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Breakthrough - Osteogenesis Imperfecta Foundation

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B reakthrough<br />

The Newsletter of the <strong>Osteogenesis</strong> <strong>Imperfecta</strong> <strong>Foundation</strong><br />

Volume 29, No. 1 Winter 2004<br />

The ‘UPS Family’ delivers on-going support for OI<br />

When UPS employee Dan Krudys’<br />

son, Jeffrey, was born with OI eight<br />

years ago, UPS employees began<br />

pitching in to help everyone with OI.<br />

Over the course of those eight years,<br />

thousands of employees, from union<br />

mechanics to package sorters to<br />

district managers, have opened their<br />

hearts and wallets after meeting<br />

Jeffrey and Dan, who has been with<br />

UPS for 25 years. The commitment to<br />

contributing to the OI <strong>Foundation</strong> has<br />

continued through transfers to new<br />

states and new jobs within UPS.<br />

Since 1996, UPS employees have<br />

taken a leading role in the struggle to<br />

improve the lives of people with OI by<br />

contributing more than $631,000.<br />

In 2004 alone, employees will donate<br />

more than $230,000 through payroll<br />

deductions and stock gifts to the<br />

annual United Way campaign, and<br />

Stan Dean, North Jersey District Manager,<br />

‘drives’ the District’s OI Fundraising efforts.<br />

through organizing fund raising events<br />

such as golf, softball and basketball<br />

tournaments.<br />

This is more than any other<br />

corporation’s employees donate, and<br />

each year UPS contributions represent<br />

more than 15% of the OI <strong>Foundation</strong>’s<br />

annual budget.<br />

The UPS – OI <strong>Foundation</strong> campaign<br />

has spread from coast to coast.<br />

Highlights of their efforts include:<br />

Alabama District<br />

Phil Schmidt and Jon Rich helped<br />

raise awareness of OI and support for<br />

the <strong>Foundation</strong> in the Alabama District<br />

for the first time in 2003, and raised<br />

more than $6,000 through the United<br />

Way Campaign.<br />

Atlantic District<br />

In Baltimore, Maryland, Norman<br />

Aquilino encouraged support of the OI<br />

<strong>Foundation</strong>, and his teammates<br />

Continued on page 5<br />

Metabolic Research Center celebrates<br />

20 years of making a difference<br />

Reprinted from Between Us,<br />

The Newsletter of the<br />

Shriners Hospitals for Children<br />

• Collaborative discovery of the genetic<br />

cause for 10 heritable bone diseases.<br />

• 140 research articles and chapters<br />

published.<br />

• Internationally recognized expertise<br />

with world-wide referrals.<br />

All of these are impressive facts about<br />

the St. Louis Hospital’s Center for Metabolic<br />

Bone Disease and Molecular Research,<br />

which celebrates its 20th anniversary<br />

this year. But facts and statistics<br />

are not what impress the family of<br />

Alex Hunter, a 13-year old patient of the<br />

research center who has OI.<br />

“The amount of knowlege at the research<br />

center is what impresses us,” said<br />

Joanne Hunter, Alex’s mom. “No one<br />

had been able to answer any questions<br />

for us after Alex was diagnosed; that is,<br />

until we met Dr. Whyte.”<br />

Michael P. Whyte, M.D., medical-scientific<br />

director and founder of the center<br />

in 1983, and a current OI <strong>Foundation</strong><br />

Medial Advisory Council Member and<br />

former chairman, is known world-wide<br />

for his expertise in the diagnosis, treatment<br />

and research of more than a hundred<br />

rare bone disorders, including OI.<br />

His work and collaboration with physi-<br />

Continued on page 13<br />

What’s Inside<br />

President’s Message .................. 3<br />

Fundraising Briefs .................... 4,5<br />

Q&A: Respiratory Concerns ....... 6<br />

Estimating # of People with OI .... 7<br />

Improvements to Chats .............. 8<br />

News Notes .................................. 9<br />

Conference Topics ....................10<br />

Conference Registration ..... Insert<br />

Travel Tips ............................12, 14<br />

Volunteers Needed ....................15<br />

Spotlight: Kathleen Kowis .........16<br />

Memorials & Honorariums .......17<br />

Cornerstones .............................18<br />

Understanding Research ..........19


<strong>Breakthrough</strong><br />

The Newsletter of the<br />

<strong>Osteogenesis</strong> <strong>Imperfecta</strong> <strong>Foundation</strong>, Inc.<br />

Editor: Bill Bradner<br />

Contributing Writers: Anna Lennarston,<br />

Jamie Kendall, Hariett Patterson, and Heller<br />

An Shapiro.<br />

<strong>Breakthrough</strong> is published quarterly by<br />

the nonprofit <strong>Osteogenesis</strong> <strong>Imperfecta</strong> (OI)<br />

<strong>Foundation</strong>, Inc. Opinions expressed are those<br />

of the authors and do not necessarily reflect<br />

the official position or policies of the <strong>Osteogenesis</strong><br />

<strong>Imperfecta</strong> <strong>Foundation</strong>, Inc.<br />

Because each person’s body and response<br />

to treatment is different, no individual should<br />

indulge in self-diagnosis or embark upon any<br />

course of medical treatments without first consulting<br />

with their physician or a qualified medical<br />

professional familiar with their medical history.<br />

A one-year subscription is free. To add your<br />

name to the mailing list, write to<br />

bonelink@oif.org or request it through our online<br />

store at www.oif.org.<br />

Executive Director<br />

Heller An Shapiro<br />

hshapiro@oif.org<br />

Director of Communications & Events<br />

Bill Bradner<br />

bbradner@oif.org<br />

Director of Finance & Administration<br />

Tom Costanzo<br />

tcostanzo@oif.org<br />

Events Manager<br />

Cate Feeser<br />

cfeeser@oif.org<br />

Information & Resource Director<br />

Mary Beth Huber<br />

mhuber@oif.org<br />

Information & Resource Specialist<br />

Marie Maffey<br />

mmaffey@oif.org<br />

Database Manager<br />

Desiree Swain<br />

dswain@oif.org<br />

Director of Development<br />

Julianne Weiner<br />

jweiner@oif.org<br />

General Correspondance/Information:<br />

<strong>Osteogenesis</strong> <strong>Imperfecta</strong> <strong>Foundation</strong><br />

804 W. Diamond Ave., Suite 210<br />

Gaithersburg, MD 20878<br />

(800) 981-2663 Fax: (301) 947-0456<br />

www.oif.org / bonelink@oif.org<br />

Donations/Contributions:<br />

<strong>Osteogenesis</strong> <strong>Imperfecta</strong> <strong>Foundation</strong><br />

P.O. Box 630342<br />

Baltimore, MD 21263-0342<br />

Snapshot<br />

7,000<br />

6,000<br />

5,000<br />

4,000<br />

3,000<br />

2,000<br />

1,000<br />

<strong>Breakthrough</strong> & E-Newsletter<br />

Subscribers<br />

0<br />

6/02 12/02 6/03 12/03<br />

<strong>Breakthrough</strong><br />

Subscribers<br />

E-Newsletter<br />

Subscribers<br />

From the Comm. Dir.<br />

The Snapshot above clearly shows that the number of people we’re reaching is<br />

steadily increasing. Through our website and newsletter, more than 9,500 people are<br />

regularly updated about the <strong>Foundation</strong>’s programs and information resources. The<br />

wesbite has an average of 30,000 visits each month, and the <strong>Foundation</strong> ships almost<br />

10,000 information packets out to the community each year. When you add the 10,000<br />

nurses we reached through the recent medical outreach program with the Nurses Guide,<br />

the million people who saw the OI logo on milk cartons in the New England area, and the<br />

millions more who will see our public service announcements in the coming months, we<br />

have a lot to be proud of.<br />

But the Snapshot tells another story, as well. Our best estimates place the number<br />

of people in the U.S. who have OI at 30,000 to 50,000 people (see the article on page 7).<br />

That means there are as many as 40,000 people with OI who aren’t up-to-date on the<br />

<strong>Foundation</strong>’s activities.<br />

We take that very seriously. The OI <strong>Foundation</strong> is doing everything possible to<br />

ensure everyone affected by OI in the United States knows what a relationship with the<br />

<strong>Foundation</strong> might offer them– support, information resources, up-to-date research<br />

information, and friendships with people who understand what it’s like to live with OI.<br />

But just as importantly, there are hundreds of thousands of people without OI in<br />

the U.S. who might benefit by “finding” the OI <strong>Foundation</strong>: doctors, ER & EMT<br />

personnel, nurses, social workers and school teachers are just a few that readily come to<br />

mind. These are people you are in contact with... and getting them involved takes one<br />

simple question: “Have you checked out the OI <strong>Foundation</strong>’s resources on that?”<br />

Imagine how strong our community would be– and what we might accomplish–<br />

with 50,000 people actively involved, or 100,000, or 200,000.<br />

It’s possible, if we’re all reaching out. No one dared dream two years ago that we<br />

would triple the number of visitors to our website, but we did it, just the same. With your<br />

help, we can draw even more people into our communtiy.<br />

No one living with OI should have to do so without support, and everyone<br />

impacted by OI– no matter how remotely– can benefit from a relationship with the OI<br />

<strong>Foundation</strong>. Can we triple our numbers again by this time next year? Perhaps.<br />

It’s certainly worth the effort.<br />

<strong>Breakthrough</strong> Winter 2004 Page 2


Dear Friends,<br />

President’s Message<br />

Jamie Kendall<br />

Thank you.<br />

I am so impressed and pleased with your continued overwhelming support of the<br />

OI <strong>Foundation</strong> and our community. Your willingness to get involved is incredible, and<br />

it’s clearly evident in the pages of this newsletter and the continued expansion of the<br />

<strong>Foundation</strong>’s research, information and support programs.<br />

We’ve received hundreds of responses to our 2004-2007 Strategic Plan Survey,<br />

and are in the process of compiling all that data into a concise report that will help<br />

shape and guide our efforts through the next few years. The fact that so many of you took the<br />

time to share your opinion with us is inspiring. I’m confident that the Board of Directors will have<br />

a clear picture of your needs and priorities as we enter the next stage of the strategic planning<br />

process.<br />

Our mailbox has also been filled with Board Nominations. I don’t envy the nominating<br />

committee as they wade through your suggestions and offers to serve, and try to present a<br />

balanced slate of candidates to the board. The credentials are impressive, and the willingness to<br />

serve is humbling.<br />

You’ll find this issue filled with stories and articles about the 2004 Conference, along with<br />

the 2004 registration form. Even if you’re not planning to attend the conference, I encourage you<br />

to take the the time to read the entire newsletter; the articles and briefs on transportation and<br />

travel will certainly come in handy at some point, and you’ll learn much about the <strong>Foundation</strong>,<br />

the conference planning process and our community by reading the rest. To be quite honest, I<br />

hope the articles inspire you to attend the conference. Whether it’s your first or fifteenth time<br />

attending, I assure you it will be well worth your while.<br />

We’re growing and expanding at a dizzying pace, extending our outreach and improving our<br />

programs, while (as always) responding to your requests and priorities. None of this would be<br />

possible without your input, support, contributions and efforts.<br />

I am thankful every day that I have this opportunity to serve such a wonderful community,<br />

during such an exciting time in its history.<br />

Take Care & Enjoy!<br />

Jamie D. Kendall<br />

President, OI <strong>Foundation</strong> Board of Directors<br />

Page 3 <strong>Breakthrough</strong> Winter 2004


Fundraising Briefs<br />

Hustle of UPS’ business doesn’t slow support of OI<br />

by Heller An Shapiro<br />

OI Fdn. Executive Director<br />

Photo Courtesy of UPS<br />

<strong>Foundation</strong> streamlines process with new lock-box<br />

You’ll soon be seeing a new post office box address on<br />

many of the OI <strong>Foundation</strong>’s materials.<br />

In order to streamline our<br />

check-processing system, all donations,<br />

renewals and orders accompanied<br />

by a check or money<br />

order will be sent directly to a<br />

post office box at our bank,<br />

rather than the national office.<br />

“We’ll save hundreds of manhours<br />

each month by having the<br />

bank prepare the deposits and process the checks,” according<br />

to Tom Costanzo, the <strong>Foundation</strong>’s Director of Finance<br />

and Administration.<br />

The new process will not slow the handling of orders for<br />

resources, or delay correspondence. All materials that arrive<br />

The belts are always moving at UPS sorting facilities<br />

throughout the country.<br />

The UPS offices are<br />

dramatically different from a<br />

standard office. Inside huge<br />

warehouses, all activity centers<br />

around giant conveyer belts<br />

filled with packages. Small,<br />

linked trailer trucks move<br />

unusual packages, such as tires,<br />

shovels or brooms. At regular<br />

intervals, brown UPS delivery<br />

trucks squeeze into slots<br />

alongside the belts, so close<br />

together you can’t even walk<br />

between them. The 24-hour roar of<br />

trucks, belts and movement is extraordinary.<br />

Rising from the cement floor<br />

are small, portable offices where the<br />

management staff sporadically are<br />

able to sit down to work.<br />

It’s here that OI <strong>Foundation</strong> staff<br />

have an opportunity to tell the OI story.<br />

In conference rooms and break rooms,<br />

surrounded by trucks, almost drowned<br />

out by the roar of machinery, we talk<br />

about life with OI, and UPS employees<br />

listen. The hardened faces of union<br />

mechanics, the young faces of parttime<br />

package sorters, and the faces of<br />

seasoned managers all fill with empathy<br />

when they learn about what living<br />

with OI means to 8-year old Jeffrey<br />

Krudys, whose father, Dan, has been<br />

with UPS for 25 years.<br />

Since 1996, more than 450 UPS<br />

employees have taken a leading role in<br />

the struggle to improve the lives of<br />

people with OI by contributing more<br />

than $631,000 through payroll deductions<br />

and stock gifts to the annual<br />

United Way campaign, and through<br />

organizing fund raising events such as<br />

golf, softball and basketball tournaments.<br />

And the commitment to contributing<br />

to the OI <strong>Foundation</strong> continues<br />

through transfers to new states and<br />

at the lock box are forwarded to the OI <strong>Foundation</strong> offices<br />

the next business day. Thank you letters and tax receipts will<br />

also not be affected by the<br />

Mail donations, renewals & orders to:<br />

change. The <strong>Foundation</strong><br />

has simply eliminated the<br />

more time-consuming steps<br />

in processing gifts or resource<br />

orders.<br />

Correspondence to<br />

staff members should still<br />

be sent to the <strong>Foundation</strong>’s<br />

office address. When in doubt, community members should<br />

use the Gaithersburg address and staff members will route<br />

the mail as appropriate.<br />

The new address will be printed on envelopes and other<br />

materials as they are reprinted.<br />

The OI <strong>Foundation</strong><br />

P.O. Box 630342<br />

Baltimore, MD 21263-0342<br />

new jobs within UPS. Many<br />

employees have been giving<br />

annually, ever since Jeffrey was<br />

born, and the only thanks they<br />

want is to see Jeffrey grow and<br />

achieve.<br />

UPS employees contributed<br />

more than 15% of the<br />

<strong>Foundation</strong>’s total annual budget<br />

in fiscal year 2003. This is more<br />

than any other corporation’s<br />

employees donate. The UPS -<br />

OI <strong>Foundation</strong> partnership<br />

provides free information and<br />

support services, and is a vital<br />

component of the OI research program<br />

which seeks treatments and a<br />

cure.<br />

In the middle of all the activity–<br />

hustling, whirring conveyor belts,<br />

roaring trucks, and automated machinery<br />

moving anonymous boxes, packages<br />

and “next day” envelopes– it<br />

would be easy to forget about one<br />

small voice and simply focus on the job<br />

at hand. Yet UPS employees consistently<br />

manage to find the time to give<br />

so generously to support Jeffrey and<br />

the rest of the OI community, giving<br />

the phrase “UPS Delivers” a special<br />

meaning to everyone with OI.<br />

<strong>Breakthrough</strong> Winter 2004 Page 4


UPS Delivers Continued from page 1<br />

responded by raising<br />

nearly $11,200.<br />

Northern California<br />

District<br />

In Northern California,<br />

Nick Kochek has been<br />

talking to his coworkers<br />

about Jeffrey Krudys and<br />

the OI <strong>Foundation</strong>. Dan<br />

and Jeffrey made a short<br />

video explaining what OI<br />

is for each of the UPS<br />

districts that participated<br />

in these efforts, and Nick<br />

feels that showing the tape<br />

helped.<br />

“That was really the home run,” Nick<br />

said. “That was real life.”<br />

To date, the Northern California<br />

District UPS employees have designated<br />

$18,900 to the OI <strong>Foundation</strong>.<br />

Make a difference...<br />

Fundraising Briefs<br />

Dan and Jeff Krudys meet with Kansas District Manager Glenn Rice...<br />

fittingly under a poster that says “leaders.” Dan and Jeff inspired a<br />

fundraising effort eight years ago that now contributes 15% of the<br />

<strong>Foundation</strong>’s annual budget.<br />

Southern California District<br />

Major Warner and the UPS employees in Southern California<br />

have committed to support the OI <strong>Foundation</strong>, and are<br />

currently generating interest and involvement .<br />

Southern Illinois District<br />

Don Gately and the UPS employees in Southern Illinois<br />

took Dan’s message and Jeffrey’s needs to heart, and together<br />

have also raised generous contributions.<br />

Metro Jersey District<br />

Bill Schike and the people he works with have joined in<br />

the fight against OI, and have had a huge impact. With<br />

Bill’s encouragement, more than $20,000 was raised through<br />

the United Way Campaign to ensure that kids like Jeffrey get<br />

the answers they need.<br />

“It makes you feel good to donate to a worthy cause,” Bill<br />

said. “It makes you feel<br />

even better when that<br />

worthy cause has a<br />

direct impact on the<br />

UPS family,” he added.<br />

Emil Soltis reached<br />

out to his co-workers<br />

and asked them to<br />

support the OI <strong>Foundation</strong><br />

and make a<br />

difference in the lives of<br />

people with OI. His<br />

coworkers at UPS<br />

answered emphatically,<br />

and contributed<br />

$15,000.<br />

“When you meet<br />

Jeffrey, that’s all it<br />

takes,” Emil said. “His positive outlook on life inspired me<br />

and my partners to get involved and make a difference.”<br />

North Jersey District<br />

In North Jersey, the place where Dan started work with<br />

UPS and the place where these efforts began, Mike Battaglia<br />

organizes an Annual Golf Invitational to benefit the OI<br />

<strong>Foundation</strong>.<br />

Through that event and the United Way Campaign, the<br />

North Jersey District raises more than $70,000 each year.<br />

Special thanks go to Stan Deans, North Jersey District<br />

Manager, whose outstanding support and leadership<br />

helped drive the success of both the golf tournament and the<br />

United Way Campaign on behalf of the OI <strong>Foundation</strong>.<br />

Kansas District<br />

In Kansas, where Jeffrey and his family now live, the<br />

outpouring of support and donations was astounding.<br />

Thanks to the leadership of Glenn Rice and the Kansas<br />

District staff, supporters in Jeffrey’s new home came together,<br />

raising $92,500 for the OI <strong>Foundation</strong> through the<br />

United Way Campaign administered by Cindy Pugh and<br />

Celeste Gruhin.<br />

The OI <strong>Foundation</strong> relies on the volunteer and fundraising efforts of the OI Community to<br />

make our support and information resource programs available to everyone affected by OI.<br />

Your contribution, no matter how large or small, is vital to our ongoing success. To learn<br />

how you can help through a financial contribution, visit the “Donate Now” page on www.oif.org.<br />

If you’d prefer to donate time by volunteering to support an event or one of the <strong>Foundation</strong>’s<br />

many support programs, click on the “Volunteer” button on www.oif.org, call us at (800) 981-<br />

2663, or write to bonelink@oif.org.<br />

Page 5 <strong>Breakthrough</strong> Winter 2004


Q&<br />

A<br />

Respiratory<br />

Concerns<br />

Answers to Members’ Questions<br />

Respiratory Concerns<br />

for Children & Adults<br />

This article is based on information from the fact sheet, OI Issues:<br />

Maintaining Health During the Adult Years, and book, <strong>Osteogenesis</strong><br />

<strong>Imperfecta</strong>: A Guide for Nurses, both published by the OI <strong>Foundation</strong>.<br />

What is the repiratory system?<br />

The respiratory system’s job is to bring oxygen into the<br />

body and remove carbon dioxide, the waste product of<br />

breathing, from the body. The respiratory system is made up<br />

of two parts: the upper respiratory tract includes the nose,<br />

ears, sinuses, mouth and the structures found in the throat,<br />

and the lower respiratory tract includes the trachea, bronchial<br />

tubes and the lungs. The ribs and diaphragm assist the<br />

lungs as they expand and contract with each breath. In the<br />

lungs, impurities from the air are filtered out and the oxygen<br />

is transferred to the blood system. Oxygen is the fuel that<br />

all cells and all organs in the human body need to function.<br />

Getting enough oxygen is important for good health.<br />

What are the common causes of upper respiratory<br />

problems?<br />

• Viral infections such as colds and flu.<br />

• Bacterial infections such as bronchitis and pneumonia.<br />

• Allergies.<br />

Who should be concerned about respiratory<br />

function?<br />

Respiratory health is a concern for children and adults<br />

with OI who:<br />

• Are short in stature.<br />

• Have scoliosis, kyphosis or both (kyphoscoliosis).<br />

• Have chest or rib cage deformities such as pectus<br />

carinatum or pectus excavatum.<br />

• Lead a sedentary life style.<br />

As a rule, the more severe the OI, the more susceptible<br />

the person will be to lung or breathing problems.<br />

Why does OI affect respiration?<br />

Deformities of the spine and ribs can limit the space<br />

available for the lungs to expand. This decreases the<br />

amount of air in the lungs, which means that less oxygen is<br />

available to the body and that the lungs cannot get rid of all<br />

of the carbon dioxide. Pulmonary (lung) complications can<br />

occur due to rib fractures, muscle weakness of the chest<br />

wall, heart valve disorders, chronic bronchitis and asthma.<br />

What problems will this cause?<br />

Breathing problems can lead to shortness of breath,<br />

tiredness, insomnia, migraine headaches, sleep apnea, and<br />

can make the person more susceptible to infections such as<br />

pneumonia. Restrictive pulmonary disorder, a reduction of<br />

lung capacity, is common in people with severe OI or any<br />

one who has decreased chest volume, chronic bronchitis or<br />

asthma. Respiratory complications leading to pneumonia or<br />

heart failure represent a significant cause of death for<br />

people with Type II or Type III OI.<br />

What can be done to prevent a serious<br />

respiratory problem?<br />

There are four things that every person with OI can do to<br />

protect themselves from serious respiratory problems.<br />

1. Treat all respiratory infections, even colds and<br />

coughs, immediately.<br />

2. Seek prompt treatment for any difficulty breathing.<br />

3. Have your respiratory function tested. Adults<br />

with Type III or Type IV OI, or spine curvature,<br />

should see a pulmonologist every 1-2 years.<br />

4. Exercise to promote deep breathing. Talk with<br />

your doctor about how to do this safely.<br />

What else can be done?<br />

• Children and adults should have any spine curvature<br />

monitored. In some cases surgery may be necessary.<br />

• Discuss with your doctor how you can exercise safely<br />

to develop muscle strength and lung capacity.<br />

• Talk with your doctor about whether you are a candidate<br />

for the flu shot or pneumonia vaccine.<br />

• Do not smoke, and avoid exposure to second-hand<br />

smoke.<br />

• Use of supplemental oxygen and use of BiPAP, a<br />

positive pressure breathing device, can help manage<br />

pulmonary function.<br />

• Asthma inhalers during the day are sometimes beneficial.<br />

People with chronic asthma may need additional<br />

medications.<br />

<strong>Breakthrough</strong> Winter 2004 Page 6


Article<br />

How do we estimate the number of people with OI?<br />

Available statistics regarding the<br />

number of people with OI are estimates,<br />

not exact figures. It is estimated<br />

that 30,000 to 50,000 people in<br />

the United States have OI. This<br />

estimate is an “educated guess” based<br />

in part on studies done in other countries,<br />

where smaller populations and<br />

the existence of centralized OI registries<br />

make it more feasible for researchers<br />

to count the number of<br />

people affected. OI Type I is by far<br />

the most common form of OI; researchers<br />

estimate that 50 to 60<br />

percent of people with OI have this<br />

form of the disorder.<br />

Scientists who study diseases in<br />

populations use “incidence” and<br />

“prevalence” to measure how often a<br />

disease or disorder occurs. Incidence<br />

means the number of new cases of a<br />

disease or disorder in the population<br />

during a given period. For genetic<br />

disorders such as OI, incidence usually<br />

refers to the number of babies born<br />

each year with the disorder.<br />

Prevalence refers to the number of<br />

people of all ages who have a disease<br />

or disorder at a designated time. When<br />

people ask, “How many people in the<br />

U.S. have OI?” they are asking about<br />

the prevalence of OI, not the incidence.<br />

A more precise estimate of OI<br />

incidence or prevalence in the U.S.<br />

would require a comprehensive<br />

population study. Such a study would<br />

have to inquire about the number of<br />

cases of OI occurring in a large group<br />

of people who are representative of<br />

the wider population in terms of<br />

gender, race, ethnicity, geography, etc.<br />

This type of study has not been done in<br />

the United States due to health privacy<br />

issues and the immense cost.<br />

Alternatively, a study could attempt<br />

to locate—to actually count—every<br />

person in the country who has been<br />

diagnosed with OI. This type of<br />

study’s utility as a precise counting tool<br />

is limited. How does one reach everyone?<br />

Researchers could try to locate<br />

people with OI by contacting doctors,<br />

hospitals, and clinics where people<br />

might go for treatment, but health<br />

privacy laws would limit the<br />

physician’s response. It would also be<br />

extremely difficult to reach people with<br />

OI who are unaffiliated with any OIrelated<br />

organization or treatment<br />

facility, including those with very mild<br />

OI who remain undiagnosed their<br />

entire lifetime.<br />

Gathering data on the incidence or<br />

prevalence of OI is difficult because of<br />

the variable nature of OI. Though<br />

more severe cases of OI are usually<br />

apparent at (or before) birth, many<br />

people with OI are not diagnosed until<br />

later in life. When babies are stillborn<br />

as a result of the most severe type of<br />

OI, it may not be recorded as the<br />

official cause of death. Therefore,<br />

even if a comprehensive effort was<br />

made to determine how many babies<br />

are born with OI, many cases of OI<br />

would still be missed. Likewise, it is<br />

not uncommon for an adult with mild<br />

OI to be unaware of having the<br />

disorder. Even the most rigorous and<br />

far-reaching study might miss a<br />

significant number of people with OI.<br />

To try to estimate prevalence, based<br />

on incidence, a study would have to be<br />

MAKE new friends in the OI Community...<br />

created that would ensure the measurement<br />

of incidence was complete.<br />

You would then need to know the<br />

life expectancy of those born with the<br />

disorder, which varies greatly due to<br />

the variability of the disorder. It’s<br />

simply not possible to accurately<br />

measure the prevalence of OI in the<br />

U.S.<br />

Therefore we continue to use the<br />

30,000 to 50,000 number, which is<br />

based on the most accurate incidence<br />

and prevalence figures from smaller<br />

countries with socialized medicine and<br />

current OI registries. That data is<br />

compared to U.S. population figures<br />

and the limited hard data we do have<br />

available about OI in the U.S. to<br />

extrapolate our current estimate.<br />

OI is often considered a rare disorder.<br />

The National Organization for<br />

Rare Disorders defines a rare disorder<br />

as one that affects fewer that 200,000<br />

people in the United States.<br />

While OI certainly qualifies under<br />

their definition, it helps to put the<br />

estimated number into perspective by<br />

comparing it to recent estimates from<br />

other disorders. It is estimated that:<br />

· 200,000 to 250,000 people in the<br />

U.S. have multiple sclerosis, a progressive<br />

neurological disorder (source:<br />

National Multiple Sclerosis Society),<br />

· 40,000 people in the U.S. have<br />

Marfan Syndrome, a connective tissue<br />

disorder affecting the heart and other<br />

organs (source: National Marfan<br />

<strong>Foundation</strong>), and<br />

· Cystic Fibrosis affects approximately<br />

30,000 children and young adults in the<br />

U.S. (Source: Cystic Fibrosis <strong>Foundation</strong>).<br />

...by joining us each Sunday at 8 p.m. EST on www.oif.org for the OI <strong>Foundation</strong>’s online chats.<br />

MEET new friends at the National Conference<br />

June 24-26,2004, in Dallas, TX!<br />

Page 7 <strong>Breakthrough</strong> Winter 2004


Article<br />

For more details, go to www.oif.org<br />

Improvements to the “online communities” coming in 2004<br />

The OI <strong>Foundation</strong>, with the<br />

help of five dedicated volunteers, is<br />

planning significant changes to the<br />

online communities in the next few<br />

months.<br />

The changes are designed to<br />

add more structure to the program<br />

and to make the chats more informative<br />

and entertaining to the guests.<br />

“The chats are such an incredible<br />

resource for the OI community,”<br />

according to volunteer chat coordinator<br />

Susie Wilson, “and the more<br />

community involvement we get, the<br />

better the resource becomes!”<br />

Clicking on the “Chat” button on<br />

the OI <strong>Foundation</strong>’s website will<br />

bring you to the online community<br />

functions, including the chat, message<br />

boards, and instant messaging<br />

functions.<br />

Topics and guests<br />

The most significant change will be the addition of topics<br />

and guests once a month in the chat room.<br />

The chat room currently hosts between fifteen and<br />

twenty people each Sunday night at 8 p.m. for the “Open<br />

Chat” sessions. Often, chat newcomers have just learned<br />

of a positive OI diagnosis, and are in search of support,<br />

solace, and information.<br />

“It’s so wonderful to see a new parent come into the<br />

room scared and confused, and leave with a much greater<br />

understanding of OI and the way it affects people’s lives,”<br />

Susie said.<br />

While welcoming new parents and directing them to<br />

appropriate OI <strong>Foundation</strong> resources is one of the primary<br />

responsibilities of chat hosts, new parents are by no means<br />

the only people in the chat rooms.<br />

Each week the rooms draw a fairly consistent and even<br />

mix of young adults, single adults and parents— with and<br />

without OI— and a sprinkling of teens. The combination<br />

creates lively discussions, with chatters sharing basic living<br />

tips, discussing the pros and cons of sheltering children<br />

with OI to prevent fractures, and even offering personal<br />

experiences to illustrate the joys and frustrations of living<br />

with the disorder.<br />

When the conversation turns personal, or when someone<br />

has a specific question or concern they don’t wish to<br />

discuss in the open forum, private chat conversations are<br />

possible.<br />

The monthly chat topic may include guest speakers (if<br />

appropriate), and will be posted on the website and<br />

advertised through the e-mail newsletters. The “Open<br />

Chat” room will also be open for general chatter, and the<br />

chat hosts will be available to assist newcomers with<br />

questions about OI.<br />

Teen Chats are moving to Sunday<br />

The other significant change to come in the next month is<br />

the transition of the teen chat room to Sunday evenings at<br />

8 p.m. from the current schedule of every other Thursday<br />

at 7.<br />

The teens will still have their own chat room to use if<br />

they wish to chat with one another “without adults watching,”<br />

but they will be encouraged to participate in the topic<br />

chats and Open Chats.<br />

“Often their insight is amazing,” Susie said, “and everyone<br />

in the chat room benefits from their enthusiasm and<br />

outlook on life, especially newcomers and parents with<br />

young children with OI.”<br />

Other changes are administrative in nature, but should<br />

improve the quality and consistency of the information<br />

shared in the chatrooms. The changes will also make it<br />

easier for the OI <strong>Foundation</strong> to follow up with individual<br />

chatters’ specific questions and ensure they have the most<br />

up-to-date, accurate information.<br />

The OI <strong>Foundation</strong>’s chat rooms are officially hosted<br />

each Sunday evening from 8 to 10 p.m., EST, except<br />

for some holiday weekends as posted on the<br />

website calendar and chat entry page.<br />

Chatters are required to have a logon ID and password<br />

on www.oif.org before entering the chat<br />

rooms, for privacy and security reasons. First time<br />

chatters will also have to acknowlege the Chat Policies<br />

before they can log in.<br />

For more information, check the chat page on<br />

www.oif.org or write to webmaster@oif.org.<br />

<strong>Breakthrough</strong> Winter 2004 Page 8


For more details, go to www.oif.org<br />

OI <strong>Foundation</strong> co-sponsors scientific meeting<br />

The OI <strong>Foundation</strong> has agreed to be a co-sponsor, with the<br />

American Society for Bone and Mineral Research, of the<br />

upcoming Advances in Skeletal Anabolic Agents for the<br />

Treatment of Osteoporosis Scientific Meeting.<br />

The two-day meeting will review the current status of the<br />

field and explore future directions for clinical and basic research<br />

into anabolic agents for metabolic bone diseases. Advances<br />

in the understanding of bone formation and the identification<br />

of signaling molecules may have a significant impact<br />

in the understanding and treating of metabolic bone disorders,<br />

including osteogenesis imperfecta.<br />

Playwright’s scholarship program<br />

The Very Special Arts Playwright Discovery Awards Program<br />

challenges middle and high school students of all abilities<br />

to take a closer look at the world around them, examine<br />

how disability affects their lives and the lives of others, and<br />

express their views through the art of playwriting. Two scripts<br />

are selected by a distinguished panel of award-winning theater<br />

artists for professional production at The John F. Kennedy<br />

Center for the Performing Arts. Award recipients receive<br />

scholarship awards and a trip to Washington, D.C. to view<br />

the production. Submission deadline is April 15. For details,<br />

visit www.vsarts.org/programs.<br />

Conference and hotel registration deadlines<br />

Those attending the 2004 National OI Conference are encouraged<br />

to register as early as possible. Early Bird registration<br />

discounts are available through March 12, 2004.<br />

The <strong>Foundation</strong> has reserved a block of rooms at the Adam’s<br />

Mark Hotel at a reduced rate of $109.00 per night, singlequad<br />

occupancy, from June 22 through June 27. Hotel reservations<br />

must be made before June 3, 2004 to qualify for<br />

the reduced rates, and you must mention the OI <strong>Foundation</strong><br />

when making the reservation. Call the Adam’s Mark National<br />

Reservation line at 1-800-444-2326.<br />

Items to accomodate special needs (shower chairs, refrigerators<br />

for medicine storage, cribs, roll-away beds, etc.) are<br />

avaialable on a first come, first served basis, and must be<br />

requested seperately through the Dallas Adam’s Mark. After<br />

making your reservations, call (214) 922-8000 to request<br />

any additional accomodation items for your room.<br />

Conference Sholarships may be available in ‘04<br />

The OI <strong>Foundation</strong> may obtain grant funding for a limited<br />

number of scholarships to the 2004 National Conference.<br />

Application information will be available on www.oif.org or<br />

by calling (800) 981-2663 as soon as the grant is confirmed.<br />

Refunds will be issued to any scholarship winners who have<br />

already registered.<br />

News Notes<br />

Sweepstakes Update<br />

More than $19,000 has been raised so far in the<br />

third annual “Going Places” sweepstakes, with almost<br />

a month remaining before the final deadline for<br />

entries. Thank you to all of you who have participated<br />

in this vital fundraising project.<br />

The Early Bird drawing for $250 was conducted<br />

Feb. 6, 2004, and was won by Paula & Gene Seay,<br />

OI community members. Their winning ticket will be<br />

placed back into the box for a chance to win a Grand<br />

Prize of a 7-day, 6-night vacation anywhere in the<br />

continental U.S., and second and third chance prizes<br />

of $250 and $100.<br />

Those final three drawings will be held on or about<br />

February 27, 2004.<br />

If you haven’t already done so, mail your ticket<br />

stubs to the <strong>Foundation</strong> today to be ensure you and<br />

those you’ve distributed tickets to are included in the<br />

grand prize drawings!<br />

For more information, or to enter online (at suggested<br />

donation amounts, through midnight, Feb. 24)<br />

visit the sweepstakes page on www.oif.org.<br />

New video on improving accessibility in offices,<br />

homes and businesses now available<br />

The Minneapolis Advisory Committee on People with Disabilities<br />

has created a video “Access Maze” to demonstrate<br />

the challenges— and solutions— for creating user-friendly<br />

accessible offices, homes and other living, working and business<br />

spaces. The video project was funded entirely through<br />

project contributions from the American Institute of Architects<br />

and seven local architectural firms. Ordering information<br />

can be found at http://www.accessmaze.org.<br />

Service Dogs to be first “chat topic” in 2004<br />

The first in a series of scheduled chats focused on a single<br />

topic will be held at 8 p.m. (EST) March 28, 2004. The topic<br />

will be “service dogs,” and will include members of the OI<br />

community who own service dogs and have recently been<br />

through the training program.<br />

Staff members from two of the larger service dog providers<br />

have been invited to join the chat to answer your questions<br />

about the application process and eligibility for obtaining<br />

a service dog.<br />

To join the chat, simply log on to www.oif.org and click on<br />

the “Chat” button in the left margin. The regular weekly “Open<br />

Chat” will be open in a separate room. For more information,<br />

write to bbradner@oif.org or webmaster@oif.org.<br />

Page 9 <strong>Breakthrough</strong> Winter 2004


2004 Conference Information<br />

Conference program is packed with information<br />

The OI <strong>Foundation</strong> is pleased to be<br />

able to provide you with the following<br />

working list of topics for the 2004 biennial<br />

conference. A complete conference<br />

schedule, including speakers and session<br />

times, will be posted on www.oif.org as<br />

soon as it is confirmed.<br />

Wednesday P.M., June 23<br />

Registration Opens<br />

Welcome Reception<br />

Thursday A.M., June 24<br />

Wellness Fair<br />

Free Hearing Screenings<br />

Service Dog Demonstrations<br />

First Aid Demonstrations<br />

Adaptive Equipment Demonstrations<br />

OI: The Basics<br />

OI Research Update<br />

Thursday P.M., June 24<br />

President’s Reception<br />

Internet Users’ Coffee<br />

Peer Support Meetings<br />

Friday & Saturday, June 25-26<br />

Medical Topics<br />

First Aid for Families<br />

Women’s Health: Pregnancy<br />

Women’s Health: GYN & Menopause<br />

Respiratory Issues<br />

Pain Management, Infants & Children<br />

Pain Management, Adults<br />

Hearing Issues, Children<br />

Hearing Issues, Adults<br />

Neurology, Children<br />

Meurology, Adults<br />

$350<br />

value for<br />

Mental Health<br />

Adult Concerns<br />

Joint Replacement Surgery<br />

Dental Issues, Adults<br />

Dental Issues, Children<br />

Orthopedic Management<br />

Rodding<br />

Spinal Issues<br />

Exercise<br />

Medications<br />

Managing Type I OI in Children<br />

Managing Type I OI in Adults<br />

Infant and Child Care<br />

Research Update<br />

Genetics: Testing & Diagnosis<br />

Post Surgical Care of Children<br />

OI and Osteoporosis<br />

Ask the Doctors<br />

Non-Medical Topics<br />

Driving<br />

Dating<br />

Sexuality & Relationships<br />

Independent Living<br />

Home Adaptation<br />

Clothing, Fashionable Solutions<br />

Disability Benefits<br />

SSI<br />

Employment, Maintaining Benefits<br />

Siblings<br />

Child Rearing<br />

School Issues<br />

The Doctor/Patient Relationship<br />

Adaptive Equipment<br />

Mobility Devices<br />

Finances<br />

Adoption<br />

Travel<br />

Keeping Good Medical Records<br />

Conference Fees are already set at<br />

less than half the cost to the OI <strong>Foundation</strong>...<br />

Peer-to-Peer Support Meetings<br />

Parents Who Have OI<br />

Type I<br />

Age 40 & Up<br />

Teens<br />

Spouses of People with OI<br />

Grandparents<br />

Fathers<br />

Home Schoolers<br />

Parents of Pre-school<br />

Parents of School-aged<br />

Parents of Teens<br />

Young Adults<br />

Faith Groups<br />

Internet Users<br />

<strong>Foundation</strong>-Related Topics<br />

Fund Raising Round Table<br />

Support Group Leader Training<br />

How to Start a New Support Group<br />

Teen Room Topics<br />

Adaptive Sports<br />

Driving<br />

Dating & Friends<br />

Fashion<br />

Makeup<br />

Preparing for College<br />

Careers<br />

“Meet the Experts” Q&A Sessions<br />

KeyPals Social<br />

Saturday, June 26<br />

Closing Session<br />

Awards Dinner & Talent Show<br />

The topics presented in this list are subject<br />

to change, based on availability of speakers<br />

and scheduling conflicts.<br />

$140! Save an additional $30 per attendee!<br />

The OI <strong>Foundation</strong>’s actual cost per person attending the National Conference is more than $350.<br />

Through gifts, grants and fundraising efforts by community members, we’re able to offer a registration<br />

fee of only $140 for each adult attendee* in 2004. If you register before March 12, 2004, you’ll<br />

save an additional $30 with the Early Bird Registration Discount. You won’t find a better value<br />

anywhere... register today!<br />

* Registration for Children aged 3-17 is $105– only $75 with the Early Bird Discount! Discount does not apply to “Awards Dinner Only” registrants.<br />

<strong>Breakthrough</strong> Winter 2004 Page 10


2004 Conference Information<br />

Conference is designed for everyone in the community<br />

The OI <strong>Foundation</strong>’s National Conference is designed to<br />

meet the needs of the entire OI community, including people<br />

with OI, their families and friends. The information, resources<br />

and opportunites for support and networking are abundant,<br />

regardless of age, type or severity.<br />

While the OI <strong>Foundation</strong> makes a great effort to ensure<br />

the conference is accessible to those with mobility issues,<br />

this is in no way meant to imply the conference is only for<br />

those with the more severe forms of OI.<br />

When developing the program, special care is taken to<br />

ensure that the information<br />

and support sessions<br />

cover the entire spectrum<br />

of living with OI. The OI<br />

<strong>Foundation</strong> is always developing<br />

new resources<br />

and support information<br />

for all members of the OI<br />

Community, and those resources<br />

are showcased<br />

at the conference in the Resource Room. The program features<br />

new speakers and topics each year to meet the needs<br />

of the OI community, based on input from surveys and trends<br />

seen in the 7,000 questions and requests for support the OI<br />

<strong>Foundation</strong> responds to each year. This year more than 150<br />

people made suggestions, and the scope of the program has<br />

grown considerably (see previous page).<br />

While conference is intended to be an information resource,<br />

there are a number of social events that take place<br />

during the weekend. The friendships developed at these<br />

events, and throughout the course of the conference, are a<br />

source of support and comfort that lasts a lifetime.<br />

Meeting with other people or families dealing with OI is a<br />

wonderful opportunity to discuss living successfully with OI<br />

with those who have “been there, done that.” It’s an opportunity<br />

to learn from others’ successes and failures, and to gain<br />

insight and suggestions for dealing with all aspects of living<br />

with OI, from childbearing to living independently.<br />

Conference is also one of the few times people with OI can<br />

interact directly with the nation’s top researchers and medical<br />

professionals on a personal<br />

or professional basis.<br />

Almost all of the<br />

speakers at conference<br />

will be available to respond<br />

to individual questions<br />

or concerns in addition<br />

to the information<br />

they’ll share at their sessions.<br />

Attendance by a broad spectrum of people from the OI<br />

Community is critical to the conference’s success, and to the<br />

health of the OI <strong>Foundation</strong>. No matter how well you’re “connected”<br />

to the OI community, the biennial national conference<br />

is absolutely the best way to improve your insight, information,<br />

and support structure.<br />

If you’re still not sure whether or not you should attend, ask<br />

someone who’s been to conference recently, or feel free to<br />

contact the <strong>Foundation</strong> at (800) 981-2663 or by writing to<br />

bonelink@oif.org.<br />

“No matter how you’re connected to the OI<br />

Community, the biennial national conference is<br />

absolutely the best way to improve your insight,<br />

information and support structure.”<br />

Your namebadge will be your ticket to all events in Dallas<br />

The OI <strong>Foundation</strong> will require all registered<br />

attendees of the 2004 National<br />

Conference to display their namebadge<br />

at all times when participating in scheduled<br />

events.<br />

The new requirment is in response to<br />

increased awareness of security and<br />

safety concerns, and will help the <strong>Foundation</strong><br />

control costs during the course of<br />

the weekend.<br />

The name badges in 2004 will have a<br />

space provided on the back– where it<br />

can’t be seen– for all attendees to write<br />

in emergency contact information. This<br />

will assist <strong>Foundation</strong> and Hotel staff<br />

members to locate friends or family in<br />

the event of a medical emergency.<br />

Additionally, the Adams Mark Hotel<br />

reserves the right to restrict access to<br />

the hotel and convention areas to registered<br />

guests, for security reasons. Your<br />

name badge identifies you as an authorized<br />

guest and will ensure your ability<br />

to enter the hotel property without delay.<br />

By requiring the name badge to be displayed<br />

at all functions, hotel and <strong>Foundation</strong><br />

staff members can also ensure<br />

that only registered attendees have access<br />

to the continental breakfasts, break<br />

beverages, receptions and awards dinner.<br />

This will prevent other hotel and conference<br />

center guests from helping<br />

themselves to breaks and running up the<br />

<strong>Foundation</strong>’s catering bills during the<br />

weekend.<br />

Name badges will be given to all registered<br />

guests upon arrival, including children<br />

and teens. They may be pinned or<br />

hung from mobility devices or strollers<br />

or worn, but must be displayed at all<br />

times.<br />

For more information, contact the<br />

<strong>Foundation</strong>’s Events Manager, Cate<br />

Feeser, at cfeeser@oif.org or by calling<br />

(800) 981-2663.<br />

Information is also be available online<br />

at www.oif.org.<br />

Page 11 <strong>Breakthrough</strong> Winter 2004


Article<br />

Traveling with wheelchairs, oxygen requires planning<br />

Traveling today is daunting enough,<br />

but when you add in the need for a<br />

power wheelchair or oxygen, it may<br />

seem even more overwhelming.<br />

With careful planning, the need for a<br />

wheelchair or oxygen should not<br />

prevent you from joining us in Dallas.<br />

While there’s no substitute for a travel<br />

agent who’s experienced with assisting<br />

travelers with disabilities, the following<br />

questions and answers should help<br />

relieve some of the apprehension.<br />

You can search for travel agents<br />

who specialize in disabled travel<br />

through the American Society of<br />

Travel Agents, using their advanced<br />

search options on www.astanet.com.<br />

What is the best way to travel<br />

by air with a wheelchair?<br />

There have been many horror stories<br />

about what airlines have done to<br />

power wheelchairs by the time they<br />

arrive at their destination. However,<br />

most— if not all— of those stories<br />

might have never happened with some<br />

simple preparation. Here are some tips<br />

to prevent mishaps:<br />

• Arrive early and always check the<br />

chair or scooter at the boarding gate.<br />

Request that it be delivered to you at<br />

the destination gate, not at the<br />

baggage claim area.<br />

• If possible, use gel- or foam-filled<br />

batteries in your power wheelchair<br />

or scooter, and carry the paperwork<br />

about the batteries with you in case<br />

the airline has any questions.<br />

• Standard acid-filled batteries will<br />

be removed by ground crews and<br />

packed in special containers for<br />

transport, so if you must use them,<br />

be sure to tape instructions on<br />

removal and installation in plain view<br />

on the chair or scooter.<br />

• If you use a fold up chair, request<br />

that it be stored in the on-board<br />

closet. There is usually only room for<br />

one wheelchair, so arrive early to<br />

make your request.<br />

• If you need assistance transferring<br />

to a plane seat, take responsibility<br />

and tell the staff how to help lift<br />

and/or move you. You’re always<br />

safer assuming that they do not<br />

know what works for you.<br />

• Before landing, make sure that<br />

you remind an attendant that you will<br />

need your chair waiting for you at<br />

the gate. They can radio ahead to<br />

make arrangements.<br />

• Request an aisle seat, near the<br />

front of the plane, since most aisles<br />

in coach are too narrow to<br />

accomodate chairs. (Some are even<br />

too narrow to safely navigate with<br />

crutches). Some airlines offer aisle<br />

chairs, which are narrower and<br />

provide easier access to restrooms,<br />

if needed, but you need to call in<br />

advance and request it be brought on<br />

board the plane.<br />

How do I travel with oxygen?<br />

Air travel with oxygen can be<br />

accomplished comfortably and safely<br />

with advance planning. All US airlines<br />

require you to provide a doctor’s letter,<br />

and the FAA also requires a<br />

physician’s statement.<br />

You cannot bring your own oxygen<br />

on board and must use airline-supplied<br />

oxygen. Requirements vary between<br />

carriers, but they may require advance<br />

arrangements ranging from 48 hours to<br />

7 days.<br />

You should also make arrangements<br />

with a local company at your destination<br />

to have oxygen available during<br />

your stay. Most vendors will deliver<br />

directly to the airport or hotel; see the<br />

“Travel Tips” section on the Conference<br />

page of www.oif.org.<br />

This article was excerpted from a<br />

Q&A published in the Jan/Feb<br />

2000 issue of <strong>Breakthrough</strong>.<br />

Rosemarie Kasper contributed to<br />

the original article.<br />

Additional Disability Travel Resources<br />

Emerging Horizons<br />

P.O. Box 278<br />

Ripon, CA 95366<br />

(209) 599-9409<br />

Accessible travel newsletter.<br />

Paralyzed Veteran’s Association<br />

(800) 444-0120<br />

Call for a free booklet on air travel<br />

or to subscribe to their air travel<br />

newsletter.<br />

Access for Disabled America<br />

436 14th St., Suite 200<br />

Oakland, CA 94612<br />

(510) 419-0523<br />

<strong>Breakthrough</strong> Winter 2004 Page 12


metabolic research Center Continued from page 1<br />

cians and investigators has led to the discovery<br />

of the genetic causes of ten heritable<br />

bone disorders— and the relief<br />

from other painful bone diseases for<br />

nearly 1,000 children in the past 20 years.<br />

“The Shrine has created and nurtured<br />

a facility that I think is unparalleled for<br />

diagnosing, treating and researching pediatric<br />

metabolic bone disease,” Whyte<br />

said.<br />

Children with these conditions may<br />

have brittle bones, such as osteogenesis<br />

imperfecta, which Alex has, or soft<br />

bones, involving various forms of rickets.<br />

The research center sees children<br />

from all over the world with rare, complex<br />

and genetically-transmitted bone diseases.<br />

Changing Children’s Lives<br />

“Children with these types of disorders<br />

often suffer from bone pain, and find<br />

their way to the Shrine’s research center<br />

only after seeing many different physicians<br />

and specialists,” stated Judy<br />

Hartman, research center nurse manager<br />

and editor of the OI <strong>Foundation</strong>’s<br />

newest resource, OI: A Guide for<br />

Nurses.<br />

Hartman’s work to help educate pediatric<br />

nurses about metabolic bone diseases<br />

recently resulted in her election to<br />

the presidency of the Pediatri Endocrinology<br />

Nursing Society, an international<br />

nursing organization dedicated to nurses<br />

who specialize in children’s metabolic<br />

diseases.<br />

“Our patients come here not only for<br />

diagnosis, but also for medical therapy<br />

and orthopedic treatment,” Hartman<br />

said. “The result is that many children<br />

who have been suffering can now play<br />

and have fun with their friends. We can<br />

often give them their childhood back.”<br />

Hartman heads a dedicated nursing<br />

staff, an integral part of a team that also<br />

includes laboratory and nutritional services<br />

staffs. These team members believe<br />

that the care of the patients demands<br />

the highest level of expertise and<br />

proficiency, as well as the development<br />

of close relationships with the children<br />

and the families.<br />

“I think the people at the research center<br />

are wonderful,” Hunter said. “They<br />

helped us find the support groups and<br />

information we needed. It was a great<br />

relief because then we knew we could<br />

call any time for advice, or just if we<br />

needed a sounding board.”<br />

Continued...<br />

Scientific <strong>Breakthrough</strong>s<br />

Many of the research center’s collaborative<br />

studies have resulted in breakthroughs<br />

in understanding the genetic<br />

causes of bone diseases. One of the most<br />

recent is last year’s discovery of the<br />

genetic cause of juvenile Paget’s disease<br />

(JPD), a rare condition of accelerated<br />

bone formation and breakdown.<br />

Whyte and his team used information<br />

from the Human Genome Project to unravel<br />

the mystery that has been reported<br />

in only about 40 people worldwide.<br />

“By identifying this identical genetic<br />

defect, our results not only provide insight<br />

into the cause of JPD, but also shed<br />

light on the control of bone metabolism<br />

in general,” Whyte explained.<br />

20 Years of Making a Difference<br />

For the past two decades, the research<br />

center has acted as an international resource<br />

for assisting other physicians with<br />

difficult diagnostic and therapeutic problems.<br />

As a result, Whyte and his team serve<br />

to train and collaborate with orthopedic<br />

surgeons, geneticists, endocrinologists,<br />

rheumatologists, and molecular biologists<br />

in the description, treatment and research<br />

of bone diseases in children.<br />

“The center is an excellent example<br />

of how this research is taken to the bedside,”<br />

said Perry L. Schoenecker, M.D.,<br />

chief of staff at the St. Louis Shriners<br />

Hospital.<br />

“People often think of research as<br />

laboratory work, but this is research that<br />

is making a difference today in the lives<br />

of the children we serve.”<br />

Alex and his family say they are indeed<br />

grateful for the difference the research<br />

center has made in his life. He<br />

recently fell down half a flight of stairs<br />

at school without fracturing.<br />

“For him to fall and not have anything<br />

broken is a miracle,” Hunter said.<br />

Alex, who gives presentations at his<br />

school to help educate his classmates<br />

about OI, agrees.<br />

“The people at Shriners care for you,”<br />

Alex said. “They’ve made a huge difference,<br />

I love going there.”<br />

2004 Conference Hotel Reservation Information<br />

To reserve your accommodations at the Adam’s Mark Hotel in Dallas, TX, call 1-800-444-<br />

ADAM or 1-214-922-8000. Be sure to mention that you are coming to the OI <strong>Foundation</strong> National<br />

Conference in order to receive the discounted room rate of $109.<br />

Click on the 2004 Conference Information link on the News & Events page of www.oif.org to find<br />

a number of links related to the conference, travel, the Dallas area tourism and the Adams Mark<br />

Hotel. You may also make your reservations online at www.adamsmark.com/dallas, but you will<br />

not receive the discounted rate using the online booking agent.<br />

Page 13 <strong>Breakthrough</strong> Winter 2004


Travel Tips<br />

Online Airfare<br />

Airlines are offering discounted fares<br />

across the board to encourage vacation<br />

travel. Since the OI <strong>Foundation</strong><br />

cannot negotiate lower group rate fares<br />

than are currently being offered on line,<br />

we encourage you to surf the web now<br />

or contact a travel agent while the specials<br />

are being offered.<br />

The OI <strong>Foundation</strong> will not be recommending<br />

a single airline.<br />

IDs are Essential<br />

Having a state-issued picture ID is<br />

now essential to air travel, due to increased<br />

security at airports and ground<br />

transportation centers. You will be<br />

asked repeatedly to provide proof of<br />

identity.<br />

While a driver’s license is the most<br />

common and preferred ID, passports<br />

are permissible, as are work or student<br />

picture IDs only if accompanied by<br />

a government-issued ID such as an<br />

original birth certificate or Social Security<br />

card.<br />

To be safe, carry multiple IDs in separate<br />

bags, if possible. For convenience<br />

and safety, you might also want to pick<br />

up a badge holder or ID holder at any<br />

office supply store, and wear your ID.<br />

Accessible Transportation<br />

There are a number of agencies in<br />

Dallas that specialize in renting accessible<br />

vans, and they often deliver directly<br />

to your hotel or the airport. Check out<br />

pinnacletravel.com (888-894-8747) or<br />

wheelchair-getaways.com (800-642-<br />

2042) for more information.<br />

Getting Beyond Checkpoints<br />

While posted security signs say noone<br />

without a boarding pass may go<br />

beyond the checkpoints, persons assisting<br />

someone with a disability are allowed<br />

access all the way to the boarding gate.<br />

The escort must have a valid ID.<br />

Airports and/or airlines will also provide<br />

curb-to-gate assistance to those<br />

with a disability who are travelling alone.<br />

Medical Carry-ons<br />

Travellers are now limited to two<br />

carry-on bags each, but that restriction<br />

does not apply to medical equipment,<br />

supplies, or assistive devices.<br />

Pediatric Aisle Chair<br />

Pediatric-sized aisle wheelchairs, 18<br />

inches off the floor, and narrow enough<br />

to fit between the rows of seats, are now<br />

available on some airlines. Call in advance<br />

to find out if the chair is available.<br />

Oxygen, Wheelchair Info<br />

Excerpts from a Q&A on traveling<br />

can be found on page 12 of this issue.<br />

Reprints are available by contacting the<br />

foundation offices, or online at<br />

www.oif.org.<br />

There’s still time to participate in the Bone China Tea<br />

Imagine a fund raiser where you don’t have to<br />

worry about attire, transportation, weather, food allergies,<br />

babysitters, dancing ability, access, schedule<br />

conflicts, or even being on time. In fact, the “event” is<br />

delivered to your door with the mail.<br />

The OI <strong>Foundation</strong> Bone China Tea takes place in<br />

the comfort and convenience of the invited guest’s own<br />

home. You tell the <strong>Foundation</strong> how many people you<br />

wish to invite, and we’ll send you formal invitations to<br />

address and forward to your friends and family, asking<br />

them to “join” the event by staying home and relaxing<br />

with a hot cup of tea. It’s suggested that the money<br />

saved on new clothes, babysitters, transportation, and<br />

other expenses typically associated with a fund-raising<br />

event be donated to the OI <strong>Foundation</strong>.<br />

It’s never too late to participate in this unique<br />

fundraising event. If you would like to invite someone to<br />

take part in the Bone China Tea, or would like additional<br />

information about the event, please contact Jenny Wilson (e-mail JNWILSON@aol.com, telephone (239) 482-6892),<br />

or the OI <strong>Foundation</strong> (e-mail BoneLink@oif.org, telephone (301) 947-0083). A small number of invitations are still<br />

available on a first-come, first-served basis.<br />

<strong>Breakthrough</strong> Winter 2004 Page 14


2004 Conference Information<br />

Remember your first conference? More Travel Information<br />

Conference Fees Continued from back page<br />

conference, and the event has drawn<br />

larger and larger numbers of attendees.”<br />

The <strong>Foundation</strong> has kept the registration<br />

fees stable though public and private<br />

grants to subsidize<br />

costs, becoming more efficient<br />

in planning and<br />

scheduling the three-day<br />

event, and through the generous<br />

support of the OI<br />

community.<br />

Volunteers have also<br />

had a great impact, providing key services<br />

such as staffing the resource room.<br />

“We also spend a lot of time at the<br />

bargaining table to keep costs as low as<br />

possible,” Bradner said.<br />

Staff and Board members also go<br />

through an extensive review process<br />

after each conference, using input from<br />

the conference surveys, to determine<br />

where else they can shave a few dollars<br />

off the budget for the next conference.<br />

For example, in 2004 the <strong>Foundation</strong><br />

will ship fewer resources to the conference,<br />

to save more than $1,000 in freight<br />

charges. The files will be transferred<br />

electronically, then printed in Dallas the<br />

Conference can be overwhelming. So<br />

many people to meet, functions to attend,<br />

sessions to go to... people often confess<br />

after the fact that they were “overwhelmed”<br />

at their first conference.<br />

The confusion is even greater for those<br />

who aren’t familiar with the OI community.<br />

New parents of a child with OI,<br />

researchers, doctors and even friends<br />

and coworkers often don’t know which<br />

way to turn once they leave the registration<br />

desk.<br />

The OI <strong>Foundation</strong> is introducing a<br />

brand new program to conference in<br />

Dallas this year. We plan to welcome all<br />

“newcomers” at an open house, hosted<br />

by community members who’ve been to<br />

at least two conferences.<br />

The volunteers will assist the newcomer<br />

in choosing relevant sessions to<br />

attend, answer any questions they might<br />

have about the conference, and most importantly,<br />

introduce the newcomer to others<br />

to help him/her feel more comfortable<br />

and welcome.<br />

The open house will be open Wednesday<br />

afternoon and Thursday morning<br />

during registration.<br />

If you’ve been to an OI <strong>Foundation</strong><br />

National Conference two or more times<br />

and would like to help welcome conference<br />

newcomers, please volunteer to<br />

participate by checking the appropriate<br />

box on the registration form.<br />

For more infomation about the program,<br />

contact the <strong>Foundation</strong> by writing<br />

to bonelink@oif.org or calling (800) 981-<br />

2663.<br />

“The actual cost to the OI <strong>Foundation</strong><br />

for each person attending conference<br />

is more than $350.”<br />

week before conference, rather than<br />

shipped across country.<br />

An online ordering system will also be<br />

available to have resources shipped directly<br />

to the attendees’ homes while<br />

they’re still attending the conference.<br />

The <strong>Foundation</strong> is also limiting the<br />

number of audio/visual pieces used during<br />

the conference weekend through a<br />

more efficient scheduling of speakers<br />

and session panels.<br />

“In all, I think our budget is as lean as<br />

we can possibly make it,” Bradner said,<br />

“but without some additional sponsorships<br />

or grants, it will be a challenge to<br />

keep the 2004 conference in the black.”<br />

The actual cost to the <strong>Foundation</strong> for<br />

each person attending conference in<br />

2004 is more than $350.<br />

Registration fees for each guest do not<br />

Access-Able Travel Source is a<br />

one-stop resource for disabled<br />

travel planning and information,<br />

which includes:<br />

• Lists of equipment rental and repair<br />

shops,<br />

• Reviews of attractions and details<br />

about accessibility,<br />

• Lists of lodgings with alert kits,<br />

roll-in showers, alert kits, closed<br />

caption TV, alert kits, or any combination<br />

of services,<br />

• Aiport accessibility tips and support<br />

information, and<br />

• An extensive list of disability<br />

lodging and travel and web sites.<br />

www.access-able.com<br />

(303) 232-2979<br />

even fully cover the costs of their meals.<br />

The costs associated with audio/visual<br />

support, child care, teen activities, staff<br />

travel, freight, and all the expenses associated<br />

with bringing<br />

the nation’s top doctors,<br />

researchers and subject<br />

matter experts to the<br />

event to speak at the<br />

sessions and panels<br />

must be covered by the<br />

<strong>Foundation</strong>.<br />

Although sponsorships, exhibitors and<br />

grants increase each year, the OI <strong>Foundation</strong><br />

must cut back on other areas of<br />

the budget to pay the conference bills.<br />

Board members are committed to<br />

keeping the conference affordable as<br />

they set fees for each conference.<br />

If you would like to make a contribution<br />

to help cover conference expenses,<br />

or know of a vendor who<br />

might be interested in exhibiting or<br />

sponsoring an event at conference,<br />

please contact the <strong>Foundation</strong> offices<br />

at (800) 981-2663 or by writing<br />

to bonelink@oif.org.<br />

Page 15 <strong>Breakthrough</strong> Winter 2004


Spotlight<br />

Physical therapy brings relief from pain for mother of two<br />

Kathleen Kowis has what she calls “severe Type I OI.”<br />

In fact, when her type was diagnosed through genetic<br />

testing, the results suprised her family and doctors, who had<br />

placed her as a more severe type based on her symptoms<br />

and medical history.<br />

“In spite of that, I’m not sure I did everything I could do<br />

growing up to stay healthy,” Kathleen confessed. “I guess<br />

the mindset was ‘if I’m not breaking, why see a doctor?’”<br />

When Kathleen was near the end of her second pregnancy,<br />

the pain in her<br />

knee was so bad she<br />

couldn’t stand, much<br />

less walk, maintain her<br />

household, and care for<br />

her infant daughter.<br />

“It was probably the<br />

additional weight I was<br />

carrying due to the pregnancy,” she recalled, “but I had also<br />

fallen and fractured that kneecap 5 years earlier.”<br />

Complicating matters, a job opportunity for her huband,<br />

Greg, took their brand-new family to N.C., too far from<br />

extended family for them to be able to receive regular<br />

support and assistance.<br />

Visits to local doctors unfamiliar with OI were not reassuring.<br />

One looked at her x-rays and informed her she had<br />

“83 year-old looking knees.” She was told to stop walking<br />

on it, not to exercise, and to consider having a knee replacement<br />

surgery that couldn’t guarantee results.<br />

“It was frightening,” Kathleen said. “When Sean was<br />

born, the pain was bad enough that I was too scared to<br />

carry him. I was dragging him around the house in his<br />

bassinet!”<br />

By the time her knee pain was bad enough to send her in<br />

search of help, she had tendon and ligament damage as well<br />

as damage to the bones in her knees.<br />

Kathleen traveled to Baltimore to meet with Dr. Shapiro<br />

(a member of the OI <strong>Foundation</strong>’s medical advisory council)<br />

and a group of specialists at the OI Clinic at Kennedy<br />

Kreiger, who recommended physical therapy as a means of<br />

controlling the pain.<br />

“It turns out there were a series of problems, and not just<br />

in the knee,” Kathleen said.<br />

One of the biggest contributing factors to the knee<br />

problems turned out to be the curvature in her legs due to<br />

repeated micro-fractures through the years. The bowing<br />

was turning her foot, impacting her gait and adding stress to<br />

the knees.<br />

“A simple insert in my shoe from the physical therapist<br />

made a world of difference,” Kathleen said. “In fact, when<br />

I walk barefoot— without the special insert— I can notice<br />

the increased pain immediately.”<br />

However, her physical therapy was more involved than<br />

just the insert. Kathleen spent months receiving special antiinflammatory<br />

treatments using electrodes to draw the<br />

medication to the right spots in her knees. She also was<br />

taught a series of mild exercises to help strengthen the<br />

muscles supporting her knees.<br />

“It could have been much worse, and I might have<br />

resorted to surgery,” she said. “Nobody was giving me any<br />

options other than<br />

that until I met with<br />

“I never saw a physical therapist as a child, and<br />

believe it really would have made a difference.<br />

I’d like to assume all kids with OI today have one.”<br />

Dr. Shapiro and the<br />

team at the OI<br />

Clinic.”<br />

She said hard<br />

work brought her<br />

success in managing<br />

the pain without surgery. It required lots of research, selfeducation<br />

about the issue, and three or four opinions from<br />

different doctors before she was ready to make a decision<br />

about how to treat the pain.<br />

“I learned through all this that you have to stick to it and<br />

not give up when you come across a medical problem. You<br />

simply have to keep fighting until you find someone who is<br />

willing to work with you,” she explained.<br />

“Surgery is not necessarily a pain management tool,” she<br />

said. “Once I found someone knowledgeable about OI and<br />

willing to listen to what I’d learned, more options were<br />

available to me. It was almost like I had to be my own<br />

health advocate.”<br />

Today Kathleen relies on yoga to control stress and water<br />

therapy to stay strong, takes the occasional anti-inflammatory<br />

medication when needed, and regularly meets with a<br />

physical therapist.<br />

“I never saw a physical therapist as a child,” she said,<br />

“and believe it really would have made a difference. I’d like<br />

to assume all kids with OI today have one.”<br />

She believes that some simple exercises and early interaction<br />

with “the right people” could make all the difference<br />

in whether or not children suffer from joint pain as adults.<br />

“But most of all you have to know yourself, and search<br />

for as many options and as much information as you<br />

possibly can,” she said.<br />

The pain’s not completely gone, and Kathleen has to be<br />

diligent with sticking to her exercises and using the shoe<br />

insert, but she’s keeping up with her two pre-schoolers,<br />

Sean and Rachel, now 3 and 4 years old.<br />

“Because I didn’t give up, I’m now walking, taking the<br />

kids to school, shopping, keeping up with the house... I<br />

consider myself lucky,” she said.<br />

<strong>Breakthrough</strong> Winter 2004 Page 16


Honorary & Memorial Donations<br />

In Honor of...<br />

Ms. Rhonda<br />

Mr. Jason Erdkamp<br />

Our Customers<br />

U.S. Alloys, Inc.<br />

The Landrum-<br />

Johnston Family<br />

(Christmas)<br />

The Lelich Family<br />

Adam Ayers<br />

Robert & Donna Ayers<br />

Patricia Baker<br />

(Christmas)<br />

Mrs. Rosalind James<br />

Donald & Ruth<br />

Barringer<br />

(Christmas)<br />

W.C. & E. Barringer<br />

Mr. & Mrs. G. Douglass<br />

Jasmine Milady<br />

Berjos<br />

Equity Concepts Inc.<br />

Cullen Binnicker<br />

Mr. & Mrs. Binnicker<br />

Mary Alice<br />

Birdwhistell<br />

Ms. Julie Hoffman<br />

B.J. Bonmon<br />

Ms. Pam Bonmon<br />

Ms. Dana Smith<br />

Allison Cannington<br />

Dr. & Mrs. John<br />

Eckstein<br />

Ms. Judi Hochman<br />

October 1 to December 31, , 2003<br />

Dominic & Fran Confetti<br />

Anthony & Elizabeth<br />

Battaglia<br />

Eilene Copenhagen<br />

Mrs. Selma Sturman<br />

Gaston<br />

Ryan Deady<br />

Business Technology<br />

Engineers<br />

Lee Ann Dozier<br />

Anthony & Elizabeth<br />

Battaglia<br />

Joshua Engel<br />

Jonathan and Janis Engel<br />

Jacob Everett<br />

Max & Doris Everett<br />

Dale & Shirley Stouffer<br />

Jessica Finkel<br />

Mr. & Mrs. Lawrence<br />

Reuben<br />

Mr. Stephen Rock<br />

Andrew Foster<br />

Ms. Sarah McClure<br />

Ivy Geisman<br />

Mrs. Gemma Geisman<br />

Gemma Geisman<br />

(Christmas)<br />

Ms. Ivy Geisman<br />

Merlin Jason Heiman<br />

Mr. Neil Calfas<br />

Susan Chetlin &<br />

Michael Heydt<br />

(Wedding)<br />

Nicholas & Eldred<br />

Vurdelja<br />

Rosalind James<br />

(Christmas)<br />

Ms. Patricia Baker<br />

Rosemarie Kasper<br />

Mr. & Mrs. Arthur Tuttle<br />

Jim and Kathee Kendall<br />

Mr. & Mrs. Robert Dombro<br />

Tim Dombro & Jamie<br />

Kendall<br />

Mr. & Mrs. Robert Dombro<br />

Katie Kipperman<br />

Steve & Bonnie<br />

Kipperman<br />

Ellen Haley & Jeffrey<br />

Krudys<br />

Lorraine Stanchich & Jack<br />

Brown<br />

Ms. Jeanna Diminno<br />

Dorian Dehaan Rossi, Inc.<br />

Mr. Robert Hutter<br />

Mr. George Meyer, III<br />

Mr. Stephen Simon<br />

Ms. Mary Stevens<br />

Ms. Charlene Worman<br />

Jeffrey Krudys<br />

Novamet Specialty<br />

Products Corp.<br />

Deborah Lapkin<br />

Mrs. Patsy Sevison<br />

Haley Lapkin<br />

Leah Koffman<br />

Ms. Kathleen Matteri<br />

Frank & Diane Rosman<br />

Mrs. Patsy Sevison<br />

Robin Lempel<br />

Ed & Joan Swirsky<br />

Anna M. Lennartson<br />

Sherwood & Britta<br />

Lennartson<br />

Bruce & Paula M.<br />

Dr. & Mrs. David<br />

Tashjian<br />

Kevin McGarry<br />

Terance & Doris<br />

Thayer<br />

Matthew Milliken<br />

Mr. Paul Milliken<br />

Dr. Horatio Plotkin<br />

Mary Peterson-Suri<br />

Andrew Poll<br />

The Temple-Tifereth<br />

Israel<br />

Jean & Frank Posselius<br />

Ms. Margaret Eitel<br />

Siena Joelle Potorski<br />

John and Christine<br />

Wyman Rossi<br />

Preston Propst<br />

Ron & Tamara Propst<br />

Andra Puris<br />

Delta Environmental<br />

Consultants, Inc.<br />

John Rossi (Christmas)<br />

John and Christine<br />

Wyman Rossi<br />

Tracy & R.J. Russell<br />

(Christmas)<br />

Mr. Robert Jones<br />

Nicole Schettler<br />

Clyde and Pat<br />

Weisbrod<br />

Henry & Joyce Schurr<br />

(Christmas)<br />

Ms. Lydia Middaugh<br />

Emily Seelenfreund<br />

(Bas Mitzvah)<br />

Ms. Shirley Katz<br />

Amy Dombro & Ed<br />

Silverman<br />

Mr. & Mrs. Dombro<br />

The Sonneborn<br />

Family<br />

Michael & Kimberly<br />

Lingerman<br />

Shannon Strauch<br />

Ms. Frances Donohue<br />

Maggi Warner<br />

Ms. Mary Jane Foster<br />

Anthony Welch and<br />

Mr. & Mrs. R. Valenti<br />

William & Catherine<br />

Burns<br />

Kay & Ralph West<br />

Mr. & Mrs. Norman<br />

Wilcox<br />

Richard & Mary Ellen<br />

Wyman<br />

Mrs. Mary Beth Klotz<br />

John and Christine<br />

Wyman Rossi<br />

Matthew & Michael<br />

Zola<br />

Bill and Helaine Davis<br />

In Memory of...<br />

"Daddy Albert"<br />

Ms. Sylvia Leaf<br />

Mary Faith<br />

Abatemarco<br />

Robert & Jacqueline<br />

Abatemarco<br />

Michael & Laura<br />

Abatemarco<br />

Ms. Janet Hughmanic<br />

Brian & Marie Riley<br />

Richard Bochis, Sr.<br />

Bayonne Medical<br />

Center<br />

David Boyd<br />

Mrs. Bernice Wenzel<br />

Martin Croes<br />

Mrs. Florence Croes<br />

Susan Brooke Dorris<br />

Ms. Bebe Dorris<br />

Mary Jane Duncan<br />

Ms. Jean Bruemmer<br />

Joseph A. Enos, Jr.<br />

Ms. Beverly Bembridge<br />

Philip & Mary Curcuru<br />

Mr. & Mrs. John Enos<br />

Ms. Grace Lopes<br />

Ms. Jane Minnucci<br />

Ms. Mary Jane Morrill<br />

Mrs. Jacqueline Sterne<br />

Ms. Marie Walima<br />

Angelina Gasko<br />

John & Vanessa Reale<br />

Jones<br />

Michael Geisman<br />

James & Mary Geisman<br />

Ms. Ivy Geisman<br />

Mr. & Mrs. Wallace<br />

Howarter<br />

Emily Goebel<br />

Randall & Deb Warner<br />

Isiah Grossman<br />

Herbert & Pauline Kleiman<br />

Mrs. Rose Seelenfreund<br />

Gretchen Guzak<br />

Mrs. Karen Guzak<br />

John C. Harris<br />

Ms. Audrey Harris<br />

Mr. & Mrs. Wilbur Harris<br />

Alvina Hartman<br />

Mrs. B. Freudensprung<br />

Ashton & B.J. Hobbs<br />

Charles & Heidi Glauser<br />

George Gabriel<br />

Johnson<br />

Mr. & Mrs. Norm Wrona<br />

Arnold Judd<br />

Simon & Emmy Kate David<br />

Patrick Kelly<br />

Mr. & Mrs. Donald<br />

McGowan<br />

Mark & Anne Michaels<br />

Margaret Kievit<br />

Ms. JoAnn Berkenbush<br />

Bill Logan<br />

Randall & Deb Warner<br />

John H.D. Macy, III<br />

Mr. and Mrs. Steven<br />

Schneider<br />

Donna "Peanut" McGee<br />

Will & Christine Godwin<br />

Mr. & Mrs. Phillip Hulsey<br />

Ms. Annie Lou McGee<br />

Ms. Ora Mae Polino<br />

John & Mussette<br />

Underwood<br />

Danna Marie McRae<br />

Mr. Christopher McRae<br />

Ida Neu<br />

Randall & Deb Warner<br />

Norma Jean O'Donnell<br />

Mrs. Phyllis Pascucci<br />

Robert Owens<br />

Mrs. Jane Clark<br />

Joseph Pesce<br />

Robert & Menikina<br />

Gancayco<br />

Charles P. Priest<br />

Ms. Colleen Priest<br />

Leonard Quasarano &<br />

Jonathan Crosby<br />

Mrs. Laura Shanley<br />

Fleurette Raducha<br />

Ms. Marilyn Eve Weksner<br />

Brenda Rakolta<br />

Mr. & Mrs. D. Wedding<br />

Peter David Ray<br />

Mr. & Mrs. Joseph Hayes<br />

Mary Sagan<br />

Ms. Marion Sobey<br />

Lester Sarty<br />

Mrs. Ruth Hopfmann<br />

Patricia Grace Silvestri<br />

Mrs. Grace Lugea<br />

Naima Somekh<br />

Ms. Odille Hansen<br />

Grace Twoie<br />

Sonnenborn<br />

Donn & Mary Anne Davis<br />

Victor Stavinoha<br />

Mrs. B. Freudensprung<br />

Blaine Stetler<br />

Pat & Sandy Supianoski<br />

The Straw Family<br />

Ms. Norrine Straw<br />

Jonathan Sutton<br />

Mr. Kent Sutton<br />

Baylee Aaron Taylor<br />

Ms. Dianne Ayers<br />

Ms. Jeannette Brooten<br />

Ms. Marie Cofer<br />

Roy & Ellen Dettinger<br />

Chris & Barb Foster<br />

Clyde & Gloria Fugate<br />

Ed & Tonya Grensky<br />

Dave & Lisa Malloy<br />

Hazel Chamberlain<br />

Ms. Darlene Reeves<br />

Sonya & Eve Roper<br />

Dessie Roper<br />

Ms. Larraine Russell<br />

Dale & Vivian Sanford<br />

Gordon & Sharla Smith<br />

Ms. Joann Stilwel<br />

Brad & Tara Taylor<br />

Ron & Rosemary Taylor<br />

Roger & Debbie Taylor<br />

Rolly & Sandy Warner<br />

Francis & Karen Welty<br />

Ms. Patsy Willard<br />

Earl Audley Tolar<br />

Chad & Allison<br />

McDaniel<br />

Ingrid Van Pypen<br />

Rudy & Tina Van Pypen<br />

Donald S. Vaughan<br />

Ms. L. DePasquale<br />

Miss Devyn Clea<br />

Villaluz<br />

Ms. Cynthia Ng-Villaluz<br />

Barbara Webb<br />

Mr. & Mrs. M. Battaglia<br />

YMCA - Mtn. Lakes, NJ<br />

Emily Winn<br />

Joseph & Beverly<br />

Steinmetz<br />

Page 17 <strong>Breakthrough</strong> Winter 2004


Cornerstones<br />

Member reflects on an ‘almost horrible’ talent show<br />

by Anna Lennarston<br />

OI Community Member<br />

“It can’t be that bad,” I thought to<br />

myself, even though I regretted ever<br />

signing up for the talent show. “Tonight<br />

would be one of the worst nights of my<br />

life… maybe, ” I thought.<br />

“Want to come see the dining hall<br />

where you’ll play tonight?” questioned<br />

my mom.<br />

“Sure.”<br />

Inside there were tons of shiny,<br />

polished round tables, and a<br />

humongous wooden stage. On the<br />

stage was a shiny, black baby grand<br />

piano.<br />

“Wow. A baby grand piano! Is<br />

this what I’m really going to play on<br />

tonight?” I asked.<br />

“Well, it’s the only one here, so…<br />

yes!” my mother answered.<br />

That night I put on my elegant,<br />

silky dress for the show and joined my<br />

mom in the dining hall. Looking around<br />

the room, you could tell they had<br />

certainly fancied things up since we<br />

Web Spots<br />

Useful or informative sites for the OI community<br />

Accessable Travel Source<br />

www.access-able.com<br />

(Page 15)<br />

Adam’s Mark Hotel, Dallas<br />

www.adamsmark.com/dallas<br />

(Page 13)<br />

American Society of Travel Agents<br />

www.astanet.com<br />

(Page 12)<br />

American Society for<br />

Bone & Mineral Research<br />

www.asbmr.org<br />

(Page 9)<br />

were there in the afternoon. There<br />

was a blue-checkered tablecloth, a set<br />

of sparkling silverware for every guest,<br />

and two cream colored candles on<br />

each table. Of course, at the front was<br />

the gigantic stage (which now had<br />

microphones, too) and the large,<br />

dazzling piano.<br />

When dinner was done the talent<br />

show began. First was a girl singing<br />

this really wacky song, then someone<br />

tap-danced. After him, the announcer<br />

called my name.<br />

“Now, Anna Lennartson will play<br />

‘Brave Night’ by Moritz Vogel.”<br />

Walking up to the piano, my<br />

flowered, blue dress shoes clicked on<br />

the hard stage. Sticky, cold sweat<br />

started running down my forehead. My<br />

heart began to pound loudly in my<br />

chest. Putting my hands on the black<br />

and white keys, I realized they felt<br />

clammy and frozen. I turned my head<br />

and saw more than 400 pairs of<br />

colorful, staring eyes looking at me and<br />

waiting for me to play. In the large<br />

The following organizations or services were featured in the pages of this newsletter:<br />

MN Advisory Committee on<br />

People with Disabilities<br />

www.accessmaze.org<br />

(Page 9)<br />

National Brain Tumor <strong>Foundation</strong><br />

www.braintumor.org<br />

(Page 19)<br />

OI Clinic at Kennedy Kreiger<br />

www.osteogenesisimperfecta.org<br />

(Page 16)<br />

Pinnacle Travel<br />

www.pinnacletravel.com<br />

(Page 14)<br />

Direct links to these organizations can be found on www.oif.org.<br />

crowd was my mom, and I knew that<br />

she was waiting, too. As I began the<br />

song my brain kept telling me NOT to<br />

make a mistake… and I didn’t.<br />

The song came out beautiful,<br />

smooth and pleasant, just the way it<br />

was supposed to. All of a sudden the<br />

audience started clapping and cheering<br />

wildly. There was my mom, smiling the<br />

biggest. I smiled back at her, and at the<br />

rest of the audience, feeling relieved as<br />

ever. I had actually played the piano in<br />

front of over 400 people!<br />

Editors Note: Until we received<br />

this submission, we had no idea how<br />

nervous Anna was… she exuded<br />

grace and performed flawlessly at<br />

the 2002 National Conference<br />

Talent Show. We look forward to an<br />

“encore performance” from Anna at<br />

the 2004 Conference in Dallas!<br />

Invitations to participate in the<br />

talent show will be included with<br />

your Conference Registration<br />

Confirmation Packets.<br />

St. Louis Hospital’s Center for<br />

Matabolic Bone Diseases and<br />

Molecular Research<br />

www.shrinershq.org/shc/stlouis/<br />

mru.html<br />

(Page 1)<br />

VSA Playwright Discovery Awards<br />

www.vsarts.org/programs<br />

(Page 9)<br />

Wheelchair Getaways<br />

www.wheelchair-getaways.com<br />

(Page 14)<br />

<strong>Breakthrough</strong> Winter 2004 Page 18


Article<br />

Understanding medical research & literature<br />

by Hariett Patterson, MPH<br />

Reprinted with permission from<br />

The National Brain Tumor <strong>Foundation</strong><br />

When diagnosed with a serious<br />

illness or disorder, many people want<br />

to learn more about their condition and<br />

possible treatments. At some point,<br />

they may wish to consult medical<br />

journals and read research articles to<br />

find out about new treatment options.<br />

However, complicated medical and<br />

scientific jargon can be an obstacle to<br />

obtaining vital information. By following<br />

a few basic guidelines and learning<br />

a few research terms, the world of<br />

medical literature can become more<br />

understandable.<br />

To begin, it is helpful to know the<br />

basic structure of scientific papers.<br />

They generally begin with an abstract<br />

(a brief summary). Reading the<br />

abstract is a great way to get an<br />

overview of what the author was<br />

researching—the main question of the<br />

study—and the results. The rest of the<br />

paper will usually include the following<br />

sections: an introduction or background,<br />

methods, results, discussion<br />

and bibliography.<br />

The introduction or background<br />

section discusses the reasons the<br />

researcher was doing the study, and<br />

typically cites the previous studies. The<br />

methods section explains how the<br />

study sample participants were selected<br />

and how the study was conducted.<br />

(For example, through personal<br />

interviews or by examining hospital<br />

records.) The results section gives the<br />

data from the study and tends to<br />

present a lot of numbers (percentages<br />

and statistics). In the discussion<br />

section, the researcher analyzes the<br />

results in relation to the original<br />

research question and draws conclusions.<br />

The discussion section is generally<br />

less technical than the other<br />

sections of the paper. It can be a good<br />

way to get a summary of the findings<br />

and what they mean.<br />

Remember that research findings<br />

should be carefully interpreted. It is<br />

helpful to look for information in<br />

journals that are “peer-reviewed.” This<br />

means that other scientists and researchers<br />

in the field have had a<br />

chance to read and evaluate the<br />

studies before they are accepted and<br />

published by the journal. Major medical<br />

journals such as the Journal of the<br />

American Medical Association<br />

(JAMA) and the New England Journal<br />

of Medicine are peer-reviewed.<br />

Internet sites such as Medscape<br />

(www.medscape.com) and Pubmed<br />

(www.pubmed.gov) have directories<br />

of peer-reviewed journals and allow<br />

you to search by topic of interest.<br />

Some Internet sites are not<br />

reliable. If you read about a study on<br />

the Internet that sounds interesting and<br />

want to know more about it, it is a<br />

good idea to search the major research<br />

databases to see what they have<br />

published on the topic.<br />

Here are a few key terms and<br />

definitions to get you started:<br />

Clinical Trial – A research study<br />

conducted with patients to scientifically<br />

determine the effectiveness of new<br />

treatments or to improve existing ones.<br />

Each study tries to answer scientific<br />

questions and to find better ways to<br />

prevent, diagnose or treat diseases or<br />

disorders.<br />

Confidence Interval – A statistical<br />

range of values for a particular<br />

variable or characteristic, set up so<br />

that the variable lies within that range.<br />

(Example: The 95% confidence<br />

interval for height is 5’9” to 6’. This<br />

means that 95 out of 100 people will be<br />

within that height range.) Generally,<br />

the more narrow the confidence<br />

intervals, the more reliable the study<br />

results.<br />

Control – An individual or group<br />

used as a standard of comparison for<br />

checking or verifying the results of an<br />

experiment.<br />

Double-blind Study – A type of<br />

study in which neither the doctors nor<br />

participants know who is receiving a<br />

drug and who is receiving a placebo.<br />

This method helps to assure objective<br />

results by avoiding prejudice either for<br />

or against a treatment.<br />

Placebo – An inactive substance<br />

given as a control (standard for<br />

comparison) in an experiment to test<br />

the effectiveness of a drug.<br />

Qualitative Research – A study<br />

with findings that are not arrived at by<br />

looking at statistics. This type of<br />

research generally looks at opinions<br />

and personal viewpoints.<br />

Quantitative Research – A<br />

study that uses measurements and<br />

statistical methods to identify causes,<br />

make predictions, and determine if the<br />

findings of a study can be applied to<br />

the general population as a whole.<br />

Randomized Control Trial – A<br />

type of study where the participants<br />

are randomly selected to receive either<br />

a placebo or the treatment being used.<br />

Sample – The group of people<br />

that participate in a study. The sample<br />

may be random or may represent a<br />

particular population group.<br />

These terms are a good starting<br />

point to understanding medical research,<br />

but the best way to become<br />

more comfortable with scientific<br />

research is to start reading.<br />

Be sure to view the OI <strong>Foundation</strong>’s series of related fact sheets, including: Talking With Your Doctor,<br />

Talking With Your Orthopedist, and How To Bring Out the Best In Your Health Care Team. These and<br />

many other healthcare resources are available online at www.oif.org or by calling (800) 981-2663.<br />

Page 19 <strong>Breakthrough</strong> Winter 2004


Nonprofit<br />

Organization<br />

U.S. Postage<br />

PAID<br />

Suburban MD<br />

Permit #5857<br />

Conference<br />

Registration<br />

Inside!<br />

Setting Conference Fees a Challenge<br />

for the <strong>Foundation</strong>, Board of Directors<br />

Conference<br />

Information<br />

Choosing the best location for the biennial<br />

conference is the first challenge<br />

in hosting such a large event (see the<br />

Spring 2003 issue of <strong>Breakthrough</strong>), but<br />

it’s certainly not the biggest challenge of<br />

the planning process.<br />

The biennial conference is one of the<br />

largest line items in the OI <strong>Foundation</strong>’s<br />

budget. Without careful planning, hosting<br />

the conference can have a significant<br />

impact on all of the <strong>Foundation</strong>’s<br />

support and information programs.<br />

“Planning for the national conference<br />

is a constant balancing act,” according<br />

to Bill Bradner, the OI <strong>Foundation</strong>’s Director<br />

of Communications and Events.<br />

“We’re striving to constantly increase<br />

the level of service and the scope of the<br />

program and events at conference, while<br />

keeping registration fees as low as possible<br />

to make it affordable for everyone.”<br />

The conference registration fees have<br />

not significantly increased in the last<br />

eight years, due in large part to the efforts<br />

of the Board of Directors and the<br />

Conference Planning Committee. In<br />

fact, in 2002, conference fees were lowered,<br />

thanks to the efforts of a group of<br />

board members and volunteers who created<br />

and managed the Fine Wines,<br />

Strong Bones fundraising event to offset<br />

conference costs.<br />

Unfortunately, while the registration<br />

fees have remained stable over the past<br />

eight years, the costs associated with<br />

hosting the conference have increased<br />

significantly.<br />

“In the last ten years, the charges for<br />

audio/visual support and meals at hotels<br />

have almost tripled, industry wide,” according<br />

to Bradner. “In spite of that, the<br />

<strong>Foundation</strong>’s managed to increase the<br />

number of speakers and programs at<br />

Continued on page 15<br />

Deadlines<br />

page 9<br />

Sessions & Topics<br />

page 10<br />

Registration<br />

Center Insert<br />

Namebadges Required<br />

page 11<br />

Wheelchair/Oxygen Travel<br />

page 12<br />

Hotel Reservations<br />

page 13<br />

Travel Tips<br />

page 12,14<br />

“Buddies” Wanted<br />

page 15<br />

<strong>Breakthrough</strong> Winter 2004 Page 20

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