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Patient Perspectives Activity
2019 KAND Conference
At the 2019 KAND Family &
Scientific Engagement
Conference in New York City, we
asked families affected by
KIF1A Associated Neurological
Disorder (KAND) to help people
understand their challenges and
what matters most to them.
Here are their responses.
www.kif1a.org/2019conference/
The most challenging aspect of living with KAND is
"progressive"idea&
therelatedunknowns notseeingwell
livinginan
inaccessibleworld physicaltollonfamily
fromlifting
educatingour
doctors
worriedtherewon't
betherapyorit's
toolateformyson
uncertainty/unknown unknownfuture,
nocure uncertainty
notenoughhoursin
day(4kids,full-timejob,
specialneedschild).Never
completeanything!
notgettingtosee
mychildexperience
normalactivities&
milestones
notknowingwhat
thefutureholdsfor
myson
theunknown:what’s
myboy'slifegoingto
be?Howlongdowe
have?
"Yourchild
looksfine"fromthe
outside
peoplesaying
"theywillgrowout
ofit"
notknowingthe
future
howtimeconsuming
everythingis,leaving
littletimewithother
family/kids/husband
constant
supervisionofchild,frustrationwithchild
unabletodothings
otherscan do&worry
aboutkeepingsafe
fearoftheunknown
seizures
cleaningpoopoffcarpetafteroursonself-removesnappy
(diaper)
battlingwith
yourselftomakethe
rightchoicesforyour
child
lackofcommunityresources
notbeingableto
doeverydaythings
aseasily
The most challenging aspect of living with KAND is
thefutureis
unknown
thetimededicated
everydaytomakeit
normal
fearoftheunknown
alloftheunknowns knowingwhatis
normalvs.isthisa
seizure?IsthisKIF1A?
uncertainty comparingyour
childtoothers worryingaboutthe
future uncertainty
that our son isvery aware & depressed,angry. It would be betterif he didn't know.
theunknowns notknowingwhat's
ahead
seeingmygirl
suffer/in
respiratorydistress
beingscaredofthefuture
who'sgoingtotake
careofhim,whenI
won'tbethereanymore
sleepproblems
numerous
hospitalizationsayear=lifeonstandby
involvingthechild
withsiblings&other
childrenwithoutKIF1A
ineverydaylife
havingtotakecare
ofaneternalbaby
beingisolatedand
scaredofvirusesall
thetime
theidea/scareof
death
communication
degenerative
disease;poorbalance
-falling;
communication&speechproblems;vision problems
theunknown
The most challenging aspect of living with KAND is
notknowingthe
future
worryingaboutmychildasshegoesthroughlife.Howwillsheadjust?
fearofwhatisto
come theunknownabout
thefuture
theuncertaintyofthefuture
injuries theunknown keepingmydaughter
safe fearofthefuture theuncertaintyof
whattomorrowwill
looklike
beingindependent
seeingthekidsandrealizingthatyoumaynotbeabletomakeadifference
uncertainty
itisa
degenerative
condition thefear
can'tcureit(YET!)
notknowingwhat's
gonnahappennext uncertainty uncertainty tobeoutside
normalhuman
families/society
experience
nevergettingto
seeafirstsmileor
hearafirstlaugh
(un)consciousnessformeasamother
knowinghislifeis
expectedtobe
shortened
theunknown theunknownfuture
I want researchers & doctors to know
whatthefutureholds
formydaughter
mykid'sname&
family
moretherapeuticoptions&solitions
wewillnotgiveup&
mydaughter
isworthit
thisconditionaffects
manymorepeople
thanweknow
telluswhatwecando,wewillMOVEMOUNTAINS
tomakeithappen.
Seriously...ANYTHING.
Iamnotanidiot.
Mychildhasacondition
thatcauses…
disabledpeopleare
worthyoftime,
attentionandtreatment
mysonisnotjust
anumber.He'sa
person.
wearegrateful
ourkidsare
worthit
whathasworkedor
notworkedfor
otherKIF1Akids
…abouteveryaspect
ofmykid'scondition,not
justthoserelatingto
his/herspecialty
theymustbe
aggressiveinorderto
winthisracewithKIF1A
Iamnotcrazy…my
childhasreal
problems!
my child is aperson too… She hasfeelings and can hearwhat you are saying
hisimpairmentmay
seemmildbutitonly
affectsthemmildly,not
him
MORE acureforKIF1A
mychildwithout
havingtoexplainhis
abilitieseverytime
I'mtiredofthe
factyouhavelimited
knowledgeofKIF1A.
I'mdiscouragedthatyoudon'tput asmuchintoitaswedo.
I want them to know
I'm capable
STOPusinga
diagnosislikeCPwhenyou
don'tknowwhat'swrong.
JustsayIdon'tknow!
abouttheresearch
intoKIF1AandIwant
youtobeinvolved
I want researchers & doctors to know
theimportanceof
continuityofcare
withallspecialists
willsurgical
interventiondomore
harmthangood?
howtoslowtheprogressivenessof
disease
howtocontrol
seizures
howtoimprove
visionoratleast
haltdeterioration
it'sokaytosay
"Idon'tknow" preventaspiration
howtomake
progressmatter
heisblindnot
deaf(don'tscream
athim)
aboutKIF1Aand
rarediseases
weknowourkids
&morethanthedoctors
doabouttheircondition
atthisstage
whattodo,whatshouldbechecked
heissosweet&
notjustaverysickperson,
heisa"normal"child
thattreatmentisrelativelysoon!!
wewilldowhatever
wecantomovethe
research/care/treatment
processalong
howtocuremy
child Ifeellikenothing
works
somanytherapies….Littleprogress
I'mfrustratedby
theirlackofknowledge
&unwillingnessto
researchthecondition
Iwantthemtotake
itmoreseriously
everythingthat
thereistoknow&to
researchitthemselves.
Don'tdependonus.
moresotheycandiagnosismorekidsandfindatreatment
Iwantthemtodo
something
thatwearescared&
wanttostopthisdisease
fromprogressing
If treatment can help
anything mychildtellushowhe
feels&whathewants
mychild'shappiness...butbeingabletoliveasafullemotionalbeing
herfriendships
ustofindacure
beforeit'stoolate
meaningful difference in our daily lives.
, that would make a
mysonaccomplish
hislifegoals
hisqualityoflife acure ensurethingswill
beokwhenI'mgone
mychildliveonherownwithadequatesupportstolivearichlifeonherterms
mydaughterbehappy&loved
mychildknowsheis
loved&acceptedasshe
is
mydaughterlivea
full&happylife
mychildbehappy,
safe&haveapurpose
tohislife
mychildlive
safelybut
independently
mychildbehappy
&healthy
mychildbehappy,
abletolearn&not
inpain
makingEVERY
moment
count
mysonhaveahappy
life
mychildtonotbein
pain
mychildtooutlive
me
helphimachieve
everythinghewants&
iscapable&interestedinmychild'squality
oflife
haveagood
relationshipwithhis
siblings
mysonlivea
normallife
If treatment can help
mychildhavea
chancetolive
independently
mychildtoenjoy
hislife
mychildbehealthy
&happy
mychildcontinue
toimprove&
progress
himfeelgoodabout
himself
meaningful difference in our daily lives.
, that would make a
mychildhavea
chancetoliveafulfilled&happylife
mychildbesafe
&happy
mychildmakea
friend
mysonbeableto
lookmeintheeyes
mychildplaywith
otherkids
strengthenour
daughter'slegs&
increaseherbalance
mydaughterfall
less&beabletokeep
upwithherbro&sis
himtotellusif
heisinpain
mychildkeepup
withotherchildren&
stopfalling
thediseasefrom
progressing
cognitive
impairment
her
talking/communication
mychildtellmehe'shungryorif
he'sunwell
maintaining
mobility&improving
memoryfunction
hernotget
pneumoniaevery
timeshegetsacold
mychildwalk&
communicatebetter hisvision
mychild
communicatewhat
hurts
controlmychild's
seizures
What matters most to me is
havingmychild
walkindependently&
overcomecognitive
delays
mychildhavingthe
coordinationtodo
day-to-daytasks
havingmychildnotgettootiredtogetintothetub(leg
weakness)
stoppingthe
progression
stoppingthings
gettinganyworse
mychildbeingable
toseebetter
mychildfalling
downless
havingmysonrun
withoutwalking
aides
mydaughter
followingher
interests&passions
formydaughtertomakefasterprogress
educatingothers
aboutKIF1A
stoppingKIF1Aprogression
improvingspatial
awareness&
balance/coordination
stoppingthe
progression
decreasingseizures
&repetitivebehaviors;
improvingbalance
preventingmychildfromfalling
havingmychild
communicateatall
stoppingmychild
fromhavingtoworry
abouthissafety
mychild'sability
towalk
mychildbeingable
towalk
communicationwith
myson
mychildhavinga
futurebeyondKIF1A
limits.Mychildhasafull
life.
knowinghowwill
shebewhenIcan't
helpanymore
mychildnotbeing
inpainfamily
What matters most to me is
mychildbeing
includedinthe
community
thathefeels
comfortable
thatheissafe thatothersseehow
amazingheis&not
forhisdisability
knowingthatmy
kidswillbecaredfor
mychildcan
somewhatgrowupnormal&happyandloving
heissafe,
comfortable,happy
havingacureto
stoptheprogression
ofthedisease&achance
toheal
mychild'squality
oflife herhappiness
Mychildhavinga
functionalfuture&
happiness
mychild's
happiness mychildishappy,
smilingallthetime
mychildisas
happy&healthyas
possible
toalwayshavegoodpeoplearound&liveanormal/regularlifesimilartohispeers
formychildto
knowheisloved!
mychildbeing
independent
mydaughter's
happiness
daughter'sability
toenjoylife
he'sveryloved&happy
mychildtolive
thebestlifeshe
possiblycan
thatheishappy,
content&pain-free
mychildisn't
suffering
mychildfeels
loved
hercomfort;no
suffering(no
medicalaggression)
forhimtobe
healthy&havea
happylife
thatmychildwill
betakencareoforcan
takecareofherselfif/when
Icannolongerdoso
that herfutureisnotrunbyKIF1A
JOIN OUR
MISSION TO
CURE KAND AT
KIF1A.ORG

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What Matters Most to KAND Families?

  • 2. At the 2019 KAND Family & Scientific Engagement Conference in New York City, we asked families affected by KIF1A Associated Neurological Disorder (KAND) to help people understand their challenges and what matters most to them. Here are their responses. www.kif1a.org/2019conference/
  • 3. The most challenging aspect of living with KAND is "progressive"idea& therelatedunknowns notseeingwell livinginan inaccessibleworld physicaltollonfamily fromlifting educatingour doctors worriedtherewon't betherapyorit's toolateformyson uncertainty/unknown unknownfuture, nocure uncertainty notenoughhoursin day(4kids,full-timejob, specialneedschild).Never completeanything! notgettingtosee mychildexperience normalactivities& milestones notknowingwhat thefutureholdsfor myson theunknown:what’s myboy'slifegoingto be?Howlongdowe have? "Yourchild looksfine"fromthe outside peoplesaying "theywillgrowout ofit" notknowingthe future howtimeconsuming everythingis,leaving littletimewithother family/kids/husband constant supervisionofchild,frustrationwithchild unabletodothings otherscan do&worry aboutkeepingsafe fearoftheunknown seizures cleaningpoopoffcarpetafteroursonself-removesnappy (diaper) battlingwith yourselftomakethe rightchoicesforyour child lackofcommunityresources notbeingableto doeverydaythings aseasily
  • 4. The most challenging aspect of living with KAND is thefutureis unknown thetimededicated everydaytomakeit normal fearoftheunknown alloftheunknowns knowingwhatis normalvs.isthisa seizure?IsthisKIF1A? uncertainty comparingyour childtoothers worryingaboutthe future uncertainty that our son isvery aware & depressed,angry. It would be betterif he didn't know. theunknowns notknowingwhat's ahead seeingmygirl suffer/in respiratorydistress beingscaredofthefuture who'sgoingtotake careofhim,whenI won'tbethereanymore sleepproblems numerous hospitalizationsayear=lifeonstandby involvingthechild withsiblings&other childrenwithoutKIF1A ineverydaylife havingtotakecare ofaneternalbaby beingisolatedand scaredofvirusesall thetime theidea/scareof death communication degenerative disease;poorbalance -falling; communication&speechproblems;vision problems theunknown
  • 5. The most challenging aspect of living with KAND is notknowingthe future worryingaboutmychildasshegoesthroughlife.Howwillsheadjust? fearofwhatisto come theunknownabout thefuture theuncertaintyofthefuture injuries theunknown keepingmydaughter safe fearofthefuture theuncertaintyof whattomorrowwill looklike beingindependent seeingthekidsandrealizingthatyoumaynotbeabletomakeadifference uncertainty itisa degenerative condition thefear can'tcureit(YET!) notknowingwhat's gonnahappennext uncertainty uncertainty tobeoutside normalhuman families/society experience nevergettingto seeafirstsmileor hearafirstlaugh (un)consciousnessformeasamother knowinghislifeis expectedtobe shortened theunknown theunknownfuture
  • 6. I want researchers & doctors to know whatthefutureholds formydaughter mykid'sname& family moretherapeuticoptions&solitions wewillnotgiveup& mydaughter isworthit thisconditionaffects manymorepeople thanweknow telluswhatwecando,wewillMOVEMOUNTAINS tomakeithappen. Seriously...ANYTHING. Iamnotanidiot. Mychildhasacondition thatcauses… disabledpeopleare worthyoftime, attentionandtreatment mysonisnotjust anumber.He'sa person. wearegrateful ourkidsare worthit whathasworkedor notworkedfor otherKIF1Akids …abouteveryaspect ofmykid'scondition,not justthoserelatingto his/herspecialty theymustbe aggressiveinorderto winthisracewithKIF1A Iamnotcrazy…my childhasreal problems! my child is aperson too… She hasfeelings and can hearwhat you are saying hisimpairmentmay seemmildbutitonly affectsthemmildly,not him MORE acureforKIF1A mychildwithout havingtoexplainhis abilitieseverytime I'mtiredofthe factyouhavelimited knowledgeofKIF1A. I'mdiscouragedthatyoudon'tput asmuchintoitaswedo. I want them to know I'm capable STOPusinga diagnosislikeCPwhenyou don'tknowwhat'swrong. JustsayIdon'tknow! abouttheresearch intoKIF1AandIwant youtobeinvolved
  • 7. I want researchers & doctors to know theimportanceof continuityofcare withallspecialists willsurgical interventiondomore harmthangood? howtoslowtheprogressivenessof disease howtocontrol seizures howtoimprove visionoratleast haltdeterioration it'sokaytosay "Idon'tknow" preventaspiration howtomake progressmatter heisblindnot deaf(don'tscream athim) aboutKIF1Aand rarediseases weknowourkids &morethanthedoctors doabouttheircondition atthisstage whattodo,whatshouldbechecked heissosweet& notjustaverysickperson, heisa"normal"child thattreatmentisrelativelysoon!! wewilldowhatever wecantomovethe research/care/treatment processalong howtocuremy child Ifeellikenothing works somanytherapies….Littleprogress I'mfrustratedby theirlackofknowledge &unwillingnessto researchthecondition Iwantthemtotake itmoreseriously everythingthat thereistoknow&to researchitthemselves. Don'tdependonus. moresotheycandiagnosismorekidsandfindatreatment Iwantthemtodo something thatwearescared& wanttostopthisdisease fromprogressing
  • 8. If treatment can help anything mychildtellushowhe feels&whathewants mychild'shappiness...butbeingabletoliveasafullemotionalbeing herfriendships ustofindacure beforeit'stoolate meaningful difference in our daily lives. , that would make a mysonaccomplish hislifegoals hisqualityoflife acure ensurethingswill beokwhenI'mgone mychildliveonherownwithadequatesupportstolivearichlifeonherterms mydaughterbehappy&loved mychildknowsheis loved&acceptedasshe is mydaughterlivea full&happylife mychildbehappy, safe&haveapurpose tohislife mychildlive safelybut independently mychildbehappy &healthy mychildbehappy, abletolearn&not inpain makingEVERY moment count mysonhaveahappy life mychildtonotbein pain mychildtooutlive me helphimachieve everythinghewants& iscapable&interestedinmychild'squality oflife haveagood relationshipwithhis siblings mysonlivea normallife
  • 9. If treatment can help mychildhavea chancetolive independently mychildtoenjoy hislife mychildbehealthy &happy mychildcontinue toimprove& progress himfeelgoodabout himself meaningful difference in our daily lives. , that would make a mychildhavea chancetoliveafulfilled&happylife mychildbesafe &happy mychildmakea friend mysonbeableto lookmeintheeyes mychildplaywith otherkids strengthenour daughter'slegs& increaseherbalance mydaughterfall less&beabletokeep upwithherbro&sis himtotellusif heisinpain mychildkeepup withotherchildren& stopfalling thediseasefrom progressing cognitive impairment her talking/communication mychildtellmehe'shungryorif he'sunwell maintaining mobility&improving memoryfunction hernotget pneumoniaevery timeshegetsacold mychildwalk& communicatebetter hisvision mychild communicatewhat hurts controlmychild's seizures
  • 10. What matters most to me is havingmychild walkindependently& overcomecognitive delays mychildhavingthe coordinationtodo day-to-daytasks havingmychildnotgettootiredtogetintothetub(leg weakness) stoppingthe progression stoppingthings gettinganyworse mychildbeingable toseebetter mychildfalling downless havingmysonrun withoutwalking aides mydaughter followingher interests&passions formydaughtertomakefasterprogress educatingothers aboutKIF1A stoppingKIF1Aprogression improvingspatial awareness& balance/coordination stoppingthe progression decreasingseizures &repetitivebehaviors; improvingbalance preventingmychildfromfalling havingmychild communicateatall stoppingmychild fromhavingtoworry abouthissafety mychild'sability towalk mychildbeingable towalk communicationwith myson mychildhavinga futurebeyondKIF1A limits.Mychildhasafull life. knowinghowwill shebewhenIcan't helpanymore mychildnotbeing inpainfamily
  • 11. What matters most to me is mychildbeing includedinthe community thathefeels comfortable thatheissafe thatothersseehow amazingheis&not forhisdisability knowingthatmy kidswillbecaredfor mychildcan somewhatgrowupnormal&happyandloving heissafe, comfortable,happy havingacureto stoptheprogression ofthedisease&achance toheal mychild'squality oflife herhappiness Mychildhavinga functionalfuture& happiness mychild's happiness mychildishappy, smilingallthetime mychildisas happy&healthyas possible toalwayshavegoodpeoplearound&liveanormal/regularlifesimilartohispeers formychildto knowheisloved! mychildbeing independent mydaughter's happiness daughter'sability toenjoylife he'sveryloved&happy mychildtolive thebestlifeshe possiblycan thatheishappy, content&pain-free mychildisn't suffering mychildfeels loved hercomfort;no suffering(no medicalaggression) forhimtobe healthy&havea happylife thatmychildwill betakencareoforcan takecareofherselfif/when Icannolongerdoso that herfutureisnotrunbyKIF1A
  • 12. JOIN OUR MISSION TO CURE KAND AT KIF1A.ORG