PDF File - Tuberous Sclerosis Alliance
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PDF File - Tuberous Sclerosis Alliance
SPRING 2007 Volume 113 Tuberous Sclerosis Complex and PAGE 7 Special Events page 3 Government Advocacy Update page 6 A Child Hero: Reilly Sheffield page 16 Promoting Positive Sibling Interactions and Relationships page 17 Chairman’s Letter Andy Bott Chair, TS Alliance Board of Directors 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 Dear Friends, SPRING 2007 • Volume 113 Nancy L. Taylor Chief Executive Officer Jaye D. Isham Managing Editor, Director of Communications 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. 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 2004 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 Andrew Bott, Chair Terry Elling, Vice Chair Cathy Krinsky, Secretary John Steenman, Treasurer Milly Augustine Mark Carroll Will Cooper, Sr. William Ford David Neal Franz, M.D. Janie Frost, R.N. Jeffrey Hargreaves Elizabeth Petri Henske, M.D. Christy Hobart Georgia Johnson Megan Johnson Fred Linder Tommy Lindsey Cindy Lynch Arien Malec Kathy Mayrsohn Michael Michael MaryJane Mudd Hiroaki (Rocky) Onda, Ph.D. Nicole Seefeldt Chris Sheffield Elizabeth Thiele, M.D., Ph.D. Rob Thurston Endowment Fund Board of Directors Rob Thurston, Chair Julie Blum John Steenman Andrew Bott Mark Carroll Wilfred Cooper, Sr. Bob Groves Cathy Krinsky T his is my last letter to you as Chairman of the TS Alliance Board of Directors. After seven years on the board, my tenure is over but my commitment to the TS Alliance and its very important mission will never end. As I look back at all the accomplishments made over the past seven years, I’m incredibly proud but also realistic about the challenges the organization still faces. But after serving with and meeting so many wonderful, dedicated board members, volunteers and staff members, I’m truly optimistic about the future. When I joined the board seven years ago, the organization’s financial position was somewhat shaky. Since then, and through today, we’ve gained sound control over our finances and steadily increased our overall operating budget each fiscal year. Seven years ago, the now-thriving Community Alliance program didn’t exist. Today, more than 30 Community Alliances across the country provide programs and assistance in 40 states. Simply incredible. Six years ago, the TS Alliance began a concerted effort to increase Federal research funding on TSC. Today, the National Institutes of Health spends more than $15 million a year on TSC research. The Department of Defense TSC research program is also a vital tool in our quest for a cure, and over the past five years, Congress designated $13.5 million for that program. Of course, the TS Alliance spends a substantial amount of money to fund research as well. Since 2000, the organization has funded $8.4 million in research grants. In 2004, the TS Alliance made a commitment to formally recognize, and serve, the needs of adults with TSC. In that same year, 1,000 of you served as volunteers, but I’m proud to say more than 2,000 volunteers worked on our behalf last year, an amazing increase in your support. Over the past few years, we instituted the Regional TSC Conferences, and this past summer’s National TSC Conference was a huge success, with around 1,000 attendees. A significant long-term objective was also reached last year when the TSC Natural History Database Project was formally launched. As most of you know, the database is exciting because it will track, for the first time, the disease’s progression over a person’s lifetime. And that information will help pave the way for improved treatments and therapies as well as our overall understanding of TSC. I’d be remiss if I didn’t point out that none of these accomplishments would have been possible without you – our constituents, volunteers, board and staff members, and the hundreds of dedicated researchers, physicians and medical professionals who care for those with TSC. I’m amazed at your compassion, empathy and commitment. Serving on the board and as Chair for the last two years has been a true honor. Thank you all for your hard work and dedication. —Andy On the Cover . . . This issue’s cover photo features Kevin Jackson of Florida, a six-year-old diagnosed with TSC at three weeks. Since then he has grown into a fun, sweet child who is full of love and lots of hugs. He loves to play basketball and soccer, ride his bike, go to the beach and play with his brother and cousins. Kevin faces many challenges, including autism, yet he never stops smiling and surprising those around him with the diligence he uses to overcome those challenges. His parents, Linda and Adam say “Kevin is an inspiration to us all to work harder to be the best people we can be.” PERSPECTIVE 2 Special Events Put on Your Walking Shoes and Help Make TSC History! The Tuberous Sclerosis Alliance’s premiere community event, Step Forward to Cure TSC, enters its f if th year. Since its inception, more than $2.6 million has been raised by incredible volunteers from across the country, donating countless hours to raise awareness and invaluable funds in the fight against TSC. New walkathon sites are being planned for 2007, so plan now to join the efforts in a community near you, or contact the Tuberous Sclerosis Alliance at (800) 225-6872 for more information about how YOU can organize a walk in your area. This year’s goal: $1.25 million and 35 walkathons! The More the Merrier One of the most successful ways to increase participation in your event is to encourage walkathon teams. Each team recruits ten walkers but you can certainly recruit as many people a s p o s sible to join you! Create a te a m n a me , bring a banner or personalize apparel to wear during Step Forward to Cure TSC. It’s more fun to walk with family, friends and coworkers. The more people on your team, the more we are able to increase awareness and raise funds to help find a cure. This year, the top three walk teams from across the country will receive recognition in Perspective. Easy Tips for Raising Walkathon Funds 1. Register for a Walkathon Near You by Going to www.StepForward 3 SPRING 2007 toCureTSC.org. Then set a personal fundraising goal and begin collecting pledges. 2. Form a Team. Set a team goal and team members register. 3. Create Your Own Fundraising Page Online. One easy and efficient way to raise funds is to personalize your own web page then send the link to your entire email address book. Friends and family nationwide can sponsor you immediately by credit card. 4. Write a L etter. Reach out to all those on your holiday card list, rolodex or address book. 5. Double Donations with Matching Funds. Many companies will match personal gifts made by an employee that can double or triple a gift. 6. Secure Sponsorships. Walks in every location have sponsorships available for individuals or companies t hat wa nt to pa rticipate. Plea se contact the walk chair near you or the TS Alliance. 7. Enjoy Well-Earned Prizes! This year, every walker who raises $100 or more will earn a walkathon t-shirt. Walkers raising $500 or more get a Step Forward embroidered baseball cap, and those raising $1,000 or more receive a Step Forward embroidered stadium blanket. TS Alliance Welcomes Our 2007 National Presenting Sponsor The TS Alliance is thrilled to announce that Hat World/Lids has become National Presenting Sponsor for Step Forward to Cure TSC w a l k at hon s a nd t he official apparel company for TS Alliance events. The 800store mall-based Hat World/Lids is recognized as a leading specialty retail leader of officially licensed and branded athletic fashion headwear. We extend our sincerest appreciation to our dear friends and partners at Hat World/Lids (www.lids.com). Celebrities Championing Our Cause From New York to Hollywood, Boston to Chicago, the TS Alliance counts on the support of celebrities and local personalities to support our cause and create greater awareness of tuberous sclerosis complex. This spring is no exception and with our high-profile events such as Comedy for a Cure and the New York sportsthemed gala, Giant Steps to the Cure, these celebrity champions are helping to raise hundreds of thousands of dollars to fund community educational programs and research to find a cure. (Right) John Roberts, Senior National Correspondent, CNN Honorary Chair, DC Food & Wine, March 7, National Press Club, Washington DC . (Top to bottom) Honorary Chair Teri Hatcher and Access Hollywood’s Billy Bush team up once again for Comedy for a Cure, April 1, The Music Box@ Fonda, Hollywood. The event also honors long-time and loyal supporters of the event and the TS Alliance Patricia Heaton and David Hunt as well as the Fox hit series “House” and creator David Shore. “House” featured several episodes on TSC during the 2006 season. Tu b e r o u s S c l e r o s i s A l l i a n c e Special Events Giant Steps to t he Cure, a sports-themed gala, takes place April 12 at Pier Sixty on Chelsea P i e r s i n N e w Yo r k . Honora r y Cha ir Tik i Ba rber, ret ired Giants NFL running back, and Julianne Moore host this one-of-akind event. Jimmy Dunn, Honorary Chair Comedy for a Cure Boston May 6, 2007 at The Comedy Connection Boston. Marc Giangreco, Sports Director & Primary Sports Anchor, ABC 7 News, serves as Honorary Chair of Comedy for a Cure Chicago, October 11, 2007 at Joe’s on Weed Street. More Events A beautiful sunny November 4 day marked the inaugural Step Forward to Cure TSC walkathon in Corpus Christi, TX. More than 100 walkers turned out at Cole Park, Anderson Amphitheater, to show their support and raise more than $12,000. The TS Alliance extends its deepest appreciation to Honorary Co-Chairs Barbi Leo, of KSAB 99.9 FM and Rudy Trevion of KIII-ABC and walkathon sponsors including The Money Box, Rabalais, Champion, Jaycees, HEB and Hooters. Congratulations to Chair Carol Valdez, the walk committee and all of the volunteers that made the day possible. The weather may have been rainy but nothing could dampen the spirits of the 40 walkers who participated in the inaugural Tuscaloosa Step Forward to Cure TSC walkathon held Tu b e r o u s S c l e r o s i s A l l i a n c e cont in u e d Corpus Christi walkers. – Operations) a nd Kathleen M. Benning (Senior Vice President Marketing, Advertising & Brand Development) presented a $5,400 check to the Tuberous Sclerosis Alliance from sales of Chris Hawkey’s CD The Pursuit sold at their Minneapolis/St. Paul metro locations. Accepting the check from the left are Kari Luther Carlson (Executive Vice President of the Saturday, November 11 at University of Alabama – Colman Coliseum. Congratulations to Chair Jan Hall and sponsors, including Dr. Kamal Raisani, The Financial Institutions of Tu sc a loosa , Claud G. Graham Carpet and Woodman of the World. The event raised more t ha n $5,50 0. Ma ny thanks to everyone that made this walk a success. On December 2, Debra and Ed Sitar held a Cocktail/Silent Auction Tuscaloosa walkers. Fundraiser in Chicago to honor their seven-montho l d n e p h e w, C a r t e r TS Alliance); Missy, Alan and Dan Schmidt, who has TSC. Through the Anderson; and Chris Hawkey. generosity of their friends, family and On Thursday, December 28, local businesses, more than $3,600 the band Quietdrive held a concert was raised for the fight against TSC. at First Avenue in Minneapolis, Thank you Debra and Ed for your all decked out in “Cure Tuberous passionate support. Sclerosis” bracelets. A rising talent with an Epic Record contract, their mission was to promote awareness of TSC whi le per forming in front of a mixed generation crowd. Ba ss guitarist Droo Hastings, a frequent guest on KFANAM morning show, became inspired by Chris Hawkey’s commitment to the TS Alliance and wanted to do Buffalo Wild Wings Executives something meaningful at their home Todd M. K ronebusch (Director town concert. Plans are underway to of Oper at ion s, A du lt B e ver a ge continue to work with Quietdrive in Operations and third from the right), the future. Judy Shoulak (Senior Vice President PERSPECTIVE 4 CEO’s Message Nancy L. Taylor | Chief Executive Officer T his issue of Perspective foc u se s on how TSC rel ate s to autism, which we know many of you struggle with daily either as individua ls or in your fa milies. In fact, it’s estimated that 25 to 50 percent of people w it h TSC fall within the autism spectrum. Autism has also been a major topic in the news lately, and one article inside discusses the recently passed Combating Autism Act of 2006, which authorizes nearly $1 billion over the next f ive years to f ight autism. The Act only authorizes a ppropr i a t ion s , but t he a c t u a l funding to implement the law will be established through legislation developed by House and Senate Subcommittees. R e g a rd le s s , t he TS A l l i a nc e continues to push for increa sed research on TSC and autism, and we believe those efforts will also increase everyone’s understanding of autism as a whole. We’re also reaching out to autism-related organizations to network and to identify opportunities to collaborate and partner with them. In other news, the TS Alliance board and staff are working together on a new strategic plan. This process will help clarify our vision for the next three years and ensure that the TS Alliance maintains f inancial strength – along with the most appropriate programs and services – to meet the ever-changing needs of our constituents. It’s an exciting time for all of us. A s you’ ll read in t his issue’s Government Relations Update, TS Alliance advocates made more than 250 visits on Capitol Hill during our recent “March on Washington.” This is an amazing accomplishment, particularly since it’s a significant increase over the 190 visits last year. Thank you all for the important role you play in making sure Federal TSC research funding remains on the agenda of your Congressional members. Fina lly, I wa nt to persona lly thank outgoing Chairman of the Board A ndy Bott for his tireless commitment to the TS Alliance and our very important mission. For the past two years, he steered the direction of our organization admirably, and it’s been my pleasure to work alongside him. He will be greatly missed, but he leaves a lasting legacy that will not be forgotten. Regards, Nancy TS Alliance Introduces New Online eCommunity New Interactive Tools to Serve You Better The TS Alliance website recently added an exciting new feature called eCommunity. This online area allows you to create your own personal profile, easily update your contact information and access tools for fundraising (such as renewing your TS Alliance membership or making an online gift). It also lets you enter our new interactive Legislative Action Center. To join, simply visit www.tsalliance.org and click on the eCommunity button on the main nagivation menu to the left. The first time you visit this new area, you will need to become a registered user. Registration takes only a moment and will allow you to sign up for electronic updates on TSC research and other important 5 SPRING 2007 issues, as well as participate in TS Alliance activities and special events. Also, if you are a TS Alliance donor, you can receive immediate e-receipts and keep tabs on your donation history, which comes in handy at tax time. Have you recently moved? eCommunity also lets you simply change your address, which automatically updates the TS Alliance database. For special events such as Step Forward to Cure TSC walkathons, eCommunity lets you create personal and team fundraising pages, where you can upload your favorite pictures, create fundraising email lists, track donations and much, much more. Please know the TS Alliance takes the confidentiality of your informa- tion very seriously. To guard against fraud, your information is securely encrypted and sent to our financial network for processing. At no time is this information made available to any other party, and the TS Alliance never shares your personal information. Join eCommunity today. If you have questions, please call (800) 225-6872. eCommunity was made possible through a generous donation from the Emmory Reagan Shapses Charitable Foundation, which was created by Marc and Marla Shapses in honor of their daughter Emmory. Tu b e r o u s S c l e r o s i s A l l i a n c e Government Advocacy Update “Dear Colleague” Letters Introduced in House and Senate During the week of March 5, Representatives Loretta Sanchez ( D - C A) a nd Jo Bonner ( R-A L) issued a “Dear Colleague” letter in support of increased funding for the Tuberous Sclerosis Complex Research Program (TSCRP) at the Department of Defense. A similar “Dear Colleague” letter is being circulated in the Senate by long-term supporter Senator Johnny Isakson (R-GA). These letters were issued in conjunction with the Tuberous Sclerosis Alliance’s annual “March on the Hill.” Throughout the month of March, our advocates communicated with Members of Congress to ask them to co-sign these critical funding request letters. The Defense Appropriations Subcommittees in the House and Senate will consider fiscal year 2008 funding for the TSCRP later this Spring. TS Alliance Advocates from Around the Nation Converge on Capitol Hill Patients, parents, grandparents and other committed individuals visited more than 250 Congressional offices to lobby on behalf of increased federa l f unding for resea rch on tuberous sclerosis complex. During their meetings, our advocates called on their Members of Congress to sign the Dear Colleague letters in support of increased funding for the TSCR P. They made a strong case for increasing this program’s current funding level to $10 million in f iscal year 2008. Their efforts are being augmented by other TS Alliance members who were unable to make the trip to Washington, DC, but who contacted Members of Congress in their home offices. Our advocates a lso ca lled on Congress to increase by 6.7 percent funding for the National Institutes of Health (NIH), a major source of funding for TS research. A 6.7 percent increase will allow NIH to keep pace with inf lation and fund new initiatives that seek to gain a better understanding of, and find a cure for, tuberous sclerosis complex. Call for Nominations for the Manuel R. Gomez Award T he TS A lliance is now accepting nominations for t he 20 07 Ma nuel R . Gomez Award. This annual award honors a n ind ividua l for eit her making a significant breakthrough in tuberous sclerosis complex (TSC) research, for the body of research they have completed to advance our understanding of TSC, and/or for providing outstanding clinical care to individuals with the disease. Nominat ions in t he form of a letter detailing the individual’s contribution to TSC research and/or clinical care and an updated copy of the individual’s Curriculum Vitae Tu b e r o u s S c l e r o s i s A l l i a n c e (C V, or resume) shou ld be sent to Vick y W hittemore at the TS Alliance at vwhittemore@tsalliance. org by no later than June 1, 2007. Previous awardees will review all applications and serve on the Gomez Award Selection Committee. The Manuel R. Gomez Award is supported by a generous donation from Jeanne and Harold Aronson in honor of their son, Peter Aronson, M.D. Previous Gomez awardees include: • 2006 – David Neal Franz, M.D., Children’s Hospital Medical Center, Cincinnati, OH • 2005 – Elizabeth Petri Henske, M.D., Fox Chase Cancer Center, Philadelphia, PA • 2004 – Hope Northrup, M.D., University of Texas, Houston, TX • 2003 – E. Steve Roach, M.D., Wake Forest University, WinstonSalem, NC (currently at Ohio State University, Columbus, OH) • 2002 – David Kwiatkowski, M.D., Ph.D., Brigham & Women’s Hospital, Boston, MA • 2001 – Vicky Whittemore, Ph.D., Tuberous Sclerosis Alliance, Silver Spring, MD PERSPECTIVE 6 C O V E R S T O R Y Tuberous Sclerosis Complex and Autism Spectrum Disorder T uberous sclerosis complex (TSC) is associated with some of the most problematic behaviors in both children and adults, such as autism spectrum disorders (ASD), hyperactivity and attention deficit, often occurring together with learning disabilities (from mild to severe). More recent reports have also indicated a high incidence of depression and anxiety in children (de Vries et al., 2007) and in adolescents and adults with TSC (Raznahan et al., 2006). For individuals with TSC, there is a distinct correlation between the early onset of seizures, particularly infantile spasms, in children with TSC and the greater likelihood of developing severe learning disabilities and ASD, although this is not inevitable. Even though infantile spasms are associated with autism, this is not always the case in TSC. There are case reports of autistic behavior in TSC without a history of seizures or learning disability. A study by Hunt and Dennis (1987) included 42% of children who had infantile spasms but who were not autistic; 9% of these children had normal intelligence. These factors indicate that neither learning disabilities nor seizures are the cause of autism in TSC, but most likely the ASD is related to the brain pathology in TSC and possible brain dysfunction due to mutations in the TSC gene in cells in the brain. Critchley and Earl (1932) first described autistic behavior in children with TSC prior to the first descriptions and naming of autism by Dr. Kanner in 1943. There have 7 SPRING 2007 been several studies supporting an association between TSC and autism at a higher rate than in the general population. Earlier studies reported an incidence of autism in TSC from 17% to 58% because of the different clinical settings where the studies were completed. More recent studies place the incidence of autism in TSC at 25%, with an additional 25% of individuals who have pervasive developmental disorder (PDD) or socially challenged behaviors (Smalley 1998). What are ASD and PDD? Autism is a complex neurobiological disorder that typically lasts throughout a person’s lifetime. It is part of a group of disorders known as Autism Spectrum Disorders (ASD). Today, 1 in 150 individuals is diagnosed with ASD, making it more common than pediatric cancer, diabetes and AIDS combined. It occurs in all racial, ethnic, and social groups. In the general population, autism is four times more likely to strike boys than girls in the general population, but it appears to equally affect males and females with TSC. Autism impairs a person’s ability to communicate and relate to others. It is also associated with rigid routines and repetitive behaviors, such as obsessively arranging objects or following very specific routines. Symptoms can range from very mild to quite severe. The term Pervasive Developmental Disorders (PDD) was first used in the 1980s to describe a class of disorders in which individuals show impairments in social interaction, imaginative activity, verbal and nonverbal communication skills, and a limited number of interests and activities that tend to be repetitive. However, these individuals do not meet the criteria for diagnosis of autism, but often benefit from the same educational strategies and programs used for individuals with autism. How is ASD Diagnosed? ASD can usually be reliably diagnosed by age 3, although new research is pushing back the age of diagnosis to younger ages. A recent study showed that children who were later diagnosed with ASD who were tested as early as 6 months of age showed differences in their performance as early as 14 months of age (Sullivan et al., 2007). Since children with TSC are at higher risk for developing ASD, parents should be vigilant and watch for unusual behaviors in their child or their child’s failure to reach appropriate developmental milestones. Health care professionals may initially dismiss signs of ASD in children with TSC because the child is developmentally delayed, speech delayed and/or showing other learning disabilities. If you have concerns about your child’s development, don’t wait: speak to your pediatrician about getting your child screened for ASD. Not so long ago, parents were told that their child could not be diagnosed with both TSC and ASD. This is no longer true, and more often, the link between TSC and ASD is recognized by professionals and educators. The gold standard for diagnosis of ASD is the Autism Diagnostic Tu b e r o u s S c l e r o s i s A l l i a n c e C O Observation Schedule - Generic (ADOS-G). ADOS-G is a semistructured assessment of communication, social interaction and play or imaginative use of materials for individuals suspected of having autism or other pervasive developmental disorders (PDD). It is a combination of two earlier instruments: the Autism Diagnostic Observation Schedule (ADOS), a schedule intended for adults and children with language skills at a minimum of the threeyear-old level, and the Pre-Linguistic V E R S T O studies performed that examined the effectiveness of early interventions for ASD in children with TSC, but reports from families indicate these interventions may be just as effective in children with TSC and ASD as in those who do not also have TSC. One confounding factor for the majority of children with TSC who have ASD is that many also have seizures. Children who have refractory seizures will often have mild to severe learning disabilities, and it is not clear why some children with R Y frequently than expected among individuals who have certain other medical conditions, including Fragile X syndrome, TSC, congenital rubella syndrome, and untreated phenylketonuria (PKU). What are CDC’s Efforts? The Centers for Disease Control and Prevention (CDC) has established a collaborative autism research network to explore potential causes and factors that make it more likely that a child will have autism. Some If your child is diagnosed with ASD, early intervention is critical to gain maximum benefit from existing therapies. Autism Diagnostic Observation Scale (PL-ADOS), a schedule intended for children with limited or no language, as well as additional items developed for verbally fluent, high-functioning adolescents and adults. The ADOSG consists of four modules, each of which is appropriate for children and adults of differing developmental and language levels, ranging from no expressive or receptive language to verbally fluent adults. These modules are labeled with numerals 1 to 4, with each activity numbered within its module. The guidelines for neuropsychological testing for individuals with TSC (de Vries et al., 2005) indicate that all children with TSC should receive evaluation at least before entering school, or at the first indication that the child is not meeting the developmental milestones (which may be at a very early age). If your child is diagnosed with ASD, early intervention is critical to gain maximum benefit from existing therapies. There have been no Tu b e r o u s S c l e r o s i s A l l i a n c e TSC who have refractory epilepsy develop autism, while others do not. What Causes Autism? It is suspected there may be multiple causes for ASD due to a complex interaction of genetic and environmental factors. Family studies have shed the most light on the genetic contribution to autism. Studies of twins have shown that in identical twins there is about a 75% rate of both twins having autism, while in non-identical twins this occurs about 3% of the time. The inheritance pattern is complex and suggests that a number of genes are involved. A recent study (see sidebar) implicates the neurexin genes in the development of ASD in familial cases, but there is still much research that needs to be performed to identify other genes and to identify if the neurexin genes play a role in ASD in individuals with TSC. For the majority of people with A SDs, t he c au se is not k now n ; however, ASD tends to occur more theories being investigated include infection and immune function, hormones and reproductive factors, genetic factors, gastrointestinal factors, socio-demographic factors and others. A recent report (see sidebar) indicates that ASD is actually more common than previously identified, and that there are significantly more cases of ASD in New Jersey. What about the National Institutes of Health? The NIH’s Interagency Autism Coordinating Committee (IACC) provides a forum to facilitate the efficient and effective exchange of information about autism activities, programs, policies, and research among the Federal government, several non-profit groups and the public. Web content includes upcoming events, meeting summaries, congressional reports and a committee roster. NIH-sponsored research on ASD covers everything from interventions, diagnosis, genetics, neuroPERSPECTIVE 8 C biology and services. In addition to individual grants for research projects, NIH sponsors training, small grants, career support and program projects that involve autism research. NIH has also developed several networks of autism research centers. The NIH Autism Coordinating Committee (NIH/ACC) was formed in 1997 to enhance the quality, pace and coordination of efforts at the NIH to find a cure for autism. Information about all of the autism programs at NIH can be found at www.nimh.nih. gov/autismiacc/nihacc.cfm. References Critchley M, Earl CJC (1932) Tuberous sclerosis and allied conditions. Brain 55:311-346 de Vries P, Humphrey A, McCartney D, Prather P, O V E R S T Bolton P, Hunt A; TSC Behaviour Consensus Panel (2005) Consensus clinical guidelines for the assessment of cognitive and behavioural problems in Tuberous Sclerosis. Eur Child Adolesc Psychiatry 14(4):183-90 de Vries PJ, Hunt A, Bolton PF (2007) The psychopathologies of children and adolescents with tuberous sclerosis complex (TSC) : A postal survey of UK families. Eur Child Adolesc Psychiatry 2007 Jan 31 [Epub ahead of print] Hu n t A , D e n n i s J ( 1 9 8 7 ) Ps y c h i a t r i c d i s o r der among children with tuberous sclerosis. Dev Med Child Neurol 29(2):190-8 Raznahan A, Joinson C, O’Callaghan F, Osborne JP, Bolton PF (2006) Psychopathology in tuberous sclerosis: an overview and findings in a population-based sample of adults with tuberous sclerosis. J Intellect Disabil Res (Pt 8):561-9 [Erratum in: J Intellect Disabil Res. 2006 Oct;50(10):780] Smalley SL (1998) Autism and tuberous sclerosis. J Autism Dev Disord 28(5):407-14 Sullivan M, Finelli J, Marvin A, Garrett-Mayer E, Bauman M, Landa R (2007) Response to joint attention in toddlers at risk for autism spectrum disorder: a prospective study. J Autism Dev Disord 37(1):3748 [Epub 2007 Jan 10] Prevalence of Autism Spectrum Disorders – Autism and Developmental Disabilities Monitoring Network, Six Sites, United States, 2000 T he Centers for Disease Control and Prevention (CDC) recently released a study from a population-based, multi-site surveillance network. This network determined the prevalence of autism spectrum disorder (ASD) in children aged 8 years in six areas of the U.S. and described the characteristics of these children. The children were identified to have an ASD through screening and the evaluation of records and were classified as having an ASD if they had documented behaviors consistent with the American Psychiatric Association’s criteria for diagnosing: 1) autistic disorder, 2) pervasive developmental disorder – not otherwise specified, or 3) Asperger disorder. The findings from this first U.S. multi-site collaborative study to monitor ASD prevalence demonstrated consistency across the majority of sites, with prevalence signifi9 SPRING 2007 cantly higher in New Jersey. Average ASD prevalence across all six sites was 6.7 per 1,000 children aged 8 years. These results indicate ASDs are more common than previously believed. Collecting data regarding prevalence of ASDs by associated characteristics (such as cognitive impairment, age of first documented concerns and history of ASD diagnosis), race/ethnicity, and sex will provide important baseline standards that can be compared with followup surveillance data to track changes in ASD prevalence. Knowledge of these characteristics has implications for identification and intervention strategies and for medical and educational service planning for children with ASDs. For the complete report, go to www.cdc.gov/mmwr/preview/ mmwrhtml/ss5601a1.htm. O R Y New Autism Genetic Study Findings Reported A study funded by AutismSpeaks and the National Institutes of Health reported the preliminary results from the largest-ever autism genome scan. The study, entitled “Mapping autism risk loci using genetic linkage and chromosomal rearrangements,” was published in Nature Genetics by The Autism Genome Project Consortium, which consists of more than 120 scientists from 50-plus institutions representing 19 countries. The consortium utilized gene chip technology to look for genetic commonality in autistic individuals from almost 1,200 families in which more than one individual in the family has an autism diagnosis. Results indicate the involvement of a previously unidentified region of chromosome 11 and a protein called neurexin 1. Neurexin 1 is a protein found on the surface of brain cells called neurons and appears to play a role in how one cell recognizes and interacts with a neighboring cell. For more information on this study and the Autism Genome Project Consortium, see the AutismSpeaks website at www.autismspeaks.org. Tu b e r o u s S c l e r o s i s A l l i a n c e Combating Autism Act of 2006 Signed into Law T he Combating Autism Act of 2006, signed by President B u s h o n D e c e m b e r 19, authorizes nearly $1 billion over the next f ive years to combat autism through research, screening, early detection and early intervention. The new legislation would increase federal spending on autism by at least 50% if the funds are appropriated in the budget to provide funding for the proposed programs. The Act includes provisions relating to the diagnosis and treatment of persons with Autism Spectrum Disorders (ASD) and expands and intensif ies biomedical research on autism, including an essential focus on possible environmental causes. Autism is now diagnosed in 1 in 150 children, according to a recent report by the Centers for Disease Control (see accompanying article). Key Bill Provisions • The Combating Autism Act (CAA) includes provisions relating to the diagnosis and treatment of persons with Autism Spectrum Disorders and expands and intensifies biomedical research on autism, including an essential focus on possible environmental causes. • The CAA authorizes appropriations of $924 million during the next 5 fiscal years, increasing federal spending on autism by at least 50%. • The CAA creates a congressionally mandated roadmap for a federal war against autism, including requirements for strategic planning, budget transparency, congressional oversight and a substantial role for parents of children with autism in the federal decisionmaking process. • The CAA authorizes $645 million over 5 years to the NIH to expand, intensify and coordinate activities on autism, instructing it to conduct basic and clinical research into the causes of and treatments for autism, including potential environmental causes. This amounts to an increase of at least 50% of current federal spending on autism research. • The CAA authorizes $69 million over 5 years to the CDC for autism epidemiology and awareness activities. • The CAA authorizes $210 million to Health Resources and Services Administration (HRSA) for improvements in autism education, early detection and early intervention. To receive federal assistance to conduct these programs, the Governor of each state is asked to designate a lead agency for autism activities and to use public outreach tools such as toll-free telephone numbers, the Internet and targeted mailings. • The CAA restructures the InterAgency Autism Coordinating Committee (IACC), charging the new IACC with developing, and annually reporting to Congress, a strategic plan for the conduct of autism research. The IACC shall include not less than 1/3 public members (at least two of which shall be personally affected by autism, including one person diagnosed with autism and one parent of a person diagnosed with autism). • The Senate bill (S.843) was sponsored by Senators Rick Santorum (RPA) and Christopher Dodd (D-CT). The House version was brought to the floor by Congressman Joe Barton (RTX), Chair of the House Committee on Energy and Commerce. The House bill was originally introduced by Congresswomen Mary Bono (R-CA) and Diana DeGette (D-CO). • S.843 first passed the Senate by unanimous consent in August 2006. Senate action on the revised House version followed on December 7, 2006. Please Note: The Combating Autism Act only authorizes the appropriations; actual funding to implement the law will be established by appropriations legislation developed by House and Senate Subcommittees. Information obtained from AutismSpeaks. For more information, see www.autismspeaks.org/supportlegislation/combating_autism_act.php. SAVE THE DATE The American Thoracic Society Public Advisory Roundtable is pleased to invite you to our first annual forum Breathing Better with the ATS Saturday May 19, 2007 from 1 p.m. to 4 p.m. at the Parc 55 Hotel in San Francisco, CA Tu b e r o u s S c l e r o s i s A l l i a n c e Hear from patients and experts in the pulmonar y community and network with them afterward. The gathering will be held in conjunction with the ATS International Conference. Hors d’oeuvres will be provided at the meeting. Please RSV P by email to par@thoracic.org at your convenience but not later than March 30, 2007. If you have any questions contact Karen Belgiovine (212) 315-8640 P E R S P E C T I V E 10 Please remember the TS Alliance Endowment Fund in Your Estate Plans . . . Kathy Trapp T housands of years ago, caring individuals assured the safet y and well being of their villages and communities by tending the fire overnight. The light from the fire kept enemies and foes at bay while the people of the village quietly slept through the night. Many generations later, it is no longer necessary for individuals or families to keep the fire burning all night. But there are still people who help protect and support the future. The TS Alliance community has its own “Keepers of the Flame” designation for those individuals and families that have designated a planned gift through their wills or estate plans, including Kathy Trapp, an adult with tuberous sclerosis complex (TSC) and Lymphangioleiomyomatosis (LAM). Kathy has lived with TSC her entire life and is the proud mother of a daughter in college, who also has TSC. But unlike Kathy’s great grandfather, her grandfather and even her mother, Kathy has benef ited from the advances made in health care and in TSC research. To her credit, Kathy even gave one of the principal TSC researchers, Dr. Lisa Henske, one of her kidneys in 1996 when angiomyopilomas caused critical bleeding. The 1996 operation, a double nephrectomy, was one of the first times a TSC research program received an entire “fresh” kidney straight from the operating room. Today, she credits the Tuberous Sclerosis Alliance with providing much-needed support and information for her health care needs. After consulting with her husband, Dick, and as a measure of her gratitude, she has left a gift in her estate plan to the Tuberous Sclerosis A lliance Endowment Fund. Please remember the Tuberous Sclerosis A lliance Endowment Fu nd w he n pl a n n i n g f or t he future by designating a gift to the 11 S P R I N G 2 0 0 7 Kathy and Dick Trapp organization and join others – like Kathy Trapp – as “Keepers of the Flame.” For more information, contact Nancy Taylor, TS Alliance CEO, at (800) 225-6872. Tu b e r o u s S c l e r o s i s A l l i a n c e Honorariums (October 2006 – December 2006) 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. Robinson G. Adams Vishal Bharadwaj Mr. and Mrs. Forress Rayford Ms. Ramana Rao Turlapati Timothy J. Addison Jacob Blood Mr. and Mrs. James R. Addison Ms. Carole Allen Amalfi Mr. and Mrs. Gary Bridge Ms. Ellen DeYoung Mr. and Mrs. James H. Fox, Jr. Mr. and Mrs. Howard L. Herdman Ms. Ruth A. Herdman Mr. and Mrs. Matthew S. MacDonald Mr. Boyd A. Niles Mr. and Mrs. Andrew Pallos Mr. and Mrs. Michael T. Riordan Mr. Arthur K. Sawyer Mr. and Mrs. Richard H. Smith Mr. Alfred A. Tag Mr. Larry J. Tull and Ms. Randi L Ms. Kathryn E. Walck Mr. Bill Walsh Mr. and Mrs. M Walsh Mr. and Ms. Michael D. Walsh Ms. Penny Walsh Mr. and Mrs. Michael Witte Dr. Scott W. Arndt Mr. and Mrs. John R. Blakemore, DDS Mr. and Mrs. William S. Blood Mr. and Mrs. Michael D. Bopp Ms. Ellen M. Childs Mr. and Mrs. Timothy P. Coughlin Mr. and Ms. Robert K. Eardley Mr. and Mrs. Jerold S. Goldberg Great Lake Jaw Surgery Mrs. Miriam S. Green Ms. Melissa K. Harvey Mr. Michael Heisterkamp and Ms. Patricia Nugent Mrs. Carolyn Holtzhauser Dr. James Julian Mr. and Mrs. Ron Leu Mr. and Mrs. John R. Mascaro Mr. and Mrs. Leonard Mikula Mr. and Mrs. Robert J. Myers Mr. and Mrs. Richard O. Reiner Mr. and Mrs. Thomas T. Roach Mr. and Mrs. David K. Stearns Mr. and Mrs. Robert M. Thomas Dr. and Mrs. Craig Tyler Mr. and Mrs. Lance D. Wilson Henry Albers Mr. and Mrs. Christopher B. Marvi Rocco Alex Marisa Antonini Foundation Mr. and Mrs. Rocco Spinoso Christopher Bohrer Kristen A. Aller Ms. Samantha J. McLemore Mr. Gordon L. Felger Stephanie Boleen Matthew Arena Mr. and Mrs. Gerald L. Boleen Mr. and Mrs. Wayne C. Kaufmann Matt Bolger Brandon Armstead Frank Boswell Ms. Frances Armentrout Mr. and Mrs. Calvin Armstead Mr. and Mrs. Michael L. Armstead Ms. Frances K. Barrett Ms. Anita P. Conn and Ms. Dreama Mr. and Mrs. Anthony L. Lott Mr. and Mrs. Lewis McBrayer Mr. and Mrs. Charles E. Pauley Ms. Doris J. Pauley Ms. Tamara Samples Mr. and Mrs. J. Payson Matthews Bladen D. Arndt Mr. Richard Alfano Mr. Anthony Annunziata Ms. Janet Berdini Ms. Maureen Bleakley Mr. Marco Bloemen Mr. Howard Brewer Ms. Jayne Buchwald Ms. Judy Campion Mr. Arthur B. Carril Mr. Donald Chatmuck Mr. Barry J. Coutant Ms. Carolyn C. Coutant Mr. Keith Coutant Ms. Julia Crupi Mr. Steven DeVico Mr. Matthew P. Donohue Mr. Mike Epstein Mr. and Mrs. John Ferry Ms. Vicki L. Foster Ms. Lisa D. Frazier Mr. Brendan Furlong Ms. Margaret Gomez Mr. Fernando Granitto Ms. Linda Healy Ms. Nadia Karalewich Ms. Lucy M. Labruzzo Ms. Judith Langan Ms. Saima S. Loglisci Mr. Joseph Lovett Ms. Kristen K. Mancinelli Mr. David Marcus Mr. Ed Martinez Ms. Dawn M. Memon Mr. and Mrs. Timothy Bookwalter Mr. and Mrs. Mannie H. Gilbert Mr. John Johnston Mr. and Mrs. Adam D. Jones Mr. and Mrs. Phillip Kelly Ms. Dianne Kirschke Mr. and Mrs. Ronald E. McIntyre Mr. and Mrs. Mark Meinheit Ms. Eileen A. Ohara Mr. and Mrs. David A. Payne Mr. and Mrs. George F. Riley Ms. Bertha M. Rye Ms. Ashley N. Sheahan Mr. and Mrs. Christopher J. Taylor Ms. Vincenta A. VanEvery Mitchell Barlow Mr. and Mrs. Steven Goldstein Xavier Barr-Malec Mr. and Mrs. Donald Peaslee Mr. and Mrs. Benjamin J. Sadow Daniel Beldner Mr. and Mrs. Adam Beldner Mr. and Mrs. Michael Bergstein Mr. Michael H. Goldstein and Ms. Jennifer R. Rapaport Mr. Myron Rapaport Mr. Peter Rapaport Ethan C. Bennett Mr. and Mrs. Richard J. Donato Carter Bexell Mr. and Mrs. Marvin Howard Mr. and Mrs. Keith M. Miller Andrew J. Bott Mr. and Mrs. Brian G. Grimm Joanne Bowman Mr. Thomas A. Bowman Kristin Boyd Ms. Isla R. Boyd Ms. P.C. Boyd Mae Bracy Mr. Randy Cover Anthony Brewer Tu b e r o u s S c l e r o s i s A l l i a n c e Ms. Sopha Montocchio Mr. John Nardone Ms. Tricia A. Neuf Ms. Narisa Siamchai Ms. Maria D. Silecchia Mr. Cameron M. Smith Ms. Sara K. Sparks Ms. Mary M. Sullivan Mr. Matthew Thomas Ms. Anne R. Tierney Ms. Keri M. Todisco Ms. Kathy Van Metter Ms. Kim Wegner Mr. Stan G. Wraight Mr. Robert J. Yankanin Nancy Coleman Andy Fisher Mr. B. Wade Coleman Mr. and Mrs. Frances Mulvey Abigail Cooper Dan Fisher Ms. Alice Netzen and Mr. Rudy Novotny Mr. and Mrs. Frances Mulvey Amelia Cooper Mr. and Mrs. Frances Mulvey Ms. Alice Netzen and Mr. Rudy Novotny Jack Fisher Will N. Cooper Pat Fisher Mr. and Mrs. Wayne Colmer Ms. Melody Fennel Mr. and Mrs. Frances Mulvey Rita Corey Mr. and Mrs. Frances Mulvey Ms. Diane Morrissette Andrew Flaten Maureen B. Corry Anonymous Mr. and Mrs. Patrick J. Roche III Nathan Garner Daniel L. Buchsbaum Rich Courtney Mr. and Mrs. Andrew Buchsbaum Mr. and Mrs. Alan M. Rapfogel Mr. and Mrs. Forress Rayford Kelsi J. Buren Mr. and Mrs. Gerald Friedman Mrs. Jacquelyn Britt Kathleen J. Dabbs Emilee T. Busel Mr. and Mrs. Jeffrey P. Hoslet Mr. Brady Mr. Carl Abrahamsen Mr. and Mrs. Anthony F. Astrologo The Barmann Family Mr. Greg Bizub Mr. and Mrs. Henry L. Bourget Jr. Mr. and Mrs. Antonious T. Braddoc Mr. and Mrs. Dennis Busel Mr. and Mrs. Harvey J. Busel The Cardio Family The Carothers Family The Carpenter Family The Cougle Family Ms. Beth Dailey Deep Clean Carpet/Upholstry Ms. Laura L. Delea The Drugac Family The Faber Family Mr. and Mrs. James Feeney First Presbyterian Church Coop. Dr. and Mrs. Donald E. Hillner Mr. and Mrs. R.C. Inskeep Mr. and Mrs. Jerome D. Lesch Mr. John W. McClure and Ms. Karen Lazur Mr. and Mrs. Richard A. McLemore National Building Supply Corp Mr. and Mrs. Brent T. Perrault Pierson Environmental Services Mr. and Mrs. James Schaefer Dr. Mark A. Sherman Mr. and Mrs. Andrew VanRiper Mr. and Mrs. Scott A. Weltner Nathan M. Darney Ms. Mary Lou H. Biegel Mr. Robert A. Dawirs and Mrs. Elsie L. Dawirs Mr. and Mrs. Mark L. Garner Mr. and Mrs. R.H. Nielsen Pediatrics Associates Prof, LLC Mr. and Mrs. Robert L. Shippy Ms. Molly Z. Willard Allen Cameron Alexandra Donato Mr. and Mrs. Forress Rayford Mr. Thomas R. Leidy Mr. and Mrs. Glenn Wegryn Sarah Carewicz Ms. Alicja Carewicz Mr. and Mrs. Jan T. Carewicz Mr. and Mrs. Zygmunt M. Chojnacki Dr. and Mrs. John P. MacLaren Pediatric Ophthalmology Associate Helen Fisher Mr. and Mrs. Frances Mulvey Peggy Fisher Jacob Cymerman Mr. and Mrs. Brian E. Gatrell Mrs. Patty Gondol Rebecca Giles Dudley Dawson Mr. and Mrs. Barry Giles Mr. and Mrs. Forress Rayford Adam J. Goldblatt Caroline Decker Mr. Michael H. Goldstein and Ms. Jennifer Rapaport Mr. and Mrs. Jonathan Rapaport Chicago Tag Label Ms. Jennifer T. Cox Ms. Judy L. Decker Ms. Eileen M. Dwortz Ms. Galey Hardiman-Decker Ms. Nicole Hoffman Mr. E. James Lucht Ms. Melissa K. McCarthy Ms. Giselle Mohamed Ms. Amanda D. Morris Mr. and Mrs. William E. Muno Mr. and Mrs. Daniel J. Pooley PS Designs Mr. and Mrs. John Ring Ms. Lauren E. Rosenbaum Ms. Cathy M. Rossmiller Ms. Jeanne S. Sutton Mr. Thomas J. Wimbiscus Meagan Golden Mr. Robert M. Golden Michael S. Graves Mr. and Mrs. Herbert G. Schurian Eliot Greenfield Ms. Harriet R. Greenfield Dan Haas Mr. and Mrs. Forress Rayford Jade C. Hahn Ms. Florence J. Kaminski Eric Hall The Trophy Case, Inc Gabriel Hallauer Fred Deutsch Dr. and Mrs. Herbert Marton Jacob E. Dickison Mr. and Mrs. John G. Torkelson Isabella Diez Ms. Julie R. Macier Joseph DiMonte Mrs. Frances Powers Corbin Dodd Mr. and Mrs. Charles McCraw ProSys Controls & Automation, Inc Hannah Dooley Mr. and Mrs. Walter E. Sandine Kierstin Dublinske Mr. and Mrs. Neil Dublinske Kelly Duncan Ms. Blanche K. Ayers and Ms. Elea Mr. and Mrs. David W. Cranshaw Mr. and Mrs. Cap Davis Mr. and Mrs. David C. Davis Mr. and Mrs. Robert L. Dunn Ms. Bonita J. Eblen Mrs. Pat Farrer Haynes Bros Lumber Co Mr. and Mrs. Charles W. Hord Mr. and Mrs. Tommy Hord Mr. and Mrs. George B. Huddleston Mr. Joseph C. Knight Mr. and Mrs. Richard F. LaRoche Mr. William S. Ledbetter Jr. Mrs. Patty Marschel Mr. H.L. McCullough Mr. and Mrs. Robert B. Mifflin Sr Mr. and Mrs. Edward E. Miller Mr. and Mrs. Newton Molloy Mr. and Mrs. James R. Roberts Ms. Betsy F. Slaney Ms. Stephanie Turley Woodfin Foundation Inc. Mr. and Mrs. Herbert D. Young Mr. and Mrs. Josef Bismanovsky Ms. Shirley A. Campbell Ms. Clara K. Duncan Ms. Mary Finley Mr. and Mrs. RJ O’Neill Ms. Laurie S. Riddle Mr. William Satterwhite Ms. Kristie Taylor Jonathan E. Child Ryne M. Dye Mr. Edward T. Child Pi Research Brent E. Christie Jeremy Elias Mr. Patrick O’Neill Mr. Jake Rubinstein Mr. and Mrs. Kevin G. Groenenboom Mr. C.R. Maid and Ms. Carol Risch Mr. and Mrs. Calvin Rozenboom Tommy Clement Clinton Estling Jeffrey Hargreaves Mr. and Mrs. Forress Rayford Mr. and Mrs. Joseph J. Hepfler Charlotte Coleman Samantha Farber Mr. and Mrs. James M. Hargreaves Mr. and Mrs. Paul G. Hudon Mr. B. Wade Coleman Mr. and Mrs. Gerald Friedman Anne Heilman James M. Coleman Kristen Fink Mr. Michael Coleman Quikbook Services Mr. and Mrs. Norman Bernstein Ms. Ann M. Garfinkle Alan Carlton Mr. and Mrs. Donald H. White Nathan P. Carroll Ms. Susan Girgis Sanford Cascade Margo Ham West Chicago Garden Club Shannon Hanks-Grandia P E R S P E C T I V E 12 Honorariums (October 2006 – December 2006) continued Mr. David N. Kane Mr. and Mrs. Mark P. Scher Edward F. Kildoyle Elizabeth P. Henske Joline Koons Mr. and Mrs. William A. Petri Mrs. Jayme Ippolito Jack Heslin Malayna Kopf Mr. and Mrs. Andrew C. Adelmann Eldorado Lions Club Gleason Hill Verduzco Mr. David Schreck Mr. and Mrs. Keith D. Hensley Mr. Frankie Schott Mathew Hillier Noah Krantz Mrs. Francine J. Hillier Mr. and Mrs. Anthony J. Russo Mr. Daniel J. Russo Mr. C. Anthony Whittingham Mr. and Mrs. Adolph Herbst Genie Matthews Mr. and Mrs. Bruce L. Reaves Mr. and Mrs. Robert Webb Myron Rapaport J. Payson Matthews Mr. Peter Rapaport Mr. and Mrs. G. R. McGhee, Jr. Mr. and Mrs. Alex Moore Mr. and Mrs. Brice C. Winfrey Peter Rapaport Steve Liapis Ms. Marilyn Levinson Mr. and Mrs. Martin J. Liff Mr. and Mrs. Edward J. Linsin Mr. and Mrs. Lee B. Marks Mr. and Mrs. Arnold Missner Ms. Rochelle G. Nadler Nancy V Shaffer Declaration of Trust Mr. Leonard Nieder Mr. Gerald M. Noskin Mr. Ed Oesterreicher Mrs. Muriel Pattis Mr. and Mrs. Robert C. Pattis Mr. and Mrs. Leo Pearl Ms. Roselyn Penn Mr. and Mrs. Walter Pinsker Mr. Ralph Pisani Mr. Sidney L. Port Mr. and Mrs. Harvey Pyes Ms. Ferne Reichman Renee’s Beads Mr. and Mrs. Gary Richman Ms. Sandy Richman Mr. and Mrs. Joseph S. Roth Mr. Gerald Rubel Ms. Fern Samuel Mr. and Mrs. Harold Sawyer Mr. and Mrs. Jerry Schaffner Mr. Donald W. Schaumberger Mr. and Mrs. Melvin Schlesinger Mr. and Mrs. Stanley Schrero Mr. Robert I. Schwartz Mr. Daniel Shaffer Ms. Betsy L. Shapiro Mr. Steven P. Solow and Mrs. Jean Simmons Ms. Diane Smoler Mr. and Mrs. Pat Starr Mr. and Mrs. Harvey N. Stelman Mr. and Mrs. Richard J. Tepperman The Pattis Family Foundation Mr. and Mrs. George Victor Mr. and Mrs. Mitchell Weisner Benjamin Hutchinson Mr. George Liapis Haley N. Lynch Davya Miller Mr. and Ms. Zachariah Bensley Mr. and Mrs. Peter Wonson Tommy R. Lindsey Ms. Brenda L. Soper Mr. and Mrs. Richard M. Parry Mr. and Mrs. Robert A. Burmeister Mr. James DePalma Ms. Rita Lindsey Nicholas F. Lyons David H. Mintz Mr. and Mrs. Alfred Garzino, Jr. Mrs. Claire Liquorman Sarah MacKenzie Gary Mintz Mr. and Mrs. Mitchell L. Barrett Mr. and Mrs. Paul Beach Mr. and Mrs. Michael Ciraco Mr. and Mrs. Lonnie B. Cole Mr. and Mrs. Brian Conerty Mr. and Mrs. Donald J. Curran, Jr Mr. and Mrs. Michael P. Hogan Mr. and Mrs. Danny Mayer Mr. and Mrs. Reed Nelson Mr. and Mrs. Leonard A. Orr Mr. and Mrs. William Peavy Mr. and Mrs. George W. Rawls Mrs. Page Robinson Jr. Mr. and Mrs. Ronald J. Rozanski Mr. and Mrs. William R. Tilghman Mr. and Mrs. William F. Whitehouse Mrs. Claire Liquorman Ms. Lenore A. Fogarty Jackson Kozisek Cathy J. Krinsky Christy Hobart Mr. Hani L. Abisaid Mr. and Mrs. P A. Krause Mr. and Mrs. Fred Krinsky Anonymous David A. Krinsky Elise Hoersch Mr. and Mrs. P A. Krause Mr. Jon F. Myers Mr. Krohn Emily M. Holinka Mr. and Mrs. Joel Stutts Mr. and Mrs. Brain F. Whalen Hannah LaForte Randell G. Holmes Suzanne Hopkins Mr. Peter J. LaForte and Ms. Judy Ratner Ms. Corrine S. Loetstein Brooklyn Homiside Squad Heather M. Lambries Hannah L. Hoslet Ms. Barbara F. Mayer Mr. and Mrs. Jeffrey P. Hoslet Mike Lapeyrouse Patricia Hurka Mr. and Mrs. Forress Rayford Mr. and Mrs. Stephen P. Myers Kolten Larson Ty Hurst Mrs. Sharon Nicholas Mr. and Mrs. Michael W. Branch Mr. and Mrs. Dana H. Campbell Mr. and Mrs. Douglas Davis Mr. and Mrs. Mike Green Mr. and Mrs. James Hoskins Mr. and Mrs. Thomas L. Hurst Mr. and Mrs. Christopher D. Johns Ms. Jewell Kerr Mr. and Mrs. Danny Nicely Mr. and Mrs. Richard H. Nicely Ms. Connie L. Seal Mr. and Mrs. Kirk D. Steele Mr. and Mrs. Lucas Stephens Ms. Leslie Wolfenbarger Alexa LaRue Ms. Amanda Greco Kevin Jackson Ms. Kathryn Butler Mr. and Mrs. Robert Keller Mr. and Mrs. Andrew Laszlo Dr. and Mrs. Maurice H. Laszlo Arianna James Ms. Amy Dodd Dr. Sally James Mr. James Rinehart Carl E. Jensen Mr. and Mrs. Tim Guest Annie Johnson Mr. and Mrs. David S. Alden Mr. and Mrs. Tom Baldwin Mr. and Mrs. Burton A. Ford, Jr. Mr. and Mrs. Carl L. Godman Mr. and Mrs. Robert Graham Ms. Sally K. Jones Mr. and Mrs. Bernard C. Joyce Mr. and Mrs. Edward J. Kehoe, Jr. Mr. and Mrs. Patrick J. Marshall Mr. and Mrs. James F. Mulcahy Mr. and Mrs. James J. O’Halloran Mr. and Mrs. William T. Redgate II Stratford Poker Group Mr. and Mrs. Harold Xavier Mr. Pierluigi Zappacosta and Ms. Enrica D’Ettorre Ken Johnson Mr. and Mrs. James Anders Mr. and Mrs. Harold Xavier Hayden A. Joyce Farallon Consulting, L.L.C. Ms. Barbara Smith Kay Kaalberg Ms. Sally Kaalberg Kate J. Kane Mr. David N. Kane 13 S P R I N G 2 0 0 7 Mr. and Mrs. William C. Blakney Mr. Jorge DeLaHoya and Ms. Brenda A. Miranda Mr. Richard W. Delaney E Beltran Trust Mr. and Mrs. Matthew Quattlebaum Phyllis A. Leist Mr. and Mrs. Jimmy K. Hanna Jacob Levine Mr. Kenneth S. Jaffe Lauren Levine Mr. and Mrs. Richard Palanker Hannah Linsin Mrs. Sharon Abramson Mr. and Mrs. Seymour Applebaum Dr. Marvin Berman Mr. and Mrs. Bert Blieden Mr. and Mrs. Joseph Borden Mr. and Dr. Norman Brainin Mr. and Mrs. Robert Byron Mr. Scott Byron Ms. Barb Canter Mr. and Mrs. William T. Carbone Mr. and Mrs. Marvin Chaiken Mr. C Everett Chambers Jr. Mr. Robert E. Claver Mr. Richard C. Cooper and Ms. Barbara Sheridan Mr. and Mrs. Robert E. Cowhey Mr. and Mrs. Lawrence J. Devitt Mr. and Mrs. Gordon K. Empting Ms. Gitta Fajerstein Mr. and Mrs. Mark Freeman Funeral Direction, Inc Mr. and Mrs. Steven E. Goldsher Mr. and Mrs. Leon Gurny Mr. and Mrs. Stephen Harburg Mr. Lee Heinrich Mr. and Mrs. Edwin Johnson Mr. and Mrs. Sheldon Karon Mr. and Mrs. Andy Katlin Mr. and Mrs. Donald J. Kaufman Ms. Janet Kaufman Mr. and Mrs. John J. Kemish Mr. Robert A. Kohl Dr. and Mrs. Colman R. Kraff Mr. and Mrs. Sheldon Lebold Aubreyanne Mayrsohn Ms. Sheila E. Alexander Florida Welding Fabricators and E Mr. and Mrs. Donald E. Handelman Mr. and Mrs. Stuart N. Handelman Mr. and Mrs. James S. Knopke Mr. and Mrs. Philip Rosen Mr. and Mrs. Saul Rosenbaum Mr. and Mrs. Edward L. Winkler Sophia Mayrsohn Mr. and Mrs. Alan Marcus Jamie E. McAdoo Mr. Michael H. Goldstein and Ms. Jennifer R. Rapaport Mr. and Mrs. Jonathan Rapaport Mr. Myron Rapaport Anthony Rasavage Mr. Jayaprakash N. Gola Mr. and Mrs. R.M. Storey Martha Ratner Dr. and Mrs. Sheldon Watnick Casey Revman Mr. and Mrs. Joseph P. Spera John “Thorpe” T. Richards Mr. Eugene Bruns Mr. and Mrs. Paul J. Kiernan Mr. Robert P. Trout and Ms. Janet Studley Mr. and Mrs. Richard H. Blackman Dr. Susan McAdoo Christine Ritchie John McClelland Mr. and Mrs. Forress Rayford Mr. and Mrs. Forress Rayford Sidney Rouse Hugh McDonald Mr. and Mrs. Charles McFadden Mr. and Mrs. James S. Carreras Mr. and Mrs. Jason P. Hendrick Mr. and Mrs. Timothy S. Honaker Mr. and Mrs. Ronald G. Smith Nathan A. Mehrer Grace Rubeck Mr. and Mrs. Joe U. Carrillo Ms. Dorothy Franklin Ms. Gloria Huckeby Mr. and Mrs. James T. Rakes Mr. and Mrs. Ben D. Stevens Mr. and Mrs. Craig Yoshimoto Mr. and Mrs. Tyler Stevenson Joshua Michael Ms. Jo Samuels Mr. and Mrs. Walter O. Michael William R. Samuels Harrison R. Miles Ms. Jo Samuels Mr. and Mrs. Gerald Green Mr. and Mrs. Robert M. Hart Jessica L. Sanders Mr. and Mrs. Joseph McDonald Ashlin McFadden Ms. Joan Lansky Mike Rogers Joseph Rubolotta Dr. and Mrs. Donald E. Hillner Anna Russell Mr. and Mrs. Valentine J. Pust Barbara T. Samuels Sandra O’Brien Mr. and Mrs. Billy W. Bedsole Mr. and Mrs. Dick Boyette Mr. and Mrs. Danny Brabham Mr. and Mrs. Billy Bush Mr. and Mrs. Donald Cline Mr. Scott Elliott Mr. Woodrow J. Farrington Mr. and Mrs. John Fergus Ms. Esther A. Gilley Mr. and Mrs. Roy W. Hall Mr. and Mrs. Bob Hapner Ms. Kim W. Leverett and Ms. Sheila Leverett Mr. and Mrs. Billy Ludlam Mr. Allen Lux Mr. and Mrs. Harvey A. Lux Mr. and Mrs. Ronnie Marshall Mr. and Mrs. Ronnie Money Mr. and Mrs. Billy Moring Ms. Martha I. Sanders Mr. and Mrs. Ira Skipper Mr. and Mrs. John A. Starling Mr. John R. Starling Styles By Carole, Inc Ms. Nancy Haskins Holly R. Saville Matthew Page Ms. Janet Meyerson Anonymous John M. Saville Phillip Macri Eric Parkes Ms. Janet Meyerson Baltimore American Mortgage Corp Mr. and Mrs. Roger Wilson New York State Iron Workers Dist Sweeney and Harkin Carpentry Mr. and Mrs. Edward Walsh Carter Schmidt Ron Marion Patricia J. Parsons Mrs. Claire Liquorman Mr. and Mrs. Stephen P. Myers Ms. Paula Conrad Mr. and Mrs. Wayne P. Larsen Mr. Edward Pennington Mr. and Mrs. Brent A. Schmidt Morgan Marlow Kristina Popkin Stephen F. Schmitt Mr. and Ms. Matthew T. Marlow Ms. Betty J. Davidson Mrs. Gerianne Evans George Martindale Jack Poutasse Charles Schumann Mr. and Mrs. Forress Rayford Dr. and Mrs. William F. Flynn Mr. and Mrs. Edward F. Schlich Mr. and Mrs. Harvey J. Busel Mr. Michael H. Goldstein and Ms. Jennifer R. Rapaport Mr. and Mrs. Jonathan Rapaport Mr. Peter Rapaport Mrs. Barbara F. Zimmerman Cameron T. Powell Mr. Robert S. Webb Anonymous Mr. and Mrs. Jack D. Scott Krisitin Query Julie Seaman Ms. Kristin Wolfram Howell First Aid & Rescue Squad #1 Austin Rainey Kylie Seggerman Matthew Mastbaum Mr. and Mrs. Mark English Mr. and Mrs. Ray Marvel Ms. Nadine A. Klemens-Gilmore Anonymous Sheila Marton Mr. Bruce Maasbach Chelsea Miller Mr. and Mrs. Aurelio S. Gallegos Pediatric Cardiology Center Nadra Mlynarczyk Mr. and Mrs. James J. Brosnan Mr. and Mrs. Richard D. Olson Alex Montgomery Ms. Joan Holthouse H. Taylor Morrissette Mr. and Mrs. Forress Rayford Daniel M. Murdza Mrs. Virginia LaMarche Lauren Niemeyer Mr. and Mrs. Michael Niemeyer Victoria Noviski Mr. and Mrs. K.R. Heath Brenna Scott Tu b e r o u s S c l e r o s i s A l l i a n c e Honorariums (October 2006 – December 2006) continued Mr. and Mrs. Saul Pleeter Mr. and Mrs. Ronald A. Sandoval Mr. and Mrs. Bill Waltz Joseph Stammelman Benjamin Shapiro Mr. and Mrs. Fred Hogenboom Mr. and Mrs. Art Smit Mr. and Mrs. Gerard Steenman Mr. Marty Morey Mr. and Mrs. Vernon C. Ruschmann Ms. Janelle L. Young Mr. and Mrs. Robert A. Payne Mr. Martin P. Smith Mr. and Mrs. Don Thompson Mr. and Mrs. Michael R. Trundle Mr. and Mrs. Ed Ullery Tavi Yokoyama Ryan Turner MW Group Ltd Alyssa Youmans Roncari Express Valet Parking Ms. Janice L. Gellhaus Ms. Carla Heck Rosemary A. Sterk Kurt T. Ullrich Mr. and Mrs. Ed Siegert Ms. Anita Ullrich Colin Stoddard Mabel Unsinn Mrs. BJ Coleman Mr. and Mrs. Jeffrey P. Hoslet Erin Stromek Michael Valdez Emmory R. Shapses Ms. Lynn Emme Mr. James Shriver Mr. and Mrs. Marc Shapses Emily B. Szilagyi Jo Ann Wacht Sarah Shelly Mr. and Mrs. Fred Krinsky Peter Sherman Ms. Marcia Burstein Mr. and Mrs. Edward E. Chait Mr. Hal Neiman Mr. and Mrs. Don D. Porteous Mr. and Mrs. Forress Rayford Brigitte Thalheimer Mr. and Mrs. J. Payson Matthews Thomas D. Sherman Sartomer Jeb Ward Mrs. Susan I. Sinot Bryson S. Thomas Mr. and Mrs. T. Robert Ward Jr. Meghan J. Sirinek Ms. Catherine N. Sweeney William G. Ward Mr. and Mrs. Roger Murphy Mr. and Mrs. Robert Peiffer Mark P. Thomas Mr. and Mrs. David Herrington Mr. Wallace R. Thomas Jay P. Wareham Meagen Skaggs Mary Thomas Mr. and Mrs. Richard D. Pace Ms. Kathleen C. Baker Mr. and Mrs. J. Payson Matthews Amanda Wiezalis Drew Sklarin Ashley Triemer Mr. and Mrs. William P. Stebbins Mr. and Mrs. Donald G. Loonin Mr. and Mrs. William L. Triemer Ashley Wiezalis Ethel Slayen Andrew R. Trundle Mr. and Mrs. William P. Stebbins Mrs. Claire Liquorman Mr. and Mrs. Scott A. Bright Mr. and Mrs. John A. Cocking Mr. and Mrs. Frank R. Faulds Mr. and Mrs. Randy E. Hazard Mr. and Mrs. Randy E. Hazard Mr. and Mrs. Dennis M. Manner Mr. and Mrs. Dennis W. McCarthy Mr. and Mrs. Alan D. Michael Ronald Wilt Anonymous Mr. and Mrs. Harvey L. Flax Mr. Joel A. Getz Mr. Ralph Hattenbach Ms. Carol D. Hobart Mr. and Mrs. Henri B. Schkud Mr. Henry Shapiro and Mrs. Christy Hobart Mr. and Mrs. Joseph F. Weber Mr. and Mrs. Robert R. Reidenbaug Olivia Smiley Mr. Emanuel C. Hoover Mr. and Mrs. Robert E. Apple Danielle Stammelman Ms. Kathleen D. Dick Mr. and Mrs. Louis Lebedin Mr. Ed Garcia and Mrs. Judy Sutter Ms. Kathleen D. Dick Julia Steenman William Steinka Alice Waits Gibbon Mr. Ralph H. Gibbon David C. Walker Mr. and Mrs. Frances Mulvey David Wing Mr. and Mrs. Gordon A. Palmer Thomas Winge Ms. Frances Cole Ms. Janice K. Eastman Mr. and Mrs. Harvey Huggenberger Mr. and Mrs. Greg A. Altberg Ms. Veronica H. Ancy Mr. and Mrs. Arthur A. Antiporda Ms. Christina Baik Mr. and Mrs. Richard D. Benik Mr. and Mrs. A Bistline Mr. and Mrs. Michael D. Breen Ms. Luellen Casler Ms. Shonia L. Cline-Peachey Colorado Springs Civitan Club Mr. and Mrs. L.C. Davenport Mr. and Mrs. William S. Finley Mr. and Mrs. Michael F. Flynn Ms. Janice A. Forte Ms. Marjorie Frahlich Mr. and Mrs. Paul V. Franke Mr. and Mrs. John R. Gendreau Mr. and Mrs. Douglas J. Glass Mr. and Mrs. Rex L. Glass Mr. and Mrs. John W. Goff Mr. and Mrs. Gary W. Gressett Ms. Sally L. Groff Mr. and Mrs. William S. Grubb Ms. Corlyn L. Hale Ms. Karri W. Haw Ms. Sherry A. Hike Ms. Beth Hubbard Mr. Jeffrey S. Huttenmeyer and Ms. Juliana G. Barnard Ms. Joyce J. Hyden Ms. Lynn M. Isham Mr. and Mrs. Kris Kliewer Ms. Diane Klinkerfues Mr. Jeffery S. Kramer Ms. Valerie S. Layman Mr. and Mrs. Joe H. Martin Mr. and Mrs. Stephen R. Mason Mr. and Mrs. Jorge M. Mayor Mr. and Mrs. Ron D. McCall Ms. Marilyn J. Moore Mr. Robert F. Randall Mr. and Mrs. Todd R. Remington Mr. and Mrs. William H. Rohrs Ms. Jennifer L. Roswell Ms. Tanya Scherer Mr. and Mrs. Lorne M. Sedlacek Mr. and Mrs. Floyd T. Sekiya, DDS Mr. and Mrs. Gary P. Shrader Ms. Mari M. Skora Ms. Sheri Stammer Mr. and Mrs. Steven D. Steele Mr. and Mrs. Robert Steinbach Ms. Jennifer A. Stuerke Sullivan Productions, Inc. Mr. James O. Thompson Ms. Dorothy E. Thurber Ms. Candace A. VanDer Schaaf Mr. and Mrs. David A. Ward Jr. Mr. and Mrs. Douglas A. White Mr. and Mrs. Otto Wilson Mr. Patrick J. Wisneski Mr. and Mrs. Roland Youmans Mr. and Mrs. William A. Youmans John Zarbetski Ms. Emmaria Galliano Mr. and Mrs. Michael F. Wyzykowsk Paul Zarbetski Ms. Emmaria Galliano Memorials (October 2006 – December 2006) 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. Denzil Anderson Dr. and Mrs. James Lebamoff, MD Mr. Jerome Welter Ms. Carrie S. Wetter Robert S. Baranowski Mrs. Mary Ann Baranowski Mr. and Mrs. Henry J. Corback Mr. James DeGiosafatto Sr. Mr. and Mrs. F.R. Dudash Ms. L Kaunitz Mr. and Mrs. Michael McDonnell Ms. Elizabeth Peer Mr. and Mrs. Paul R. Popovich Henrietta M. Beard Mr. and Mrs. Jeff Beard Ms. Miriam L. Sweigart Vaughn Brancel Briggsville United Methodist Memorial Fund Heather J. Buntrock Mr. and Mrs. Damien L. Amore Mr. and Mrs. J. McNeill Anderson Anonymous Mr. and Mrs. Joseph J. Anselmo Reverend Donna Atkinson Ms. Carolyn Awe Mr. and Mrs. Bernard Beem Mr. and Mrs. Gregory W. Beem Mr. and Mrs. Paul R. Beem Mr. and Mrs. W. Wayne Beem Mr. and Mrs. Gerald Behnke Mr. and Mrs. Mark Beitzel Mr. and Mrs. Ronald Bergsma Mr. and Mrs. Henry Boesch Mr. and Mrs. Raymond T. Bollendor Mr. and Mrs. Stephen T. Bouas Ms. Donna Brandel Mr. and Mrs. Gary Brooks Mr. and Mrs. Kevin Brothers Ms. Eileen E. Bruton Mr. and Mrs. Loren Buntrock Mr. and Mrs. Paul Buntrock Mr. and Mrs. Robert S. Burt Mr. Ted M. Byers Mr. and Mrs. Jeffrey B. Carlisle Mr. Jerry Christian Mr. and Mrs. Wesley Clark Ms. Anita M. Dean Mr. and Mrs. Dennis F. Debennette Ms. Katherine A. Dempsey Ms. Nancy D. Dempsey Mr. and Mrs. Gehl Devore Dexter C Miller Agency Mr. and Mrs. Jeffrey J. Dick Mr. and Mrs. Charles A. Draper Ms. Toni Drissel Mr. and Mrs. Richard W. Edwards Ms. Kathleeb Evert Ms. Janelle Foszcz Mr. and Mrs. Louis G. Fowler Mr. and Mrs. Harold W. Frush Mr. and Mrs. Lawrence R. Gessler Tu b e r o u s S c l e r o s i s A l l i a n c e Ms. Jennifer Golwitzer Mr. and Mrs. Terry E. Gordon Ms. Janice Gries-Griffin Mr. Arthur Griffith Ms. Jean A. Grosso Mr. and Mrs. Marty Guy Mr. and Mrs. Neal Harrison Mr. and Mrs. Tim Heeter Mr. and Mrs. Kenneth H. Henke Mr. and Mrs. Charles S. Herbst Ms. Shirley Hill Ms. Debbie Jastrom Mr. and Mrs. Gary A. Jeffson Mr. and Mrs. Mark A. Jensen Mr. and Mrs. Dennis G. Johnson Mr. and Mrs. Gregory S. Johnson Mr. and Mrs. Ronald Jurkacek Mr. and Mrs. David Keiler Ms. Ammie M. Keith Ms. Shannon Killeen Mr. Craig Kmichik Mr. and Mrs. David S. Koetz Mr. and Mrs. Ira J. Krause Mr. and Ms. Bradley J. Kucharski Ms. Morgan L. Kuchnia Mr. and Mrs. Richard Kuchnia Mr. Albert J. Kuhlmey Mr. and Mrs. Douglas W. La Belle Mr. and Mrs. Victor E. Lapendick Mr. and Mrs. Vernon N. Lee Ms. Sandra A. Leech and Ms. Leticia A. Best Mr. and Mrs. Douglas L. Leffler Mr. Jon Lother Mr. and Mrs. Brian Lother Mr. and Mrs. Troy Lother Mr. and Mrs. Roger R. Luther Ms. Katie R. Mackie Mr. and Mrs. Ione C. Mainord Mr. and Mrs. Steven Malecha Ms. Kari Meyer Millburn West Mr. and Mrs. Gary D. Miller Mr. and Mrs. Tom Morton Ms. Eileen G. Neave Mr. and Mrs. Robert M. Neave Mr. and Mrs. Gregory A. Nugent Oak Crest School Mr. and Mrs. Keith A. Olsen Mr. and Mrs. Patrick L. Ostrander Mr. and Ms. David J. Overman Mr. and Mrs. Kenton L. Owenson Mr. and Mrs. Todd Passehl Ms. Danielle M. Paster Mr. and Mrs. Perry V. Plescia Mr. and Mrs. James Poucher Ms. Jane A. Powell Ms. Judith A. Power Mr. and Mrs. John S. Putra Mr. and Mrs. Todd A. Renn Mr. and Mrs. D.P. Richmond Mr. and Mrs. Jeffrey T. Ropers Mr. and Mrs. Mark Rymer Mr. and Mrs. Matthew A. Rymer Mr. and Mrs. Rick Sarbacker Mr. and Mrs. Kurt L. Sauer Ms. Wendy Scott Mr. and Mrs. Ronald R. Shaffer Ms. Lisa A. Shaw Mr. and Mrs. Dean L. Steele Mr. and Mrs. David E. Stevens Ms. Shirley P. Stewart Mr. and Mrs. Douglas W. Stiles Mr. and Mrs. Donn Stiner Mr. and Mrs. Edward A. Streed Ms. Kathy D. Stryker Mr. and Mrs. Richard K. Studebake Ms. Karen D. Sweeting Mr. and Mrs. Mark Thorn Mr. Rob Vanderlamp Mr. and Mrs. P.A. Vedra Ms. Glenda M. Ward and Ms. Annette M. Swank Ms. Lisa A. Weiner Mr. and Mrs. Gregory Whiteside Mr. and Mrs. William C. Widen Mr. and Mrs. David B. Wiseman Mr. and Mrs. Walter Wonoski Mr. and Mrs. Peter L. Wright Mr. and Mrs. Mitchell J. Zemanek Lilian Burmeister Mr. and Mrs. Robert A. Burmeister Mr. James DePalma Ms. Louise DeVito Ms. Rita Lindsey P E R S P E C T I V E 14 Memorials (October 2006 – December 2006) continued Mr. and Mrs. Michael Luciano Mr. and Mrs. Benedict D. Macri Mr. and Mrs. John Petrocelli Mr. and Ms. Anthony Sclafani Ms. Elizabeth Zerega and Mary Alice Zerega Ms. Mary E. Campbell Ms. Babette R. Hiller Mr. and Mrs. William Kopp Mr. and Mrs. Donald S. Kruto Mr. and Mrs. Paul P. Malchuk Mrs. Patricia McInerney Mr. and Mrs. Bernhard Palm Ms. Jocelyn H. Pritchard Ms. JoAnn Scott Devorah E. Chaya Florence Gentile Mr. and Mrs. Scott Moskowitz Ms. Concetta A. Babicz Ms. Betty J. Davidson Mr. Ronnie Hale Mr. and Mrs. Paul Lebranche Mr. Alfred J. Pucillo Ms. Michelle L. Pucillo Rebecca J. Campbell Irene K. Christie Mr. and Mrs. Gary J. Christie Mr. and Mrs. Duane A. Gordon Mr. and Mrs. Malcolm Hughesdon Mr. and Mrs. Paul Kennedy Mr. and Mrs. Herman E. Labenz Mr. and Mrs. Raymond E. Majszak Mr. and Mrs. James Mikosz Ms. Vicky Richardson Mr. and Mrs. Henry Roman Mr. and Mrs. Michael Ugorowski Mr. and Mrs. Warren L. Weier Sr. Mr. Andrew E. Wujcik Elizabeth Citrola Mr. and Mrs. Scott R. Alexander Mr. and Mrs. Stephen Bies Mr. and Mrs. William H. Clark Ms. Eleanor D’Azzo Mr. and Mrs. Frank J. Franze Mr. Lester J. Gillen Mr. Francis Lofaro Mr. and Mrs. Mark Lowen Mr. and Mrs. Stephen L. Martin Ms. Anne Matero Mr. Siobhan Mulroy Mr. and Mrs. Scott J. Oggeri Mr. and Mrs. William O’Loughlin Mr. and Mrs. Alan Stein Mrs. Stephanie Stewart Mr. and Mrs. Hugh M. Stone Mr. Stephen Wener Ms. Diane Yanniello Edward Goldstein Mr. and Mrs. Marc Blitzer Mr. and Mrs. Larry Donsky Mr. and Mrs. David S. Ellman Mr. and Mrs. Gerald Friedman Mr. and Mrs. Steve R. Jacobs New York State Iron Workers Dist Ms. Myra Shapiro Mr. and Mrs. Paul Shellman Mr. and Mrs. Eric Sussman Ms. Patricia A. Travers Mr. and Mrs. Edward Walsh Mr. and Mrs. Patrick R. Kling Mr. J Pearce Mr. and Mrs. Jim Wolzrichter Sarah M. Midgett-Miller Ron Smiley Mr. and Mrs. James C. Franciskovi Mr. Guy Futrell Mr. Karl Georgi Mr. Dean Hagerty Mr. Dave Hardin Ms. Joan James Mr. Steve Loofbourrow Mr. John Mathis Mr. Nick McDuffie Ms. Catherine McKalip-Thompson Ms. Maureen Mendez Mr. Dale Morgan Purvis Systems Incorporated Ms. Cynthia Rivera Mr. Don Rochester Ms. Sandra Sawyer Ms. Marilyn Trent Mr. and Mrs. Robert E. Apple Jr. Dr. Tracy Ballin Ms. Sharon Brimner Ms. Gail Burke Mrs. Kari L. Carlson Mrs. Susan Chatlos Ms. Melissa Conway Mrs. Jennifer Dotson Mr. Mike Fox and Ms. Theresa B. Hunt Mr. and Mrs. Michael Gregg Mr. and Mrs. John Hayna Mr. Tye Hoffman Mr. and Mrs. James R. Johannsen Mr. and Mrs. Jeffrey Londres Mr. and Mrs. Kenneth C. Longheed Mr. and Mrs. Thomas E. Lucaccioni Mr. Robert Macko Marquardt Memorial Manor, Inc Mr. and Mrs. Scott Olson Mrs. Janine Rauscher Mr. Luis A. Rosado Ms. Diane Sinico Mrs. Nancy Taylor Mr. and Mrs. Gary R. Urbahn Village of Streamwood Clayton McDermaid Jim Nolan Mr. and Mrs. Thomas Foy Hjordis Odegaard Mr. Peter B. Abbey Ms. Norma Jean Kincaid Levy & Droney PC The Shields Corporation Ms. Eva J. Kasperson Mr. and Mrs. Georg M. Kjonsvik Mr. and Mrs. Olav T. Lunde Ms. Kathleen McClain Norwegian Seamen & War Veterans Mr. and Mrs. Gordon E. Odegaard Ms. Winnifred P. Pedersen and Ms. Connie Hofstad Sons of Norway Ms. Dagny S. Swanson Vestkystens Nordmorslag Romsdalsl Joseph Holubowicz Cara Pahnisch Mr. and Mrs. William G. Skurzewsk Ms. Marilyn L. Bartel Mr. and Mrs. David T. Derschan Mr. and Mrs. Harry L. Forsyth Ms. Mary Johnson Ms. Ruth D. Klessen Mr. and Mrs. Bartt Nicholson Mr. Mel Sanders Mr. and Mrs. Reg D. Young Diane Green Mr. and Mrs. Roger A. Miles Michael H. Green Mrs. Miriam S. Green Tim Holinka Dorothy Smith Mr. and Mrs. Thomas Hopper Robert P. Steffens Mrs. Judith A. Steffens Arthur Stehle Mr. and Mrs. Lewis Polin Mr. and Mrs. Gerald C. Allen Mr. and Mrs. Scott A. Bright Mr. and Mrs. Tim Burchett Mr. and Mrs. John A. Cocking Mr. and Mrs. Frank R. Faulds Mr. and Mrs. Randy E. Hazard Mr. and Mrs. Dennis M. Manner Mr. and Mrs. Dennis W. McCarthy Ms. Etta M. McClure Mr. and Mrs. Robert A. Payne Mr. Martin P. Smith Ms. Ann E. Spreeman Mr. Don Thompson Mr. and Mrs. Michael R. Trundle Mr. Ed Ullery Thomas A. Plein Sally Steinglass Thomas A Plein Foundation LTD Dr. and Mrs. Herbert Marton Mr. and Mrs. Alan Freeman Lauren Polyanski Kamran Teheranchi Mr. and Mrs. Patrick Rossetti Ms. Cathy A. Zardas Frances Lampley Mr. and Mrs. Cyrus Teheranchi Philmore Divine Marc Laxman Mr. and Mrs. Charles Fleshman Mr. and Mrs. Harvey J. Busel Harold E. Erickson Vicky Lederman Mr. Robert Erickson Mr. and Mrs. William H. Furdon Mr. and Mrs. John T. Giles Mr. and Mrs. Robert W. Hungate Ms. Edwina W. Schuler Mr. Brian J. Schwartz Mr. and Mrs. Bruce C. Smith Mr. Bernard Vaillette Ms. Shirley Hyman Mr. and Mrs. John Dippel Mr. and Mrs. Robert F. Fier Sr. Greenbush American Legion Mr. and Mrs. Randy Gritt Mr. and Mrs. Michael W. Polyanski Catherine A. Liapis Ms. Pomper Mr. and Mrs. Kenneth Wyer Mr. and Mrs. George Liapis Mr. and Mrs. Paul Wolnik David Truan Quemal Maksout Jack Rachleff Mr. and Mrs. Patrick R. Kling Mr. and Mrs. Ronald S. Maksout Mr. and Mrs. David W. Parkes John D. Walker Sherrill A. Malesky Kenneth Rose Mrs. Audrey O. Malesky Mr. and Mrs. James Dunne Ms. Marie Dykstra Mr. and Mrs. James A. Haynes Marianna Forgione Mr. and Mrs. Steven Correll Ms. Sue A. Fortney Mr. and Mrs. Patrick T. Hardesty Mr. and Mrs. Henry F. Kleinknecht Mr. and Mrs. Joseph F. Mole, Jr. Mr. and Mrs. Bernard A. Rausch Ms. Kimberly W. Robards Ms. and Mrs. Florence T. Spalding Ms. Mary W. Wyer Mr. and Mrs. Marvin Altenburg Mr. and Mrs. Herbert P. Meier Mr. and Mrs. Charles M. Nusser Mr. and Mrs. John A. Panars Ms. Cathy Terry Gunther Imke Ms. Geraldine A. Gagne Mr. and Mrs. Daniel J. Sandman Burton Cohen Julie A. Kraft Mr. and Mrs. Irving Kuber Mr. and Mrs. Gabriel Levine Ms. MiMi Nicholson Mr. and Mrs. Donald C. Pudell Mr. and Mrs. Joseph Scherzer Mr. and Mrs. Steven F. Bahr Mr. and Mrs. Don E. Ballard Mr. and Mrs. Dale L. Hankins Mr. and Mrs. Jerry A. Henning Ms. Kim Kraft Ms. Lynne A. Nelson Mr. and Mrs. Rod Secoy Ms. Mary W. Tomerlin Ms. Patricia C. Waters Richard Connors Mr. and Mrs. Eino A. Anttila Ms. Linda G. Connors Ms. June Fredrickson Mr. and Mrs. Michael J. Moore Raymond Kravetz Mary J. Cunio Mrs. Lucille Forgione Sam Friedman Anonymous Ms. Frost Mr. and Mrs. Alan Freeman Sarah Gaffney Mr. and Mrs. Peter M. Fertig Gordon Gebhardt Mr. and Mrs. Ron Belke Mr. and Mrs. Franklin R. Brumwell Mr. and Mrs. Andrew P. Duffy Mr. and Mrs. James Enrietto Mr. and Mrs. Donald J. Fawcett Ms. Norma J. Garibaldi Ms. Joan Grishaber Mr. and Mrs. Herbert P. Guck 15 S P R I N G 2 0 0 7 Mr. and Mrs. Charles A. Graham Judith E. Martin Paul Parnagian Mrs. Darlene Franzone Jean Pind Mr. Frankie Schott Maria Pirro Bernard Rosenberg Mr. and Mrs. Melvin Strom Frank J. Ruocco Mrs. Francine J. Hillier John Schaffer Mr. and Mrs. Roger A. Miles Jillann Schleich Elsie McAdoo Ms. Jill Abbott Mr. and Mrs. Robert A. Burns Mr. and Mrs. William S. Campbell Eli Terrys Retirees Fund Ms. Linda Leighton Ms. Aleena H. McAdoo Mr. and Mrs. Russell McCain Mr. Lewis J. Mirante Dorothy Seward First Presbyterian Church Rachel J. Shaft Mr. and Mrs. William L. Dunn Mr. M.A. Giggy Mr. and Mrs. J.W. Jones Mr. and Mrs. Max D. Miller Joseph M. Torossian Mr. and Mrs. E Philip Brown Ms. Patricia A. Daves Mrs. Darlene Franzone Joseph F. Trefilek Mr. and Mrs. Todd Rhodes Mr. and Mrs. CR Schorr Ms. Julia A. Smyers Mr. and Mrs. Robert E. Warner Ms. Helen Yorzinski Amy Weber Mr. and Mrs. Thomas H. Landry Albert Weeks Mr. and Mrs. Don Franklin William Weissler Mr. and Mrs. Mark L. Weissler Jeanne Wheeler Parish Mr. and Mrs. Charles A. Graham Julia Wilde Mr. and Mrs. Joseph M. Torossian Brandon D. Willbanks Mr. and Mrs. Ronald A. Covilli William B. Wilson Mrs. Nancy M. Wilson Phyllis L. Wing Mr. and Mrs. Rudolph C. Haefeli Mr. and Mrs. Charles D. Huskey Mr. and Mrs. Gordon A. Palmer Mr. and Mrs. Nicholas Vignovich Chester Yaszczemski Ms. Alice C. Belfiore Mr. and Mrs. John Blair Mr. and Mrs. Chester Blaze Mr. and Mrs. Miguel E. Cabanela Ms. Dolores O. Dowe Mr. and Mrs. Michael Dowe Mr. and Mrs. John F. Dunphy Mr. and Mrs. Michael J. Fasulo Mr. and Mrs. Raymond J. Galladay Ms. Emmaria Galliano Mr. and Mrs. Charles E. Harrison Ms. Annette C. Julies and Ms. Florence G. Zambell Mr. and Mrs. Dan Justice Ms. Rebecca M. Kipilla Mr. Joseph Malley Mr. and Mrs. Raymond J. McDonough Ms. Joan M. Michaelson Dr. and Mrs. Robert W. Miller Mr. and Mrs. Charles E. Monahan Ms. Sylvia Musto Ms. Ida Nigro Orthopedic Gift Fund Mr. and Mrs. Thomas W. Ozgo Mr. and Ms. Don Paradiso Mr. and Mrs. James E. Pettigrew Mr. and Mrs. Stephen H. Reitberge Ms. Kristen L. Shogren Mr. and Mrs. Carmelo Spoleti Mr. James J. Tutak Mr. and Mrs. James J. Walinger Mr. and Mrs. Vincent A. Winkleblec Mr. and Mrs. Michael F. Wyzykowsk Mr. and Mrs. Albert Zarbetski Greg Wallis Amica Companies Foundation Mr. Roger V. Anderson Mr. and Mrs. Mark J. Bahr Mr. Michael P. Bahr Mr. and Mrs. James C. Baragar Mr. and Mrs. Salvador Casas Ms. Priscilla S. Caskin Mr. and Mrs. Scott M. Crenshaw Ms. Susan A. Evon Ms. Kristi L. Gay Ms. Carol Ann Gilmore Mr. and Mrs. Terrence W. Krogstad Mr. and Mrs. Willard H. Leavitt Ms. Stephanie J. Mcgovern Ms. Suze Mitchell Ms. S Baird Morgan Tu b e r o u s S c l e r o s i s A l l i a n c e A Child Hero: Reilly Sheffield by Slater Jewell Kemker R eilly Sheffield and I have been friends since we first met during kindergarten in Los Angeles, California. Looking at the smart, blonde-haired 13-yearold with fierce pale blue eyes and a wonderful sense of humor, you would never think for a moment that he had a life-threatening disease called tuberous sclerosis complex (TSC). TSC has symptoms like epilepsy, autism and tumors. Reilly is really smart, funny, and generous, has a great imagination, is brave and kind, and is a loyal friend. When I asked him who inspired him, who his hero was, he said that his parents were his heroes. When I asked him why, he said “because they love me, and because it helps to use their lives as a comparison.” “And also my adult friend Rich,” Reilly continued. “He is really nice and always makes me laugh. Plus he has been in the hospital like I have. So it’s nice to have someone to talk to about hospitals…depression…and that kind of stuff. My parents just need to love me to be my inspiration. Really that’s all I need right now. Love… and antidepressants,” he adds with his dark sense of humor. Reilly just had a kidney transplant and the medication he is on has a side effect of depression. But I don’t, and Reilly doesn’t want you to feel sorry for him. He’s a strong kid. I can see why Reilly’s heroes are his parents. Chris and Pat Sheffield have worked very hard to raise millions of dollars to find a cure for TSC. They also are kind, funny and treat Reilly like a regular kid so everyone else does too. We spent many happy times at the Sheffield house, creating skits with stuff from the massive box of dress-up items, swimming in their pool and biking down at the park with his little sister Parker. Chris would even get Reilly and me out of school for a ‘secret’ lunch of French fries. It’s good to have a PTA mom on your side when you’re skipping out of the school cafeteria. I guess what I am trying to say is that his parents are always there for him. Some of his hobbies are swimming, playing with friends, playing video games and reading and playing with his dog, Judy. When Reilly grows up he wants to be “an architect…. or a dad. Maybe both.” Reilly Sheffield is my hero because he has embraced life with open arms. And because, throughout everything, he remains positive. He doesn’t let TSC envelop him like a cloak, but stamps it down into the dust with his foot. He makes me grateful for the little things. He makes me appreciate who I am. As a human being. I asked him if he wanted to share anything else and he told me: “Be yourself and don’t let anything change you, unless you want to.” Reprinted with permission from MyHero.com. Holiday Stamp Out TSC and Gift Wrap Campaign Update T his past holiday season’s Stamp O ut T S C a nd Gift Wrap fundraising c a mpa igns were once again huge successes, thanks to the many dedicated participants who donated their energy and time. For Stamp Out TSC, registered participants sent letters and cards to their families and friends asking for a donation to the TS Alliance. This year it raised more than $30,000 – the most in a single year. Since Tu b e r o u s S c l e r o s i s A l l i a n c e its inception four years ago, the Holiday Stamp Out TSC has earned $70,000 for TS Alliance support programs and research efforts. A special thank you to our top fundraiser this holiday season, Howard Brewer, who received more than 50 donations from individuals and organizations in honor of his son, Anthony Brewer. The Gift-Wrap sales program, operated in conjunction with Sally Foster, also earned more than $30,000 this year. A special thank you and congratulations to our top fundraiser this season, Renee Mueller, who sold gift wrap to more than 30 individuals in her local community. Remember, the Stamp Out TSC campaign continues this May to help highlight TSC Awareness Month. For more information on the Stamp Out TSC program, contact us at (800) 225-6872 or via email at wtolentino@tsalliance.org. P E R S P E C T I V E 16 Promoting Positive Sibling Interactions and Relationships “It’s always about him!” “She ruins everything!” “Why doesn’t he have to clean his room?” I f you are a parent of a child with a serious disease, particularly if the disease is complicated with challenging behaviors and/or developmental delays, it is quite possible that the siblings of the affected child have, at one time or another, made statements similar to the ones above. Parents of children with tuberous sclerosis complex (TSC) often find themselves attempting to balance the unpredictable medical situations with the social and emotional needs of all family members. TSC is a family disease. Regardless of whether individual family members are impacted physically, the entire family dynamic often surrounds supporting the affected child. For siblings, this can create conflicting feelings vacillating between love and affection to resentment and anger toward their brother or sister. For parents, feelings of guilt about not having the equal time or resources to spend with all of their children due to the needs of one can seem overwhelming and lead to self-doubt in their parenting roles. However, family members can work together to develop strategies that help foster understanding between siblings, encourage positive interaction between everyone and alleviate some of the fear living with TSC can cause. 1. Sibling Rivalry. It is important for parents to remember that levels of sibling rivalry are present in most all sibling relationships – with 17 S P R I N G 2 0 0 7 or without one sibling having a disability or disease. Brothers and sisters often create a child’s first social system. They learn from each other through play and daily interaction. However, for a child living with TSC, the play and interactions may not be of a typical nature. However, siblings, with the encouragement from parents and other adults, will create their own dynamic. Often the qualities associated with birth order can reverse when the eldest child has a disability and a younger sibling takes on the roles of protector and leader. It is appropriate to allow children to figure out these roles and encourage them to work through the minor issues that occur through the normal occurrences of play. As a parent, it is critical to monitor the sibling relationships to make sure all children are safe and respected. In general, however, allowing children to work through their differences and set their own boundaries, as all siblings learn to do, will help encourage a child’s overall development. 2. Education. Age-appropriate education of siblings of children with TSC is critical. However, due to the unpredictable and often scary nature of TSC, it is important to not create a fearful environment. For example, parents who witness a child’s seizure often describe the experience as “surreal” and “terror-filled.” A sibling who sees a brother or sister having a seizure also experiences the same feelings – though depending on age and stage of development, may not be able to verbalize them. Parents need to encourage discussions about what a seizure is, how seeing their sibling have one made them feel and offer the siblings reassurance. At the same time, it is critical to assess a sibling’s ability to comprehend and offer information appropriate to not only their age, but also to developmental and maturity levels. 3. Encouraging Outside Interests. When a child with TSC has a developmental delay, often the gap created by that delay increases. Regardless of the varying abilities of each child, one of the most important jobs of a parent is to prepare all children to be as independent as possible. When the interests of siblings change, it is important for parents to encourage friendships with classmates and neighbors and help the child identify things important to him or her. Sometimes, siblings of children with disabilities feel unable to express their own desires and interests and struggle with their identities beyond being the brother or sister. This feeling of responsibility can actually turn into resentment toward their disabled sibling. In turn, the disabled child needs to be encouraged to form relationships outside of siblings. While this can be challenging for both parents and child, there are often opportunities such as inclusive community-based activities that encourage children with and without disabilities to socialize. For example, recreational center special-needs sports and Special Olympics allow children and parents to meet others that share similar experiences. Tu b e r o u s S c l e r o s i s A l l i a n c e 4. Outside Support. Creating parent and child one-on-one time is a strategy most families try to implement. Unfortunately, the unpredictable nature of TSC often makes planning ahead difficult and disappointments great when events need to be canceled. Developing a family back-up plan can help alleviate those disappointments. One suggestion is to partner with another family of a child with a disability. Get to know each other’s children and their particular disease manifestations, personalities and habits and create a respite support system with each other. This will allow parents to feel comfortable with another family taking care of their child and the child to feel comfortable with them. If a family can identify partners early on, be sure to keep them always involved in the child’s medical status, medications and needs. If a lastminute need for support should arise, there is already someone available to help. Additional resources include Big Brothers/Big Sisters, Best Buddies and community service providers. 5. Leveraging Resources. The reality for many families managing a chronic disease and/or disability is there often seems to be not “enough” money to do everything – co-payments, medical bills, lost time from work and extra therapies eat away at even the healthiest of savings. When you add these additional costs to the already unpredictable issues all families experience, such as household and car maintenance, the thought of spending money on vacations, activities and entertainment can feel frivolous and often is just not possible. However, though they may seem unnecessary, having the opportunity to enjoy life as a family, participate in hobbies and partake in new experiences are critical in maintaining a balance and reducing stress. Many times, community and civic organizations and local recreation councils offer reduced-fee or scholarships for families and children to participate in activities. YMCAs Tu b e r o u s S c l e r o s i s A l l i a n c e offer sliding-scale fees and sponsorship opportunities. Applying for this type of support should not feel stigmatizing, nor should any family be made to feel uncomfortable moving forward with their request. Money is set aside within these organizations for the purpose of offering recreational and social experiences for as many children as possible. However, resources do not just relate to finances. There are times when cost is not as much of a consideration as are logistics – how can my son participate in karate when my daughter needs to be at occupational therapy (OT)? The first thing to realize is whether a family has a disabled child or not, it is not possible to be in two places at once. Mastering a schedule as a parent is critical. Accepting that because one or both children may require onsite supervision, times arise when doing everything is just not possible. However, when the schedule dictates that the only karate class is at 4:10 pm and the only OT appointment is 4:15 pm across town, families need to become creative. A natural “circle of support” is comprised of friends, neighbors and community/church members – those people who come up to you regularly and say, “Let me know what I can do to help you.” People most often genuinely want to help. They would love to be asked to do a specific task. Parents cannot wait for someone to offer – they may not know help is even needed. When possible, it is important for parents to allow another person to accompany the child with a disability to the activity and the parent to attend the sibling activity. Often a child with a disability will have long-term OT needs; however, the opportunity to see your typical child earn the next belt level in karate doesn’t come across as frequently. Friends, neighbors and acquaintances can often offer the greatest resource. Get to know them well, develop trust, teach them about your family and TSC and take a mutual interest in their lives. By extending relationships outside the nuclear family, greater opportunity exists for support when an unexpected issue arises. 5. Alleviate Guilt. Remember – not all members of the family are created equal. Parents make the rules and make the hard decisions and, regardless of disability, children will not always be happy. In all families, siblings have responsibilities to each other and their parents. In a family with a disabled child, the reality is there may be more demands on siblings and more confusion about roles and responsibilities. As siblings get older, it is important to make sure clear guidelines and expectations are set. It is also critical that rules, responsibilities and consequences exist for the disabled child with the disability as appropriate to his or her cognitive level. 6. It’s Not All About TSC. As a parent to a child with TSC, his or her needs may be, by necessity, the major focus of each day. It is important that siblings go at their own pace in learning about TSC, their participation in fundraising events and their interest in the daily details of disease management. Parents should remember that although TSC has control over many aspects of the family, it does not define the family. A family’s dynamic is determined by the values it deems important. Being a family affected by a disease or disability often enhances love, respect, tolerance and acceptance. 7. Supporting the Non-Disabled Child. Frequently non-disabled children have difficulty discussing feelings related to the disabled sibling. No matter how often they were guided and taught, logically, that their brother or sister is “different,” “special” or “sick,” those concepts are difficult to always remember. Here are some tips: •It is crucial for parents to keep the lines of communication open – ask P E R S P E C T I V E 18 specifically, “How did it make you feel when your brother started to get overwhelmed at the mall today?” The non-disabled child surely felt the same as the parent did – irritated, maybe angry, embarrassed and frustrated. By validating his or her feelings and agreeing, that while you love the child, it is also hard being the parent. •Learn to recognize behaviors such as temper tantrums or other attention-seeking methods and discuss them as soon as possible. Often children do not have the words to express their anger and frustrations, and they may feel guilty because while they logically understand that their sibling cannot control some behaviors or medical situations – it does not mean it is easy to accept the situation. •Get outside help if necessary – some mental health organizations and disability advocacy organization offer sessions specifically for siblings of disabled children. •When possible, try to limit the TSC talk, appointment scheduling, insurance company arguing and other time-consuming tasks related to disease management to times when children are not present. While this may be one of the most difficult recommendations as a parent is often at the mercy of the provider, it’s important for children to feel their parents are present in their lives instead of pre-occupied all the time. This suggestion will make for a more productive conversation with the provider and not interrupt valuable time with children. While making breakfast, reviewing a child’s homework from the night before and talking to the insurance company about a denial letter may seem like the ultimate in multi-tasking to a parent, but to a child it seems like disinterest. •Talk in positive terms of the family. Let personal family values dictate beliefs and what is important in life. Remind the child that all families face different situations and that if they did not have a disabled brother or sister, life would not necessarily be better – though acknowledging it would be different. In each family, roles are assumed, rivalries occur, interests vary and parents are preoccupied. Do not allow the disabled child to become the scapegoat for all family circumstances. You Can Do It It is often said that being a parent is the hardest job in the world. Many would argue that being the parent of a disabled child is even harder. However, being a sibling is also difficult – being a sibling to a disabled brother or sister adds additional layers of challenges. It is important to remember that all families are families first, acknowledging the stressors all members experience related to being affected by a disabling disease and accept that despite this the goal, it is critical to keep the family supportive, loving and strong. By focusing on this goal many families facing disabilities find they are more supportive of each other, more loving toward each other and stronger in the face of all things challenging. TSC Natural History Database Project Update T he TSC Natura l Histor y Database (TSCDB) Project will complete its six-month pilot phase in April 2007. The Clinic Without Walls at the Minnesota Epilepsy Group® (Michael D. Frost, M.D.) and the TSC Clinic at the Texas Scottish R ite Hospital for Children ( Steven P. Spa raga na, M.D.) were selected by the TSCDB Steering Committee to enroll 40 or more individuals with TSC at their respective clinics. During the pilot phase, both clinics will report any database user function problems and suggest possible programming to be considered before launching Phase 2 of the project, when six more TSC clinics will begin enrolling participants in June 2007. 19 S P R I N G 2 0 0 7 At the time this issue of Perspective went to print, the two pilot sites collectively have enrolled 75 individuals with TSC for the project. Each TSC clinic is entering their medical information including diagnoses, tests, treatments, symptoms, gene type (TSC1 or TSC2) and family history into the database and will continue to collect new information throughout their lifetimes. Lori Matasovsky and two of her adult-aged children have TSC. Lori says they have been going to the Minnesota Epilepsy Group® for more than a decade. When asked why she agreed to participate in the TSC Natural History Database Project through The Clinic Without Walls, she expressed a need for increased awareness about TSC not only in the workplace but also among families. She cited her own experience of being diagnosed with epilepsy as a child but not learning that she also had TSC until she was in her early 40s. Lori hopes information about herself and her children will in some way help others with TSC in the future, “so they don’t have to go through so many years of being misdiagnosed, or not knowing that they have this genetic disorder.” Check the TS Alliance website at www.tsalliance.org for any new information about the database project. Announcements will also be posted as each of the next TSC clinics gains approval to begin enrolling participants. Tu b e r o u s S c l e r o s i s A l l i a n c e Adult Network Update I know I missed the column the last issue. I was dealing with more weighty medical problems again, such as my second embolization (the first was in 2003). I had about six angiomyolipomas this round that were between 6-8 cm, so it was time to do something about them. In this column, I want to expound on a few important items addressed in the last issue of Perspective. Because of all the medical issues I’ve had in the last few years there are a few things that have taken on greater importance to me as the years go by. One is participation in clinical trials, and the other is government advocacy. A few yea rs a go, I wrote a n article for Perspective about my first National Institutes of Health (NIH) experience. The article focused how empowering and important that visit was, even though it revealed I had Lymphangioleiomyomatosis (LAM). That visit still empowers me, even though I have not had as many visits as I’d like due to all my health issues in the past few years. Every time I go to NIH, I learn something new to help myself better understand and cope with my TSC and LAM. I also feel secure that if my pulmonologist and nephrologist are finding similar things when they examine me, everyone is on the same page and I am getting the best care possible. Now, not only through the NIH, but also through the TS Alliance, drug trials are possible for medications that may hold possibilities in helping us live and cope better with these diseases. Participation in trials, even if they are not treatment-based, can be fatiguing and sometimes inconvenient, but they yield a bounty of information – important information for you and for everyone who treats you to function as a team and obtain the best care possible. I say this because I urge people to educate themselves, and if they are a good fit, to participate in clinical trials. Tu b e r o u s S c l e r o s i s A l l i a n c e You are not only helping yourself, but others and researchers who need to better understand the course of TSC and for those of us who have it, LAM. Ho w d o e s t h i s t i e i n w it h government advocacy? Well, some TSC research is funded with government dollars. So is NIH. Every year I visit with my congressional representatives (as many as I can squeeze in) to talk about my TSC, the importance of NIH and TSC research, and how it has all saved my life. Quite honestly, the lung collapse I experienced this past March was lifethreatening. Had I not known from the NIH, the TS Alliance and LAM Foundation what a lung collapse was and what to look for I might not be here today. Having experienced lung collapses before, I was better equipped to cope and deal with it in the best manner possible and to know that something was greatly amiss with this last one because of its symptoms. It was a tension pneumothorax and time was of the essence. Had I not had the screening at NIH and not been pointed there by friends from the TS Alliance, I might have struggled alone for several years feeling lost and hopeless as to what to do and who to see. Because my doctors keep very close tabs on my health, most issues, even ones as concerning as kidney tumors, are mostly nipped in the bud before they become a real problem. This too is a lifesaver. So my friends, I am not trying to be grim and depressing, but to stress the importance of these services. We need to protect and utilize them. I used to think it very daunting t o a ppr o a c h my c on g r e s s i on a l representatives, but it is very easy. The TS Alliance government advocacy training really makes it simple to do. Congressional representatives actually do appreciate hearing from their constituents, and most are very supportive and understanding and usually help fight to protect NIH funding and the Congressionally Directed Medical Research program. Meet ing w it h t hem is not a s intimidating as it sounds. I was very nervous for my first appointment, but was just honest and upfront about why I was there and what I needed from my congressional representative. At the second appointment I was much more poised and at ease. This information is timely, because the next Adult Summit is scheduled for April 22-23, with time set aside to contact your representatives. The TS Alliance’s annual “March on the Hill,” taking place in March, also offers a prime opportunity. But even if you just email or call on your own when convenient, our issues regarding TSC research funding are vitally important. It is essential that representatives hear from multiple people – the more they hear from, the more pressure and incentives exist for them to help. However, it has been in my experience with Senator Johnson’s office in South Dakota (my childhood state), one voice does make a difference so take the initiative to reach out. Finally, the Adult Network is thinking about creating a hospitality group for those who attend the NIH for TSC/LAM treatments – maybe we all go out to dinner, meet with the Metro DC Community Alliance, engage in a group activity or just sit and talk to one another? This approach could offer a bright spot and a break from all the NIH testing and activities as well as a chance to make new friends. Please email me to let me know what you think. As always if you have questions or concerns, feel free to email me or another member of my committee. We are always here to listen. Best, Nikki nikkiseefeldt@gmail.com P E R S P E C T I V E 20 TSC Clinics To schedule an appointment, contact Kathleen Pawlik, M.S.N., R.N., C.P.N.P. at 313-745-5788. Children’s Hospital at Vanderbilt For more information or to schedule an appointment call:(615) 936-5536. St. Paul Dallas The TSC Clinic Without Walls, A Branch of Minnesota Epilepsy Group, PA® of United Hospital and Children’s Hospitals and Clinics Minnesota For appointments, call Carol Hoskins, R.N. (Pediatric) at (651) 241-5290; Cathy Folland, R.N. (Adults) at (651) 241-5290; or Elizabeth Siqveland, R.N. (Neurocutaneous Clinic at Children’s Clinics-St. Paul) at (651) 220-6745. Texas Scottish Rite Hospital for Children For appointments contact either Lisa Tran, R.N. at (214) 559-7549 or Catherine Thompson at (214) 559-7818. Email: TSCclinic@tsrh.org Loma Linda The TSC Clinic at Loma Linda University Medical Center and Children’s Hospital To make an appointment, contact Melinda Richardson, R.N. at (909) 835-1810. Los Angeles TSC Clinic at UCLA To schedule an appointment, contact Angela Perez at (310) 206-4037. Oakland The Jack and Julia Center for Tuberous Sclerosis Complex at Children’s Hospital and Research Center at Oakland To schedule an appointment, contact Leslie Angeles at (510) 428-3885 ext. 4543. St. Louis St. Louis Children’s Hospital Division of Pediatric Neurology For appointments, call Terri DeVault at (314) 454-4089. Hartford Neurogenetics Clinic at Connecticut Children’s Medical Center To schedule an appointment, call (860) 545-9460. New York City The Tuberous Sclerosis Center at New York University Medical Center To schedule an appointment, call Maria Jimenez at 212-263-8378. Fairfax, Virginia Children’s Regional Outpatient Center For information on the clinic or to schedule an appointment, contact Nancy J. Elling, RN, BSN, CPN at (571) 226-8343. Miami Miami Children’s Hospital To schedule an appointment, contact Patricia Dean, ARNP, MSN or Jessica Cardelle at (305) 662-8342. Children’s Hospital Medical Center Tuberous Sclerosis Clinic To schedule an appointment or for information, contact Melody Gulleman at (513) 636-4222. Email: TSclinic@cchmc.org Cleveland University of Chicago To schedule an appointment contact Sharon at (773) 834-8064. Boston Philadelphia The Carol & James Herscot Center for Children and Adults with TSC at Massachusetts General Hospital To schedule an appointment, contact Zaida Ortega at (617) 726-0241. University of Pennsylvania Medical Center Co-Directors: Peter Crino, M.D., Ph.D. and Katherine Nathanson, M.D. To schedule an appointment, contact Margo Aragon at (215) 349-5312. Multi-Disciplinary Tuberous Sclerosis Program at Children’s Hospital Boston To schedule an appointment with Mustafa Sahin, M.D., Ph.D. in Pediatric Neurology, call Jody Heffernan at (617) 355-2711. Pittsburgh Detroit Nashville Children’s Hospital Michigan The TSC Clinic at Monroe Carell, Jr. 21 S P R I N G 2 0 0 7 The TSC Clinic at Memorial HermannTexas Medical Center University of Texas Medical School at Houston To find out more about the clinic or to schedule an appointment, call Gayla Roberson, RNC, TSC Clinical Coordinator at (713) 500-7032, Office Hours Mon-Wed 9 a.m.-5 p.m. NEW TSC CLINICS OPEN IN THE ROCKY MOUNTAIN AND SOUTHERN REGIONS Denver, Colorado Cincinnati TSC Care at CCF (The Cleveland Clinic Foundation) For more information or to schedule an appointment, call toll-free, 1-800-CCF-CARE ext. 5TSC6 (1-800-223-2273 ext. 58726), or e-mail tsc_care@ccf.org Chicago Houston Children’s Hospital of Pittsburgh To schedule an appointment, contact Carol A. Smith, C.R.N.P. at (412) 692-7569. Paul Levisohn, M.D. has started a Tuberous Sclerosis Complex (TSC) Clinic at The Children’s Hospital in Denver. The Children’s Hospital TSC Clinic meets once a month for children with TSC and offers services from the following specialties: dermatology, genetics, neurolog y, nephrolog y, neuropsycholog y, and ophthalmology. For more information or to schedule an appointment, call Dee Daniels, P.N.P., at (303) 861-6895. Birmingham, Alabama E. Martina Bebin, M.D., M.P.A. and Bruce Korf, M.D. started a TSC Clinic at the University of Alabama Birmingham (UAB). Beginning April 2, The UAB Tuberous Sclerosis Complex Clinic will meet the second Tuesday of every month to care for children and adults with TSC. The clinic is located on the first f loor of the UAB Hugh Caul Genetics Building. The following specialists attend the clinic: Dr. Bebin (neurolog y, epilepsy), Dr. Korf (neurology, genetics), Dr. Theos (dermatology), and Christina Barger (genetic counselor). Additional subspecialty consultation is available as needed in endocrinology, nephrology, neurosurgery, ophthalmology, and pulmonology. For an appointment, call Vicki Garmon in the UAB Department of Genetics toll-free at (888) 822-4362 or (205) 934-5567. Tu b e r o u s S c l e r o s i s A l l i a n c e Volunteer Outreach Program Join a Community Alliance Near You N ow in 30 regions across the country, Community A lliances (volunteer branches of the Tuberous Sclerosis Alliance) host educational meetings and support groups, work together to increase awareness of our cause and organize incredible special events. Becoming part of a Communit y A l l i a nc e prov ide s a wonder f u l oppor tunit y for you to connect with other individuals living with tuberous sclerosis complex, parents, grandparents, relatives and health ca re professiona ls in your loca l area. In just the past f ive years, volu nte er s h ave or g a n i z e d a nd continue to lead these 30 branches of our organization. Whether you would like to help in delivering updated packets of information to local health care professionals, want to form a walkathon team for a local Step Forward to Cure TSC or are interested in taking a more active leadership role, we encourage you to contact the chair of your Community Alliance. We are also thrilled that several new Community Alliances are being formed to help us reach even more individuals and families. Kick-off meetings taking place this winter and spring include Baton Rouge (LA), Birmingham (AL), Corpus Christi (TX), Mobile (Alabama Gulf Coast), and Sacramento (CA). If you are unable to attend a kick-off meeting but are interested in getting involved locally or for more information on how you can start a Community Alliance in your area, let us know by calling (800) 225-6872. To find out more about activities taking place in your local area, visit the websites listed below or contact the Tuberous Sclerosis Alliance. Tu b e r o u s S c l e r o s i s A l l i a n c e TS Alliance Community Alliances TS Alliance of the Heartland – Iowa www.tsallianceheartland.org Susan Ballantyne, Chair Cindy Blackard, Vice Chair TS Alliance of Arizona www.tsalliancearizona.org Debora Moritz, Chair TS Alliance of Houston www.tsalliancehouston.org Lucy Martinez, Chair TS Alliance of Atlanta/ North Georgia TS Alliance of Indiana www.tsalliancegeorgia.org Reiko Donato, Chair Dee Triemer, Vice Chair www.tsallianceindiana.org Christine Davis, Chair Roma Hinton, Vice Chair TS Alliance of the Carolinas TS Alliance of Intermountain West - Utah, North Carolina and South Carolina www.tsalliancecarolinas.org Catherine Warman, Chair Amy Quintana, Vice Chair Idaho, Nevada and Montana www.tsallianceinterwest.org Julie Fleming, Chair Valarie Rhead, Vice Chair TS Alliance of Connecticut www.tsallianceconnecticut.org Jennifer Waldron, Chair TS Alliance of Kansas City TS Alliance of the Dallas/ Ft. Worth Area www.tsalliancekansascity.org Lisa Hart and Laura Kozisek, Co-Chairs Amy Dublinske, Vice Chair www.tsallianceDFW.org Tricia Bodnar and Maria Cole, Co-Chairs TS Alliance of Metro DC TS Alliance of the Delaware/Lehigh Valley - Southeast Pennylvania, Northern Delaware and Southern New Jersey www.tsalliancedelehigh.org Shelly McFadden, Cindy Richards and Liz Saadoun, Co-Chairs www.tsalliancemetrodc.org Julie Blum, Chair TS Alliance of Michigan www.tsalliancemichigan.org Treasa Bolger, Chair Matt Bolger, Vice Chair TS Alliance of Florida TS Alliance of Middle Tennessee www.tsallianceflorida.org Barbara Alvarez and Debora Yohn, Co-Chairs www.tsalliancemedtenn.org Elizabeth Hauler and Mark Martin, Co-Chairs TS Alliance of Greater Chicago TS Alliance of New England- Maine, Massachusetts, www.tsalliancechicago.org Lisa and Jay Smiley, Co-Chairs New Hampshire, Rhode Island and Vermont. P E R S P E C T I V E 22 www.tsalliancenewengland.org Karin Sullivan, Chair Jeff Hargreaves, Vice Chair TS Alliance of New Jersey www.tsalliancenewjersey.org Sherrie and Dennis Busel, Co-Chairs Discussion Groups) Maureen Reyes, Chair April Cooper and Christy Hobart, Co-Chairs TS Alliance of the Pacific Northwest – Washington State TS Alliance of the Upper Midwest www.tsalliancepacificnw.org Susan Jorski, Chair Courtney Peters, Vice Chair Minnesota, North Dakota, South Dakota and Western Wisconsin www.tsallianceuppermidwest.org Jim Hable, Chair Missy Anderson, Vice Chair TS Alliance of the New York Metro Area www.tsalliancenymetro.org Peggy and Tommy Lindsey, Co-Chairs Francine Ostrow, Co-Chair TS Alliance of Northern California TS Alliance of the Rocky Mountain Region- Colorado, New Mexico and Wyoming www.tsalliancerockymtn.org Dana Holinka, Chair Catherine Warman, Vice Chair www.tsalliancencalifornia.org Shannon Hackley-Leal, Chair TS Alliance of St. Louis and Southern IL TS Alliance of Ohio www.tsalliancestlouis.org Rene Friedel and Dave Henke, CoChairs www.tsallianceohio.org Jim and Nancy Weir, Co-Chairs TS Alliance of Virginia www.tsalliancevirginia.org Linda Wolters, Chair TS Alliance of Western Pennsylvania www.tsalliancewestpa.org LuAnn Keppel and Mike Seaman, Co-Chairs TS Alliance of Wisconsin TS Online Community Alliance TS Alliance of Southern California www.tsalliance.org (click “Online www.tsalliancescalifornia.org www.tsalliancewisconsin.org Kristin Champagne, Vice Chair Community Alliances Partner with Visiting Experts I n 2005, the Tuberous Sclerosis A lliance in cooperation with Community Alliances nationwide created the “Meet the Expert” series as part of our educational outreach ef forts. These semina rs pa rtner TS Alliance Professional Advisory Board members, TSC clinic directors and TS Alliance researchers with local communities as they travel for professional conferences or are invited to speak to Community Alliances. It provides a unique opportunity to hear from TSC “experts” from out of town who donate time to share their expertise. In the first year of the program, seven “Meet the Expert” seminars took place. 23 S P R I N G 2 0 0 7 The TS Alliance extends its deepest appreciation to the following experts for donating their time and talent in the fall of 2006: •John Bissler, M.D. traveled to Houston, Dallas and St. Paul (MN) to meet with members of the local community and give a talk on Renal Manifestations and Treatment Options. •Mark Mausner, M.D. traveled to Atlanta, meeting with local healthcare professionals as well as community members to talk about Skin Manifestations and Treatment Options. •Mustafa Sahin, M.D., visited with families in Albany (NY) and Pittsburgh discussing Seizure Types, Treatments and updates on his research. •Orrin Devinsky, M.D., Kevin Ess, M.D., Ph.D., Michael Frost, M.D. , Susan Koh, M.D. , Steven Sparagana, M.D. , Elizabeth Thiele, M.D., Ph.D., and Ajay Gupta, M.D., F.A.A.P., met with Southern California families in early December while in town for the American Epilepsy Society meeting. Dr. Thiele presented an update on TSC research and then the panel answered questions from attendees. I n 20 07, “Me et t he E x per t” seminars are planned for Dallas, Washington D.C., Philadelphia, Boston and Southern California. Look for a meeting announcement near you. Tu b e r o u s S c l e r o s i s A l l i a n c e STAMP OUT TUBEROUS SCLEROSIS by participating in a NATIONAL LETTER-WRITING CAMPAIGN. Letter-writing campaigns are a fun and easy way to help raise needed funds and build awareness for tuberous sclerosis. We Need Your Help! It is not too early to request your STAMP OUT Tuberous Sclerosis guide. Simply call 1-800-225-6872 to get started today! 801 Roeder Road, Suite 750 Silver Spring, MD 20910 Visit the TS Alliance Online Store today at www.tsalliance.org! Non-Profit Org. U.S. Postage PAID Capital Hts, MD Permit No. 6041