Musings of a Marfan Mom

February 11, 2014
by marfmom
29 Comments

Advocacy…Are You Doing it Effectively?

I’ve been thinking a lot recently about what it means to be an effective advocate. In addition to being active in the Marfan community, I’ve also been involved (to a lesser extent) in autism communities. (I say communities because the organizations and their missions vary widely and I have yet to find an organization whose mission and activities I can fully support.) I’ve seen advocacy approached in a variety of ways among both diagnoses’ communities – some of which I think are more effective than others – and from that I’ve created some rules of advocacy.

The first rule is a long-standing philosophy, and that’s “nothing about us without us.” No decisions affecting whomever you’re advocating for should be made without the input of that community (typically referred to as self-advocates), inasmuch as that is possible (meaning people of that community exist to consult…some diseases may have a very short life expectancy). I hope I don’t have to explain all the reasons it’s important for self-advocates to have a say in how they’re talked about and what programs are developed for them!

The second rule of advocacy is to assume love. Start with the assumption that most people really do want to do the right thing, even if you don’t agree on what the right thing is. In a perfect world, what self advocates want and what parent advocates want would always line up exactly. But, parent advocates are often not affected with the condition themselves (i.e. – many autism parent advocates I know are not also autistic), and even if they are, their opinion may be different from their child’s. (I know what it’s like to have Marfan syndrome, but how J ultimately feels about having Marfan may completely differ from me.) Still, even with these differences, we can assume that most parents love and want what’s best for their children. That assumption makes…

Responding with patience easier. When you’re doing advocacy work of any kind, people are going to offend you. People are going to advocate for, do, or say things that you believe are wrong. You should absolutely speak up! The way in which you respond though will have an impact on how your message is received. For example, I may disagree with parents who refuse to allow their child the option to participate in the Marfan and related disorders community. But, I can understand that there are probably many reasons for their decision, including fear of the present or future, lack of understanding about how the Marfamily functions, lack of knowledge about potential benefits, or past bad experiences (either related to Marfan or not). I will have better luck at perhaps changing their minds if I take the time to get to know them and try to see where they’re coming from first. If I jump to a conclusion/assume my story is their story, or assert my position as the only possibility immediately, I’m liable to close doors.

I would also say it’s more effective to argue an idea rather than an individual. Public shaming usually puts people on the defensive, and that closes doors. Taking someone aside, meeting them where they’re at in their beliefs, and then bringing forward your argument has a greater chance of working. That doesn’t mean you agree with their beliefs, or ignore what it’s important to you, it just allows the other person to feel heard. And while you may not agree on one issue (such as the importance of a cure), you may see that you can move forward together to work on something else (like expanding acceptance in schools). That is still an advocacy win!

Lastly, know when to walk away. Changing people’s minds takes time. They may not be ready to hear what you have to say, or they may fundamentally disagree with you and that will never change. You can’t win over everyone.

Are there any rules you’d add to this list?

February 10, 2014
by marfmom
7 Comments

Valerie, Allison, Julie, and Larry’s Story

Today’s guest post comes from Valerie, who shares the story of her family’s Marfan syndrome diagnosed. Valerie, thanks for helping spread awareness during Marfan Awareness Month!

“I may be speaking out of school here, but have you ever heard of the Marfan syndrome?”

Those are words I will never forget. It was the summer of 1996 and my daughter Allison was approaching her sixth birthday. The physical therapist from her elementary school suggested we see a podiatrist because she was concerned my daughter potentially had flat feet. As the doctor held my daughter’s foot in his hand, I watched as he gently rotated it almost all the way around. Allison’s height, her long, thin limbs and her loose joints prompted the question. He strongly suggested we investigate the Marfan syndrome. And that’s how our journey began.

Following our trip to the podiatrist, I mentioned Marfan syndrome to our primary care physician. A quick glance at the Physician’s Reference Guide and he agreed we might be on to something. Referrals were made so that a clinical assessment could be done. It took months, almost a full year in fact, to see all of the specialists. Allison clearly had the skeletal features and the cardiac signs however she lacked the ocular component. Therefore, the genetics department began looking at her Dad and me to see if either of us exhibited the characteristics of the Marfan syndrome. In the spring of 1997 Larry and Allison were both diagnosed. We were told to bring our daughter Julie back in three years for another assessment because at that time it was believed she did not have it.

Keep in mind that this was in the era before the explosion of the internet. Any information we gleaned about the Marfan syndrome came from medical journals and at that time the information was not too hopeful. Fortunately, I connected with the Marfan Foundation and they not only provided brochures with accurate, up to date information, they connected me to the president of our state chapter. She persuaded us to go to our first Marfan Foundation conference in New York City. At the time, my husband still did not digest the complexities of the disorder. It wasn’t until he was involved in conversations where he heard about multiple surgeries, dissections, aneurysms, etc. that he began to comprehend the seriousness.

In April of 2000, Larry, at the age of 39, suffered a Type B aortic dissection. It was a miracle he survived it. This was one of those defining moments that changed our family forever. Over the next fourteen years Larry has had multiple hospitalizations, multiple surgeries, MRSA, permanent disability and now, hospice care.

At some point we were asked to participate in a study. Genetic testing was new to the Marfan community and we were willing to donate blood samples for gene mapping. That was how we learned that Julie had the mutation, too. Frankly, getting the news of her diagnosis was very difficult for me to adjust to. Unlike her sister, she did not exhibit “the signs.” I desperately wanted her to be normal. I did not want her to endure the same pain as her dad and sister. Unfortunately, as she has gotten older, a whole host of problems have arisen. Before the end of high school she needed a spinal fusion. Scoliosis was so bad (three curves, 64 degrees, 45 and 34 degrees) it was affecting respiration and she had no choice but to get it fixed. About 15 months later, she had her aortic valve and an aneurysm repaired. She was 18 at that time. Most likely she will need her hip replaced soon because it pops out of the socket quite often.

In all honesty, there were signs from a very early age that Allison was somehow different from her peers. I can plainly recall a time when I took her and her infant sister grocery shopping. Halfway through the store, Allison collapsed on the floor in tears. She couldn’t walk, or so she said, because it hurt. She was three years old and I thought she was just looking for attention. Little did I know, the leg pain was quite real and it would be something that would torment her for years. It was not unusual for her to crawl from room to room because her legs hurt so much. Physical therapy and occupational therapy only helped somewhat. Soon it wasn’t just her legs that bothered her. Chronic chest pain was labeled costochondritis. The cardiologist have noted Tachycardia and Brachicardia at various times. X-rays show her ribcage is twisted plus her ribs literally can shift position. She has a combination of pectus excavatum and pectus carinatum. As a little girl you could see her breastbone protrude through her shirt in the shape of a “C.” Her arches collapse as she walks and her wrists flop. Dural ectasia is present. The list could go on! Most notably, when she was about 20 years old her cardiologist discovered her heart is “in the wrong place.” It has slipped. Chronic pain plagues her to this day.

Each time I take one of the girls to the hospital I tease them and say that other mothers and daughters go to get their nails done or go to the mall. We, on the other hand, go to specialists or spend time inpatient at the hospital. It’s a very real part of our lives yet I refuse to let it define us.

We do not know if Larry was a spontaneous mutation or if there is a genetic history somewhere. He was adopted at the age of 8 months. Looking at photographs from when he was a child and it is quite evident that he displayed a Marfan habitus. But who knew? Who knew that complications from the Marfan syndrome would bring him to this place of chronic illness and disability?

Yet, as bad as we’ve had it I know there are families suffering far worse than us. Fortunately there is a network of people who understand and empathize. There are other mothers and fathers who know what it’s like to send a child into surgery, or to fight with the school for accommodations, or to wonder about the safety of shooting baskets in the driveway. The Marfan community is there to support us! For that I am grateful!

Marfan syndrome affects our lives every single day and the lives of too many others. I think you’ll agree that a cure needs to be found. It is not enough to extend the lives of Marfan patients. What’s needed now is a way to add quality of life, not just years to their lives.

Girls with Marfan syndrome

Allison and Julie

February 7, 2014
by marfmom
2 Comments

Friday Favorites

It’s Friday, which means it’s Friday Favorites time! Come on over and link up a favorite post that you wrote this week! Amy and/or I will come over and comment on each of your posts. I hope that you’ll spread the love and visit the blog or two above yours too.


Friday Favorites with Musings of a Marfan Mom & Anktangle