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The orland park prairie | September 27, 2018 | 5<br />

Friends, family rally around youth with rare blood disorder<br />

Patrick Z. McGavin<br />

Freelance Reporter<br />

As a nurse, Mandy Granat<br />

has devoted her professional<br />

life to mitigating pain and<br />

discomfort of those placed<br />

in her care.<br />

Most difficult of all was<br />

being confronted by medical<br />

uncertainty regarding her<br />

own son, Luke.<br />

Luke, now 11, has always<br />

been a naturally buoyant<br />

child with an easy and outgoing<br />

personality. When he<br />

was 8 years old, Luke started<br />

to exhibit symptoms, such as<br />

abdominal pain and nausea,<br />

that confounded doctors, as<br />

extensive hospitalizations<br />

and tests failed to identify<br />

the underlying causes.<br />

“We spent about a year<br />

having him be misdiagnosed,”<br />

Mandy said. “They<br />

thought it was allergic reactions.<br />

As a nurse, it made<br />

sense at the time. When he<br />

had the abdominal pain, he<br />

spent five days at Hope Children’s<br />

Hospital and the tests<br />

came back normal.”<br />

The severity of the reactions<br />

intensified. After a series<br />

of complex blood tests,<br />

doctors discovered that Luke<br />

suffers from a rare genetic<br />

blood disorder called hereditary<br />

angioedema.<br />

“I never even heard of it,”<br />

Mandy said.<br />

On average, only about<br />

one in 10,000-50,000 people<br />

suffer from HAE. A person’s<br />

C1-inhibitor protein regulates<br />

blood-based system<br />

that fight disease, inflammation<br />

and buildup.<br />

“He’s missing the [CI-inhibitor]<br />

protein in his blood<br />

that his body doesn’t make,<br />

or is deficient,” Mandy explained.<br />

The family lives in Orland<br />

Park. Luke is a sixth-grader<br />

at Central Middle School in<br />

Tinley Park. Mandy works<br />

at the Silver Cross Hospital<br />

emergency room in Homer<br />

Glen. Luke’s father, Steve,<br />

is the assistant principal at<br />

Tinley Park High School.<br />

Luke has a sister, Anna, who<br />

is in eighth grade at Central.<br />

His older brother, Stevie, is a<br />

freshman at Andrew.<br />

In May, Mandy and Luke<br />

traveled to Vienna, Austria,<br />

for five days to attend a patient<br />

and doctor symposium.<br />

“We met kids from all over<br />

the world, and we learned<br />

that many don’t have the<br />

medication in those countries,”<br />

Mandy said. “That<br />

was a humbling experience<br />

because we see how lucky<br />

we are to have access to the<br />

medication.”<br />

Luke also is a member of<br />

the Youth Leadership Council<br />

for the US Hereditary<br />

Angioedem Association. In<br />

July, he appeared at Capitol<br />

Hill to advocate for increased<br />

federal funding for<br />

the disease.<br />

The family also has sought<br />

to raise awareness closer<br />

to home. In the summer of<br />

2017, the family held a 5K<br />

run in Danada Forest Preserve<br />

in Wheaton.<br />

The initial affair proved<br />

the jumping-off point. In<br />

the first week of August, the<br />

family held another event.<br />

Mobilizing Facebook and<br />

other social media to shape<br />

word of mouth around Orland<br />

Park and Tinley Park,<br />

the number jumped from 30<br />

last year to 130 this year.<br />

“He needs the support of<br />

his friends more than anything<br />

at this stage,” Mandy<br />

said. “The event made him<br />

feel so good.”<br />

The support was overwhelming<br />

for Luke.<br />

“It meant a lot to me because<br />

it’s important to know<br />

they care about me and want<br />

to help me get through this,”<br />

he said.<br />

Luke is bright and naturally<br />

curious.<br />

Soccer and medicine are a big part of 11-year-old Luke Granat’s life, as he holds a kit<br />

containing needles and medicine to physically keep him going, and a soccer ball, which<br />

emotionally keeps him going. JEFF VORVA/22ND CENTURY MEDIA<br />

Several friends and teammates from Orland Park and Tinley Park participated in a 5K run<br />

to support Luke Granat. PHOTO SUBMITTED<br />

“I like to play with and<br />

build LEGOs, the Avengers,<br />

Jurassic World and anything<br />

with a built-in mythical<br />

[theme],” he said.<br />

Luke’s sanctuary in the aftermath<br />

of the diagnosis has<br />

been to throw himself into<br />

sports. Luke plays midfielder<br />

for the Orland Park-based<br />

Sting 2007 program.<br />

“It’s just fun to play with<br />

my friends,” Luke said. “It<br />

keeps me active. It’s fun, and<br />

my dad is a soccer coach. He<br />

always helps me learn about<br />

soccer. He helps coach my<br />

brother’s team: the Bobcats.”<br />

His passion is essential<br />

for achieving the normal<br />

rhythms of childhood.<br />

“Some physicians discourage<br />

playing sports,<br />

[thinking] any kind of trauma<br />

is a trigger you are able<br />

to predict,” Mandy said.<br />

“His doctor has said to do<br />

whatever is normal for an<br />

11-year-old boy as possible.<br />

The one thing we try to control<br />

are the episodes, because<br />

the faster you treat them, the<br />

shorter the recovery time.”<br />

If family and sports are the<br />

primary way Luke has come<br />

to deal with his condition,<br />

self-education and heightening<br />

awareness has become<br />

the family’s rallying cry.<br />

Luke takes intravenous infusions<br />

at home and is learning<br />

how to stick himself, Mandy<br />

said.<br />

Despite the scarcity of the<br />

impacted population, those<br />

who deal with the consequences<br />

of hereditary angioedema<br />

have developed<br />

an international community.<br />

The Granat family has aggressively<br />

stepped into this<br />

vibrant network.<br />

“The disease is technically<br />

considered genetic, but nobody<br />

in our family has ever<br />

had it,” Mandy said. “It’s a<br />

spontaneous genetic mutation.<br />

It’s confusing and, as<br />

our experience showed, nobody<br />

really knew what was<br />

going on. The past two years<br />

we have done everything<br />

possible to learn as much as<br />

possible about the disease<br />

because it goes untreated or<br />

misdiagnosed.”<br />

As Luke learns to cope<br />

with the emotional and physical<br />

ramifications of living<br />

with HAE, he has learned<br />

even the most glancing actions<br />

have a profound impact.<br />

The worst part is how<br />

the random nature of youth<br />

is sometimes taken away.<br />

“There are things we have<br />

to cancel at a moment’s notice,”<br />

Mandy said. “He can<br />

be fine one minute, and it<br />

can happen out of the blue<br />

— his eyes and face or any<br />

part of the body starting to<br />

swell.”<br />

But his resolve and his resilience<br />

have strengthened.<br />

“My mom gives me the<br />

inspiration to keep going<br />

and do the things I do,” Luke<br />

said.

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