils”. And on inspection, Ayrie has slightly swollen tonsils.
We also met with a pediatric voice pathologist who told me that Ayrie’s voice will never get much louder than a whisper. I cried. I couldn’t help it. I am crying as I write this line.
Bottom line:
Slightly enlarged tonsils? yes
Asthma? maybe
Voice? probably not
So when Ayrie is having trouble breathing, how will I know what the problem is? I’m learning. We’ll see. And the case workers at MEEI arranged for me to have a visiting nurse who will also be able to help me.
So I am still putting the pieces together. The puzzle continues to get more complicated and I look forward to the day when something gets easier.
I had tremendous support emotionally and financially from friends and family this trip and for that I am grateful beyond words.
Thank you
xoxo
nora
By Nora Murphy, on January 29th, 2010
I was reading through my notebook for school and I found this note that I wrote to myself on November 2, 2009.
Ayrie had his surgery on 10/30/2009 and we got some good news… the funny things is that I’m just feeling good about it now, 4 days later. This isn’t the first time that there has been a lag between what happened and when I actually feel my reaction
Do you ever feel that way? There’s too much to feel so you don’t? Or there’s too much going on at a given time to out energy into emotions so you compartmentalize?
After Ayrie’s surgery four days ago I feel generally exhausted, relieved and depressed but when I try to untangle and examine all of these feelings I hit a brick wall. It’s like my inner psyche is protecting me from something. I guess in time I will be able to look back and understand what or why!
Please leave a comment or send me a story about how you experience the emotional roller coaster that you are one.
xo
nora
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