Breakthrough - Osteogenesis Imperfecta Foundation
Breakthrough - Osteogenesis Imperfecta Foundation
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