The Whitted Family

Nedra Whitted smiles at her grandson Stanton as the two sit together

“It takes a village, it’s true. The Division of Specialized Care for Children is part of that village -- an integral part.”

— Nedra Whitted, grandmother to Stanton

“It takes a village.”

Stanton Whitted is a little superhero, according to his grandmother Nedra.

His short life has been a series of new diagnoses, physical and developmental delays, medical procedures, therapies and treatment plans.

With the help of the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) and other community supports, Nedra says Stanton is now a precocious 5-year-old showing more potential than she thought possible.

“I see him blossoming. I’m seeing him grow. I’ve seen how far Stanton has come because I utilize the services” Nedra said. “I really think he’s a little superhero and he’s been given a chance with all these little angels that have been following him through his journey. (DSCC) and your staff have been some of those angels.”

“A job in itself”

Stanton Whitted smiles as his wheelchair is lowered from his school bus

Stanton Whitted gets off of the school bus after his school day at the Illinois School for the Deaf.

When Stanton was born, he had trouble breathing. Doctors soon discovered he had blocked nasal passages. He needed surgery to fix the issue and stayed in the neonatal intensive care unit.

While in the NICU, doctors also found Stanton had agenesis of corpus callosum, which is a partial or complete absence of an area of the brain that connects the two cerebral hemispheres. As a result, Stanton is missing part of his pituitary gland, which regulates his body’s growth hormones.

He has problems with his depth perception and the signals he receives from his brain to move his limbs. Therefore, he has trouble walking long distances and falls often.

As he grew older, Stanton was also diagnosed with hearing loss, sleep apnea, vision problems and Landau-Kleffner Syndrome, a rare form of epilepsy that causes seizures and speech delays.

“It seemed like every single time he went to the doctor, he had some new condition,” Nedra recalled.  “It’s a job in itself just to keep up with his medical issues.”

“A translator to the medical world”

Before Stanton turned 3, one of Stanton’s Early Intervention providers told Nedra about DSCC. He became enrolled with the Chicago Regional Office.
“That’s when everything started happening,” Nedra recalled.

“It’s not just a service that’s provided, it’s information on the diagnoses. It’s almost like a translator to the medical world,” she said of DSCC’s Care Coordinators. “You realize how valuable it is to be able to speak with someone who knows about different programs and support groups.”

DSCC was able to help pay for a gait trainer and other equipment to help Stanton’s mobility.

In 2017, DSCC invited Nedra to take part in the Institute for Parents of Preschool Children who are Deaf or Hard of Hearing. The Institute is a free one-week program at the Illinois School for the Deaf campus in Jacksonville. Parents and caregivers attend daily lectures by experts in the field to learn about raising a child with hearing loss. The children attend classrooms overseen by experienced teachers of children who are deaf or hard of hearing.

Stanton Whitted works on a project with his aide at Illinois School for the Deaf.

Stanton Whitted works on a project with his aide at Illinois School for the Deaf.

Nedra said the experience was life-changing. She fell in love with the Illinois School for the Deaf and decided to move from Chicago to Jacksonville so Stanton could attend full-time.

“Somebody I could call”

Robin Mahnken from the Springfield Regional Office became the family’s DSCC Care Coordinator. Nedra said Robin helped Stanton transition to new providers in central Illinois.

DSCC also gave Nedra access to sign language videos, where she can learn to sign at her own pace in her own home. These lessons help Nedra keep up with communication methods that Stanton learns at school.

Nedra doesn’t drive, so Robin helps her arrange transportation to Stanton’s medical appointments.

Immediately after the move, Nedra and Stanton still had to commute to Chicago for his medical care.

“Robin worked with all of the Rush (University Medical Center) people to get all of his appointments scheduled and find me housing in the medical district. So, instead of us having to come back three or four times in a month, we were able to get all of our appointments within two or three days,” she said.

When Stanton undergoes medical procedures, Nedra says Robin will check in often. She’s even gone up to the hospital and stayed with Nedra while she waits.

“I’m kind of isolated here, and she’s somebody I could call to give updates to,” she said.

“It takes a village”

Robin also helps Nedra find local specialists who understand Stanton’s unique health challenges.

Because of his frequent falls, Stanton has several broken teeth that need fixed. He’ll need sedation and has experienced complications with anesthesia in the past. Robin is helping them find a pediatric dentist who can safely address these issues.

“How hard would it be for me to go through this by myself with trying to find somebody who could do his dental work that would respect my knowledge as a grandma,” Nedra said.

“Robin’s seen the growth, physically and emotionally, so it’s good to have somebody there who you feel cares for your kids.”

Nedra says Stanton is a living testimony to how programs like DSCC and Early Intervention services pay off.

“People don’t understand how much it has taken to get him where he is right now… It takes a village, it’s true. The Division of Specialized Care for Children is part of that village — an integral part,” Nedra said.

“I now have a functioning, laughing, happy boy who has a future.”

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The Jamison Family

Portrait of Division of Specialized Care for Children participant Everett Jamison

“I can’t say enough about the DSCC organization and how amazing it is to have something like this to help you through these hard times.”

— Trisha Jamison

“That’s just what I need.”

Trisha Jamison doesn’t like to sugarcoat things.

Her son’s journey with a rare form of epilepsy has been a hard battle and an emotional roller coaster.

“To watch your small child have a seizure for an hour and be so helpless is the absolute worst feeling in the world,” Trisha said.

Everett Jamison, 3, has Dravet syndrome (DS), which causes frequent and/or prolonged seizures and developmental and cognitive delays. He’s been enrolled with the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) since 2017.

Trisha said Everett’s DSCC Care Coordinator has provided valuable emotional support and resources to navigate the medical, social and financial issues that come with Everett’s condition.

“Sarah Kelly is an amazing person and she has helped us with so much,” Trisha said. “For example, I reached out to Sarah about help getting us a cooling vest for Everett.”

Everett typically didn’t go outside because heat can trigger his seizures. Additionally, one of his medications doesn’t allow his body to sweat, and DS children have a hard time regulating their body temperature.

“Just like that, Sarah was hard at work and got us one, “Trisha said.

“She’s also someone I can vent to and bend her ear. I have emailed her about issues with doctors and she just listens to me, and that’s just what I need.”

With the stress of raising a child with special needs, Trisha said it’s important to have someone on the outside who can listen.

Sarah was also a valuable resource to the Jamisons when they needed to find a local pharmacy to do compounding for one of his medications.

“I can’t say enough about the DSCC organization and how amazing it is to have something like this to help you through these hard times,” Trisha said.

Though many challenges still exist, Trisha said Everett continues to work hard and exceed expectations.

Doctors initially told the Jamisons that Everett wouldn’t walk but with frequent physical therapy, he started taking steps in fall 2018.

As Everett grows, his seizures are evolving and becoming more frequent with different triggers, Trisha said.

“He’s pretty medically fragile these days,” she said. “However, even with all of these changes happening, he is walking A LOT. He’s still not talking, but he is so smart and I can see it.”

Trisha has channeled her efforts into raising awareness and funds for epilepsy research and support.

With the help of a friend who has epilepsy, Trisha started the successful “Seize Hope” fundraiser and awareness walk in her community. The proceeds go to the Dravet Syndrome Foundation, the LaSalle County Epilepsy Foundation and local families affected by epilepsy.

“We will continue to do this every year because it’s been proven our community supports us,” Trisha said.

“I do want to reiterate how important DSCC is in my family’s life,” she added. “Sarah Kelley is not just an ear to bend, a resource for us, but over the years I consider her a friend. She goes above and beyond to help and guide me.”

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Trooper’s Family

Trooper Orosco portrait

“The reassurance you gave me that (my Care Coordinator) was here and he understood and if I needed anything, I could just call or come to the office and it was OK. There was nothing we couldn’t handle.”

— Trooper's mom, Brandy Santiago

“You’re not alone.”

Parents can feel many emotions when their newborn is diagnosed with a medical condition.

Brandy Santiago was pregnant with her son Trooper Orosco when he was diagnosed with trisomy 21 (Down syndrome). Trooper then failed his newborn hearing screening after birth.

Brandy recalls feeling overwhelmed for the moment.

“But I knew it was going to be OK. I needed to learn the language of having a child with Down syndrome and then learn the language of having a child with hearing loss, too,” she said. “It’s like throwing yourself in a foreign country and you have to learn that language today. There were lots of mixed feelings for sure.”

Brandy says the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) has helped her family navigate this new world over the last four years.

Trooper Orosco smiling“Once we were introduced to (DSCC), I was given a guide,” she recalled. “I wouldn’t have known this world unless I was introduced to it, and that’s where you guys came in.”

After failing his newborn hearing screening, Trooper had a follow-up appointment. It confirmed conductive hearing loss in both ears.

DSCC learned of Trooper’s failed screening and reached out to his family. Trooper was just a few weeks old when a DSCC Care Coordinator met with Brandy at her home to recommend next steps and provide support.

“It was a relief and a feeling of you’re not alone because you feel lonely that you don’t know what you’re going to do,” Brandy said. “After (our Care Coordinator) left, I felt like we had some type of start. Before that, I didn’t have a start.”

Within three months, Trooper had his first set of hearing aids. He also started feeding therapies, occupational and physical therapy and Developmental Therapist Hearing Services.

“Going through that first year was just basically a lot of struggles with the whole process of getting ear molds (for hearing aids) with a baby,” Brandy said. “That was my biggest trial for our first year and then he got sick a lot.”

Brandy said she was thankful to have her own personal “Yellow Pages” of resources in the form of DSCC. She also appreciated the check-ins from her Care Coordinator.

“The reassurance you gave me that (my Care Coordinator) was here and he understood and if I needed anything, I could just call or come to the office and it was OK. There was nothing we couldn’t handle, even though it might have seemed in that moment like I couldn’t handle it,” she said.Trooper Orosco wearing hearing aids

For example, Brandy recalled an instance when Trooper’s daycare provider lost his hearing aids.

“I was spastic,” she recalled. “So that’s one of those situations where I call him and ask, ‘What do I do?’

“He said, ‘Don’t worry, we’ll see if it’s covered and if not, we’ll try this,’’ Brandy said. “It was covered and he got it all taken care of.”

In 2017, Trooper’s Care Coordinator told Brandy about a program that would be a huge help to her family – the Institute for Parents of Preschool Children who are Deaf or Hard of Hearing.

The Institute is a free one-week program held on the Illinois School for the Deaf campus in Jacksonville. It includes daily lectures by experts in the field to learn about raising a child with hearing loss. Other activities include meeting in small groups to discuss specific concerns and connecting with other caregivers. During the Institute, children attend classrooms overseen by experienced teachers of children who are deaf or hard of hearing.

Trooper, his parents and one of Trooper’s older brothers all attended and had a great experience.

Brandy said she loved the opportunity to connect with other families of children with hearing loss. She also formed a close bond with another mom and the two remain good friends.

After the Institute, Trooper’s Care Coordinator helped connect his family with cued speech classes.

Today, Trooper is a rambunctious 4-year-old with energy to spare. He enjoys going to preschool and is working on ways to communicate.

“His name fits him literally,” Brandy said.

Brandy also passes on information about DSCC to other families of children with special healthcare needs.

“It can be an overwhelming feeling, but it’s OK, (DSCC) is there for you,” she said.

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Zayd’s Family

Former DSCC participant Zayd Jawad sits outside.

“(DSCC Care Coordinators and staff) were a shoulder to lean on. They showed that they genuinely cared about my well-being as I was growing up and through school. They really showed a lot of love and support for all of the hard things that we were going through."”

— Former participant Zayd Jawad

“These are people who really cared about me.”

Growing up with a rare disease can seem like an endless string of doctor’s appointments, painful procedures, puzzled expressions from providers and a lack of answers.

Zayd Jawad knows these feelings all too well. The 21-year-old was born with Hunter syndrome, a lysosomal storage disorder that affects his bodily systems and physical growth and development.

The University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) was a constant presence throughout his childhood and adolescence, providing much-needed reassurance to Zayd and his parents.

“They were a shoulder to lean on. They showed that they genuinely cared about my well-being as I was growing up and through school. They really showed a lot of love and support for all of the hard things that we were going through,” Zayd said.

“As you’re growing up as a kid and going to all these different appointments and it takes so much of your time, you think, ‘That’s all there is to life,’” Zayd said. DSCC’s interest and support of his goals and life outside of the doctor’s office made him feel “more like a whole person.”

This support gave Zayd hope. It also inspired him to share his story as an adult and promote the importance of patient-centered care in the healthcare field.

Former DSCC participant Zayd Jawad smiling and holding a microphone

“I have the ability to connect with people and I can use it to help people.”

“Everything was going to be OK”

Zayd was diagnosed with Hunter syndrome at age 5. The genetic disorder means his body is missing a key enzyme for his cells to function properly. The breakdown in function causes progressive damage to his lungs, heart and other organ systems. The missing enzyme also affects his hearing, mobility and immune system and has stunted his growth.

“I’m fun-sized. I’m good for traveling,” Zayd jokes about his 4-foot, 10-inch frame.

The Jawad family first enrolled with DSCC around 2003  to help cover the cost of Zayd’s hearing aids. Their Care Coordinator soon became a lifeline for the family.

“The biggest thing DSCC has done was giving guidance through a very complicated arena of people, places and payment. For example, they’d help us pay for services, but they’d also help refer us to services, such as orthopedic surgeons or therapies, and they referred us to ones they thought would be the best fit for me,” Zayd said. “Because of my condition and how rare it is, it was hard to find those providers.”

When Zayd turned 10, DSCC helped the Jawad family sort through insurance options so Zayd could receive regular enzyme replacement therapy, which he continues today. The therapy doesn’t cure his disease but slows down the effects, improving his quality of life.

“They took our hands and walked us through those complicated processes of insurance,” Zayd said. “When I started getting my enzymes, it’s one of the most expensive medications in the world. We had absolutely no idea how we could pay for it.”

Zayd said his Care Coordinator was like a second mother to him. And most importantly, she helped relieve his parents’ anxieties and fears and provided a partner they could trust.

“Children are really affected by their parents, and I felt more at ease because they had support and much less tension in the household because of DSCC,” Zayd recalled. “These are people who really cared about me and they made me feel like everything was going to be OK.”

“My story is important”

This personal connection was important to Zayd, especially since he often felt socially awkward and isolated from his peers during high school. After graduation, he enrolled at the local community college and took a public speaking class. He immediately found his passion and a newfound confidence.

Soon after, he received an invitation from his high school to be the keynote speaker for their disability awareness month.

“When I went there, I felt more alive than I ever did before. It got me started on this idea that my story is important and that I have the ability to connect with people and I can use it to help people,” Zayd said. “I realized I could help (patients) feel like they’re real people and really connect with them, kind of like DSCC did for me.”

Zayd is now studying communication with a focus on health at the University of Illinois at Urbana-Champaign. He hopes to one day run a healthcare company and speak to providers about the importance of focusing on patients’ unique values, strengths and overall wellbeing.

Zayd currently has a summer internship working as a patient liaison at his local hospital and is building his public speaking experience. He hopes youth with disabilities can learn from his story and know they are much more than their condition.

“A lot of the times when you have a disability, especially something that makes you seem a lot different than others, you get in this fixed mindset that you’re never going to get better,” Zayd said.

He challenges others to go outside of their comfort zone and work hard to master skills in areas where they may feel awkward or uncomfortable. He says it’s also important to practice gratitude, even when you have severe medical needs.

Lastly, but most importantly, Zayd encourages youth with disabilities to pinpoint their passion.

“Find something that you love and get really, really good at it,” Zayd said. “Then, as a young adult, you will feel a sense of confidence and pride.”

 

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The Doueihi Family

The Doueihi Family

“DSCC came at a time when we really, really needed it... (Our Care Coordinator) Sarah Kelly has tried everything in her power just to make our life easier. She is extremely, extremely helpful, kind and caring.”

— George Doueihi

“It gives you hope that somebody cares.”

Sabrina Doueihi was a typically-developing infant when her doctors discovered a fatty tissue on her spinal cord. They didn’t know how it would affect her or what the long-term prognosis would be.  A specialist could only tell her family one thing for certain – her ability to move was miraculous.

“He said, ‘As a physician, from what I see on the MRI, she shouldn’t be moving at all,” her father, George, recalled. “They called her a miracle child.”

The fatty tissue, called a lipoma, couldn’t be removed without risking Sabrina’s life. Over the years, the lipoma started to squeeze her spinal cord as she grew and affect her mobility. Now 16, Sabrina has lost the use of her limbs and uses a motorized wheelchair.

Sabrina Doueihi

Sabrina Doueihi

The Doueihis say the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) has helped them adjust to Sabrina’s changing needs and provide the right equipment and supports to foster her independence.

“DSCC came at a time when we really, really needed it,” George said. “(Our current Care Coordinator) Sarah Kelly has tried everything in her power to just make our life easier.

“She is extremely, extremely helpful, kind and caring,” he added. “She does not just go the extra mile for you; she goes 2,000 miles just to help you.”

After the lipoma on her spine was discovered, Sabrina started undergoing physical therapy and was referred to DSCC. DSCC provides free care coordination for youth with nervous system impairments and other special healthcare needs.

Sabrina’s DSCC Care Coordinators over the years have provided emotional support to the Doueihis and connected the family to valuable resources.

Their current Care Coordinator Sarah also helped the family navigate the change from private insurance to All Kids after George retired. DSCC was able to help the Doueihis pay for equipment not covered by their insurance as Sabrina became weaker and eventually unable to walk. This equipment includes an exterior wheelchair ramp and a wheelchair lift for their van.

Sabrina said she was delighted when the ramp was installed in their garage.

“I remember when I would get home from school, my dad was at work, so my mom had to help me get inside and there were steps, and it was hard on her to get me up,” she said. “Once we go the ramp, I just remember how relieved I was that my mom didn’t have to wrestle with me to get me inside.”

Sarah also has attended one of Sabrina’s individualized education program meetings to ensure her changing needs were being met at school.

“(Sarah) always wants to know what else she can do for us. Without her help, we probably wouldn’t be able to do what we’re doing right now with Sabrina,” George said. “She always calls and asks about Sabrina and how everything is going to make sure everything is all right. As a parent, you really appreciate that… it gives you hope that somebody cares.”

Sabrina said having the appropriate equipment and services to live as independently as possible is vital.

“It’s a lifesaver,” Sabrina said. “Growing up, I was always different from other kids but my parents never treated me different… It gives me confidence and maybe I don’t need someone around me 24-7 just to do something simple.”

Sabrina is currently a straight-A student in general education classes and getting ready to complete her sophomore year of high school. She currently hopes to attend the University of Illinois in Urbana-Champaign and major in pre-law so she can become an assistant U.S. attorney.

“I could speak up against oppression or discrimination against people from different races, sexual orientations and people with disabilities because a lot of people have helped me in my life and I want to give back to them,” Sabrina said. “I want to be a positive force in the world because I have that opportunity. My parents have given me everything I need to do that.”

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Payton’s Family

Payton sits in his wheelchair inside a van equipped with a ramp.

“(Our Care Coordinator) Beverly went above and beyond... If Beverly wasn’t able to help with something, she can always point me in the right direction of where I could turn.”

— Payton's mom, Kristy

“Don’t be afraid to ask.”

Eight-year-old Payton was born with a gene mutation so rare that it doesn’t have a name. The condition affects the STXBP1 gene and causes seizures, developmental delays, nonverbal communication and abnormal muscle movements.

“There are less than 250 people (with the mutation) that we know of worldwide,” Payton’s mom, Kristy, explained. “It is almost like a spectrum-type diagnosis… Doctors just don’t know much about it.”

What Payton’s family does know is that his symptoms are severe. He cannot walk or sit up and is nonverbal. However, he has no problem letting his happy, easygoing personality shine through. Payton loves his little sister, Hunter, and doing special extracurricular activities, like horseback riding and water therapies.

Kristy says the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC) has helped provide the accommodations, equipment and resources needed to help Payton stay active and comfortable as he grows.

Payton became enrolled with DSCC six years ago. His family qualified for financial assistance from DSCC to install a ramp in their home for Payton’s wheelchair.

“He’s getting bigger, and we were starting to have difficulties getting him in and out of our vehicle and his car seat,” Kristy said. “I contacted (our Care Coordinator) Beverly and she told me about the ways DSCC could help.”

DSCC was able to provide some financial assistance to modify the van with a lift, but the remaining price tag was still too expensive for the family to afford. Beverly then used her connections within the community to link Payton’s family with two charitable organizations to pay most of the remaining cost.

“Beverly went above and beyond,” Kristy said. “It’s been awesome. Now I can wheel him in and strap him down, and it’s so much easier without having to get him out of the chair and do multiple transfers.”

The modification helps the family of four’s busy lifestyle, especially now that Payton is in second grade and is increasingly involved in activities outside of the home.

Kristy said DSCC’s assistance and Beverly’s patience and hard work have helped make her family’s lives much easier. She also values Beverly’s knowledge of community resources and services and encourages other families to work with DSCC and ask what may be available to help their family.

“If Beverly wasn’t able to help with something, she can always point me in the right direction of where I could turn,” she said. “You just need to ask the question, and don’t be afraid to ask.”

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The Agarwal Family

Saurabh Agarwal smiling and seated with his daughter, Radhika; son, Ayush; and wife, Mukta.

“DSCC gave us the confidence to bring Radhika home... Staying at home is the most important part. It made us a family again.”

— Saurabh Agarwal

“The challenges are still there, but you feel like you are a family.”

In the summer of 2013, Radhika Agarwal was a healthy, active 11-year-old who earned straight A’s in school and loved swimming, soccer, softball and golf.

“She competed with all of the boys in the neighborhood,” her father, Saurabh, recalled.

That August, Radhika started having flu-like symptoms. Within just a few days, she had a massive seizure.

Saurabh and his wife, Mukta, called 911 and their daughter was rushed to the hospital. Radhika’s seizures wouldn’t stop, so she was placed in a medically-induced coma. She was diagnosed with refractory epilepsy with autoimmune limbic encephalitis.

The effects of the disease were devastating. With the help of the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC), the Agarwals were eventually able to bring their daughter home and find a new normal together as a family of four with her older brother, Ayush.

“You can’t imagine how one night can change your whole life in a few hours,” Mukta said. “It was like she was a baby. We had to teach her how to do everything.”

After that August night, Radhika was hospitalized in intensive care for four months and lost her ability to move and speak. She lost all of her muscle strength and was so weak, she couldn’t hold up a pencil to write her name.

Radhika received a tracheostomy to ensure she gets enough oxygen during her seizures and a gastrostomy tube for medications and nutrition. She also underwent intensive therapy at what is now the Shirley Ryan AbilityLab in Chicago.

Radhika eventually grew stronger and more stable. However, her parents developed a new set of worries.

“We were so scared to bring her back from (the AbilityLab). How were we going to take care of her?” Saurabh said.

Radhika became enrolled in the Home Care Program, which DSCC operates on behalf of the Illinois Department of Healthcare and Family Services. The Home Care Program helps youth who require skilled in-home nursing remain in their family home rather than a hospital or skilled nursing facility.

“We are not medical people,” Saurabh said. “DSCC gave us the confidence to bring Radhika home.”

A DSCC Care Coordinator began working with the Agarwals and walked them through all of the necessary steps and preparations needed for Radhika to transition home safely and smoothly.

Today, Radhika struggles with short-term memory, numerous cognitive issues and vision problems. She also needs assistance to walk. Radhika has a vagus nerve stimulation (VNS) device and is on a ketogenic diet to manage her seizers. She requires round-the-clock care but continues to make strides since returning home, her parents said.

Radhika attends a life skills program at her high school and goes to weekly physical, occupational and speech therapy appointments. She also does adaptive extracurricular activities, like golf and a hip-hop dance class.

The Agarwals say they are grateful for their DSCC Care Coordinator, Amber, who regularly checks in with the family, keeps track of information from Radhika’s doctor’s visits and therapy sessions and helps schedule new appointments.

“You feel a lot more confidence that someone is doing something on your behalf,” Saurabh said.

Most of all, the Agarwals are thankful for living under one roof together as a family.

“Staying at home is the most important part. It made us a family again,” Saurabh said. “The challenges are still there, but you feel like you are a family.”

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The Lance Family

“(DSCC has) been an emotional shoulder to lean on... They’ve helped connect us to various grants for funding and have taken pressure off of myself and my husband when it comes to contacting medical facilities and practitioners regarding services and approvals and payments.”

— Jessica Lance

“An emotional shoulder to lean on…”

Jessica Lance was the first-time mother of a 4-month-old infant when she was pleasantly surprised to discover she was pregnant with her twin sons, Gavin and Gabe.

Thus began a frightening journey to not only deliver the boys safely but help them grow and thrive into their childhood, with the support of the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC).

“The twins were diagnosed with twin-to-twin transfusion syndrome at 16 weeks gestation. The mortality rate is 100 percent if untreated,” Jessica recalled.

Twin-to-twin transfusion syndrome causes too much blood flow from the placenta for one baby and not enough for the other. Jessica said she and her husband, Tim, were given several options, two of which were terminating the pregnancy or letting nature take its course and delivering them stillborn.

“We chose do whatever we could to help them survive. They were tiny people with names and personalities already. Gavin was laid-back and Gabe was feisty,” Jessica said.

Gabe Lance

They tried two amnioreductions at 16 weeks and 18 weeks to remove excess fluid from Gavin but “both were Band-Aids on a bullet wound,” Jessica said. “The disorder had progressed too far and we were going to lose the boys.”

Jessica and Tim then decided to undergo experimental surgery for the twins called selective fetoscopic laser photocoagulation, which uses a small camera to seal blood vessel connections in the placenta.

“We were given a 90 percent chance of bringing one baby home and a 60 percent chance of bringing them both home. While it was too close to a 50-50 shot, losing them was not an option we were willing to accept,” Jessica said.

“Twenty-four hours after surgery, there were two beautiful little heartbeats.”

Jessica was then on strict bed rest and medication to help reduce the risk of preterm labor. At 30 weeks, however, Jessica had massive internal bleeding caused by a placental abruption.

Gavin and Gabe were delivered via emergency cesarean and were not expected to survive.

“They were not breathing on their own and had aspirated and ingested a large amount of my blood in the womb. Despite all the odds, they came home at just 35 days old from the NICU,” Jessica said.

They were diagnosed with grade IV brain bleeds and a traumatic brain injury called periventricular leukomalacia (PVL). Their neonatologist explained to Jessica and Tim that due to their PVL, Gavin and Gabe would likely have cerebral palsy.

“We were just glad to finally bring our babies home. These were the little boys we had been fighting for

Gavin Lance

all along,” Jessica said. “Fast forward a year and the signs started coming: gaining skills only to lose them, feeding difficulties, difficulties gaining weight, stiff muscles.”

In addition to their cerebral palsy, a long list of diagnoses followed for the boys, including gastroesophageal reflux disease, global developmental delays, laryngeal clefts, bilateral hernias, chronic ear infections, plagiocephaly and torticollis. Then came the equipment: bilateral ankle and foot orthoses, knee immobilizers, ankle immobilizers, hand braces, resting hand splints, j-splints, wheelchairs, gait trainers and so on.

The twins require a long list of medications and various specialists and therapists to treat their conditions, from occupational and speech therapists to neurologists, urologists and cardiology specialists.

“It’s truly never-ending,” Jessica said.

When the twins were 1 year old, they enrolled in DSCC’s program. Since then, Jessica says DSCC and their Care Coordinator, Robin, have provided invaluable support and assistance.

“They have been an emotional shoulder to lean on when I need to vent frustrations or grieve about a new diagnosis or surgery/procedure” she said.

DSCC has also helped reimburse the family for travel expenses related to Gavin and Gabe’s cerebral palsy appointments and paid for new frames for Gavin’s glasses when insurance denied the expense.

“DSCC has helped with purchasing accessories and equipment that insurance denied that greatly benefit the twins’ mobility and quality of life,” Jessica said. “They’ve helped connect us to various grants for funding and have taken pressure off of myself and my husband when it comes to contacting medical facilities and practitioners regarding services and approvals and payment.”

Robin also helped facilitate the delivery of holiday baskets for the family of seven and gifts through various charity organizations when the family struggled financially.

“DSCC has also connected us with other special needs families going through similar struggles,” Jessica said.

Today, Gavin and Gabe are 4 years old and their parents’ pride and joy.

“The twins have taught us nothing short of unconditional love,” Jessica said. “Even though we face many challenges, with the support of family, friends, and organizations like DSCC (encouraging) us, we are able to help them continue to grow up happy and as healthy as can be.”

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Kimmy’s Family

“(Our care coordinator) helped us out so much and would call every day. If we didn’t have DSCC, I don’t know who would’ve helped us.”

— Mayra Pasillas

“We all feel like she has her life back.”

Kimmy spent her first 23 months of life in a hospital.

The toddler was born with congenital scoliosis so severe that it deformed her spine, chest and ribs and prevented her left lung from developing. Kimmy could not breathe on her own and her ribs threatened to crush her lungs.

Kimmy eventually underwent lifesaving surgery to receive a vertical expandable prosthetic titanium rib (VEPTR). The VEPTR device helps straighten Kimmy’s spine and separates her ribs so her lungs can grow. The VEPTR must be expanded regularly until Kimmy stops growing.

After the VEPTR was placed, Kimmy had to undergo a successful expansion surgery before doctors gave the OK for her to go home. It was welcome news but also nerve-wracking to plan for Kimmy’s arrival and care at home, her mother, Mayra, recalled.

“We were just lost. We had no clue. We just wanted to get her home but we didn’t know what it was going to take to get her home safely,” Mayra said.

That’s when their DSCC care coordinator, Margaret, stepped in and began working with Kimmy’s family and doctors to prepare for Kimmy’s homecoming and help it go smoothly. She also worked with charities to help cover the cost of travel expenses for her arrival home and for subsequent surgeries.

“She helped us out so much and would call every day,” Mayra said. “If we didn’t have DSCC, I don’t know who would’ve helped us.”

Later, when Kimmy’s family moved into a renovated older home, Margaret brought in an electrician to replace the power box and install new outlets to support Kimmy’s breathing machines. The house also had issues with ants and spiders, so Margaret set up regular exterminator visits. DSCC ensured all costs were covered under the Medicaid waiver program for children who are medically fragile and technology dependent.

Kimmy is now almost 4 years old and thriving beyond her family’s highest hopes. Mayra says she’s seen a huge difference in her daughter’s progress and happiness since she has been home.

“She’s now standing, walking around and running and she goes to school and is learning all of her little friends’ names,” Mayra said. “We all feel like she has her life back.”

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The Lewinski Family

“Our insurance does not cover a lot for Mikey - they don’t cover his catheters, they don’t cover his orthotics, and those are big things that could run thousands of dollars. To have DSCC be able to cover those costs for us has been a huge lifesaver.”

— Michelle Lewinski

“It absolutely makes a difference.”

Mikey is an outgoing 10-year-old who loves to play with his fifth-grade classmates. His mother, Michelle, credits the Division of Specialized Care for Children (DSCC) with helping Mikey receive the orthotics and equipment he needs to keep up with his friends and stay active and happy.

When Michelle was 20 weeks pregnant, Mikey was diagnosed with spina bifida – a birth defect that caused an opening in his backbone and prevented his spinal cord from developing properly – and hydrocephalus, a buildup of cerebrospinal fluid inside the brain. Mikey required surgery immediately after birth to close his backbone. Less than two weeks later, he received a shunt to drain the excess fluid from his brain. His first year was subsequently filled with numerous doctor visits, a shunt revision surgery and the start of physical and occupational therapy to strengthen his muscles.

Mikey is able to use his legs but requires the use of orthotics and crutches to walk. Michelle said DSCC covered the cost of Mikey’s first set of orthotics at age 1 and has been a huge help to her family ever since.

“Our insurance does not cover a lot for Mikey – they don’t cover his catheters, they don’t cover his orthotics, and those are big things that could run thousands of dollars. To have DSCC be able to cover those costs for us has been a huge lifesaver,” Michelle said. “Our Care Coordinator, Sarah, is amazing. She is one of the easiest people I have ever worked with. She follows up with me on how Mikey is doing, how Mikey’s appointments are going and if there is anything we need.”

Sarah was also able to fix communication problems that arose when the Lewinskis recently moved to a new clinic for Mikey’s care.

“She took the reins and was the middleman, making the phone calls and getting stuff done,” Michelle said. “If I have a question about anything, I know that I can call her or just send her a quick email and she will answer my question as soon as she can. It absolutely makes a difference.”

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