Showing posts with label The Frohnmayers. Show all posts
Showing posts with label The Frohnmayers. Show all posts

Saturday, November 17, 2007


Henry, I talk to you a lot about heroes. You are one. Amy Frohnmayer is one. Her mom, Lynn, and her dad, Dave, are heroes too.

This is a letter Amy wrote for her parents to send to their friends.



“Do what you can, where you are, with what you have.”
­ Theodore Roosevelt


Dear friends,

Last year, my mother sent me the simple quotation above. It¹s taped onto the wall opposite my bed and I read it every day. Mom sent this at a time when I was having trouble concentrating due to a drop in my red blood count. I had never before felt quite so fragile, maybe even a little defeated by Fanconi anemia (FA). I spent hours on homework that previously had taken little time to finish, and I couldn¹t escape on long runs because I didn¹t have the energy. That period of time last winter reinforced a sense of uncertainty that FA instilled in me from a young age.

I have always known that I have FA and from early on, I experienced heartbreaking losses that never let me forget the destructive power of this illness. I was four when my sister Katie died, and eleven when I lost my sister Kirsten. Over the years I have also lost many close friends to FA whom I met at our summer family meetings and grew to care about deeply.

Long ago, I assumed I would need a bone marrow transplant while I was still young, because I would be strong and my chances of making it through that strenuous procedure would be better. The decision to have a transplant, however, should be based on a severe deterioration in my health. I always thought this would happen soon, but I remained healthy. Although I have been incredibly lucky, I have never known when my health would take a serious turn and I would need to go to transplant. As I grew older, I feared more and more this sudden and inevitable interruption and I felt powerless to predict it.

As frightening as all of this has been to me, I am well aware of the enormous progress that has taken place in Fanconi anemia research. For these advances, I feel deeply grateful to the Fanconi Anemia Research Fund, which has supported the work of experts around the world. I am especially thankful for the wonderful donors who have made this possible.

Whenever I am able, I attend research presentations at family meetings and speak directly with bone marrow transplant experts. The consistent and rapid advances in this field are incredibly exciting and merely thinking about this progress gives me hope. Just last August, I learned that twelve out of thirteen FA patients are now surviving a new bone marrow transplant protocol for those with unrelated and mismatched donors. I learned about the potential of treating patients with healthy adult stem cells. Doctors spoke about new methods for detecting pre-cancerous cells in patients, so that cancer can be identified and treated very early. Doctors are concentrating on all facets of this complex and devastating disease, working to make long and full lives a reality for all of us who share it.

FA has been the source of tremendous pain, but has also been a surprisingly strong positive in my life. It has shaped my personality, goals and interests, and forced me to grow in important ways. FA is imprinted in all of my activities, from being a grief counselor for children and an intern with a children¹s hospital, to writing articles about the psychosocial aspects of living with a genetic illness, and to my long-term goal to become a genetic counselor.

To live with FA is to learn to value life in a different way. FA reminds me to try to appreciate every minute of the day, to treasure my close friends and family, and to immerse myself in the college learning experience.

Now, as I begin my junior year in college, I want to do all that I can to find a cure for this disease. Since last spring, my health has improved, and I have the energy to help make this dream a reality. I¹m writing to ask for your help by donating to the Fanconi Anemia Research Fund. And I am writing now because there might be a time when I can¹t, and because at this moment, it is something I can do with all the passion I have.

Thank you so much for your support. It honestly means the world to me.

Amy Frohnmayer

Thursday, September 06, 2007


Sometimes the hardest thing is sticking with something to see it all the way through to the end. And even harder than that can be when you want to to see things all the way through to the end but aren't able to because of one thing or another.

I hope this has a happy ending. I'll never know.

________________________________________
From: Jen Kasten
Date: Aug 4, 2007 10:47 AM
Subject: Special need child in China
To: Allen Goldberg

Hi, Al--

I came across an announcement today about a little baby in China with special needs. From the baby's symptoms (heart murmur and extra thumb), I thought about Fanconi Anemia. I hope you will forgive my ignorance -- do these two symptoms often appear together in the absence of Fanconi Anemia? The U.S. agency that is trying to place her appears to be in Maryland (Silver Spring?). I was just wondering if you might have any ideas to help this baby:

Cradle of Hope Adoption Center is looking for a home for Xuezhou Ji. She is a 14 month old girl who was born with a heart murmur (Fallot tetrad) and two thumbs on her right hand. It is reported that she is happy, and laughs when she is around others. She enjoys being outdoors, dances to music, and is very attentive to her surroundings. She likes to take baths. Xuezhou is likely to need heart and hand surgery, but her prognosis is good.

We are thrilled to report that a generous donor will cover all agency fees associated with Xuezhou's adoption. Her new family will need to cover only homestudy, travel, translation, post-placement and other expenses totalling approximately $10,000 - 12,000.

For more information on this sweet little girl, please contact Amy Weiss at aweiss@cradlehope.org or at 301-587-3300, ext. 221.

Amy Weiss, LGSW
Adoption Social Worker
Cradle of Hope Adoption Center, Inc.
301-587-4400 x221
fax: 301-588-3091

________________________________________
From: Allen Goldberg
Date: Aug 4, 2007 7:34 PM
Subject: Re: Special need child in China
To: Jen Kasten

This sounds like it could possibly be Fanconi anemia. She will need to be tested. Let me do a number of things, including contacting the agency woman directly, see if there are FA resources or families in China, forward this to our doctor and whatever else makes sense. You may have saved this little girl's life.

Unbelievable.

You are awesome for putting this all together.

________________________________________
From: Allen Goldberg
Sent: Thursday, August 09, 2007 11:48 AM
To: Maryellen at fanconi.org
Subject: FA Resources in China?

Mary Ellen:

A friend forwarded this to me the other day.

Cradle of Hope Adoption Center is looking for a home for Xuezhou Ji. She is a 14 month old girl who was born with a heart murmur (Fallot tetrad) and two thumbs on her right hand. It is reported that she is happy, and laughs when she is around others. She enjoys being outdoors, dances to music, and is very attentive to her surroundings. She likes to take baths. Xuezhou is likely to need heart and hand surgery, but her prognosis is good.

We are thrilled to report that a generous donor will cover all agency fees associated with Xuezhou's adoption. Her new family will need to cover only homestudy, travel, translation, post-placement and other expenses totalling approximately $10,000 - 12,000.

For more information on this sweet little girl, please contact Amy Weiss at aweiss@cradlehope.org or at 301-587-3300, ext. 221.

Amy Weiss, LGSW
Adoption Social Worker
Cradle of Hope Adoption Center, Inc.
301-587-4400 x221
fax: 301-588-3091


Clearly, there is a remote possibility that the girl has FA. I spoke to the contact person, Amy Weiss, who said that the doctors there didn't think she had FA. I explained that the "standard of care" for FA --unfortunately -- is to miss the diagnosis.

I was trying to figure out if there are any FA diagnostic resources in China and saw on the FARF site that there had been a grant a few years back to Xie, Yan, MD, Hubei Medical University, Shijiazhuang, China, Toward a Diagnostic Service for Fanconi Anemia in Central China.

I know it is a vast country but my guess is that they'd be the best ones to do a DEB test for Xuezhou. Do you have contact info for Yan Xie that I can pass along to the adoption agency coordinator. If you think there is a better strategy to pursue let me know.

Thanks.

Allen

________________________________________
Van: Mary Ellen Eiler
Verzonden: dinsdag 21 augustus 2007 1:13
Aan: Allen Goldberg
CC: Joenje, H.
Onderwerp: Re: FA Resources in China?

Hi Allen,

The information that I have on China comes from Hans Joenje, PhD, Free University, Amsterdam. In brief, he and Quinten Waisfisz from his lab were invited to Wuhan University, China in 2005 to present on FA diagnostic methods.

This was the first-ever meeting on FA in Wuhan, and probably in China. The primary physicians there are Prof. Qun Hu, Department of Paediatrics, Tongji Hospital, Wuhan, and Fei Chen, Department of Hematology, Zhongnan Hospital of Wuhan University.

Yan Xie, to whom you referred, is a PhD researcher who studied with Hans in Amsterdam, but she is not a physician as far as I know. In any event, the physicians in Wuhan, prior to the meeting with Hans, were diagnosing FA based on physical characteristics alone. After the meeting, they planned to pursue chromosomal breakage diagnostic methods (using MMC), but I do not know if they have yet done that.

Unfortunately, I do not have the e-mails of these two physicians, but Hans probably does. I'll send a copy of this to Hans for his information in case he has additional information for you.

Please let me know if you need additional information.

Best wishes.


Mary Ellen

________________________________________
From: Joenje, H.
Sent: Tuesday, August 21, 2007 4:57 AM
To: Mary Ellen Eiler; Allen Goldberg
Cc: zhangkejian@medmail.com.cn; chenfeiwh@yahoo.com.cn; huixiaowh@yahoo.com.cn
Subject: RE: FA Resources in China?

Dear Mary Ellen and Allen,

Yan Xie meanwhile has settled down in the USA, as far as I know.

The best opportunity today for getting a Fanconi anemia diagnosis in China is to get in touch with the Department of Hematology, Wuhan University School of Medicine, 169 Donghu Road, Wuhan 430071, P.R. China.

Tel: +86-27 67813247; fax: +86 27 8730795.

People in the department who are familiar with the diagnosis of FA are:

Prof. Kejian Zhang (director), e-mail : zhangkejian@medmail.com.cn
Fei Chen, e-mail: chenfeiwh@yahoo.com.cn
Hui Xiao, e-mail: huixiaowh@yahoo.com.cn

I hope you will be successful in arranging for a chromosomal breakage test for Xuezhou.

Best regards,

Hans

H. Joenje Ph.D.

Dutch Cancer Society Professor of Oncogenetics
Department of Clinical Genetics
Vrije Universiteit Medical Center
Van der Boechorststraat 7
NL-1081 BT Amsterdam

Tel +31-20-4448270
Fax +31-20-4448285
Email joenje@vumc.nl

________________________________________
From: Allen Goldberg
Sent: Thursday, August 23, 2007 11:27 AM
To: ' aweiss@cradlehope.org'
Subject: FW: FA Resources in China?

Amy:

I cannot stress the urgency of having Xuezhou tested for Fanconi anemia (FA). The test is called a "DEB" test and below are contacts in China who you can contact about getting the test. There is no way her current doctors can know either way without having this test done. The failure of the blood components associated with this disease doesn't manifest itself until a bit later in life.

I speak from experience; like Xeuzhou Ji, my son Henry was also born with Tetralogy of fallot and a duplicate thumb. It wasn't until he was four years old that his marrow started to fail and he died at seven.

Can you please copy me when you forward the information below about FA testing in China to Xuezhou's doctors in China or her caregivers, and please reference me as a resource.

Thank you so much for what you are doing for Xuezhou. Hopefully she does not have FA, but if she does, acting now can save her life.

Regards,

Allen

________________________________________
From: Jen Kasten
Sent: Thursday, August 23, 2007 12:16 PM
To: Allen Goldberg
Subject: Re: FW: FA Resources in China?

Unbelievably complicated.

The way these special needs adoptions usually work is that an agency in the US gets 3 months to place a batch of kids, and if they're not placed, their names get sent back to the government of China to be sent to a new agency and the process starts over again. Seems unlikely this agency will get the tests done within their 3 month period. So then what happens? Her name gets sent back to China? The government there isn't going to care. Did Amy say anything about the next steps? Please keep me posted.

I also asked my agency about it. They suggested a US charitable organization called "Love Without Boundaries" that may be able to get involved...

________________________________________
From: Allen Goldberg
Sent: Thursday, August 23, 2007 11:36 AM
To: Medical at lovewithoutboundaries.com
Subject: FW: FW: FA Resources in China?

I am reaching out to you a little blindly, I must admit. It has come to my attention that a baby girl in China who is being put up for adoption may be at risk for a very serious genetic disease. There is a test to determine whether she has it or not, but the test is not widely available.

I have located researchers in China who may be able to do the testing. Meanwhile, the test is available in the United States and around the world at a number of centers, including Rockefeller University in New York. I have forwarded this information to the Adoption Coordinator, Amy Weiss (email below) who is providing it to the group’s executive director, who communicates with their coordinator in China.

My worry, expressed in my friend’s email below, is that Xuezhou Ji may not get tested. Given my distance and unfamiliarity with the systems in place, I don’t know the best way to ensure Xuezhou Ji receives the testing and unique care she may need. Is this something that Love without Boundaries can help see through? If not, can you steer me to any other resources that may help with Xuezhou Ji’s case.

Thanks.

Allen

________________________________________
From: Karen Maunu (LWB)
Sent: Thursday, August 23, 2007 4:07 PM
To: Allen Goldberg; aweiss@cradlehope.org
Subject: RE: FW: FA Resources in China?

Dear Allen and Amy,

I would be happy to call and arrange this test to be done. Can you please send me this child’s dob and what orphanage she is from? Does she already have a family?

Thank you!

Karen Maunu
Medical Director
Love Without Boundaries
"Every Child Counts"
www.lovewithoutboundaries.com

________________________________________
From: Allen Goldberg
Sent: Wednesday, August 29, 2007 11:24 AM
To: Linda
Subject: Special Needs Child in China - Xuezhou Ji

Linda:

I am sure that Amy has forwarded all of this information to you about Xuezhou Ji, who you were listing for adoption. I just want to make sure that you have been in contact with Karen Maunu from Love Without Borders, who compassionately offered to ensure Xuezhou Ji gets the proper testing and attention she requires given the possibility that she has a life threatening illness.

If you can copy me on your correspondence with Karen then I’ll know that the connections have been made. I have included my phone numbers below should you need to discuss any of this.

As you can see, there is urgency to finding out whether Xuezhou Ji has this disease or not. The hope that we all share is that she is free of Fanconi anemia; will have her Tetralogy of fallot and bifid thumb successfully repaired; and live a long and healthy life with parents who love her.

Thank you so much for your attention to this matter.

Regards,

Allen
________________________________________
From: Allen Goldberg
Sent: Wednesday, August 29, 2007 1:07 PM
To: maryellen; Lynn Frohnmayer
Subject: FARF and Keywords on Google

Mary Ellen & Lynn:

Mary Ellen, thank you again for your help with DEB testing in China. I was thinking further about that adoption notice that my friend saw posted online…

Cradle of Hope Adoption Center is looking for a home for Xuezhou Ji. She is a 14 month old girl who was born with a heart murmur (Fallot tetrad) and two thumbs on her right hand. It is reported that she is happy, and laughs when she is around others. She enjoys being outdoors, dances to music, and is very attentive to her surroundings. She likes to take baths. Xuezhou is likely to need heart and hand surgery, but her prognosis is good.

We are thrilled to report that a generous donor will cover all agency fees associated with Xuezhou's adoption. Her new family will need to cover only homestudy, travel, translation, post-placement and other expenses totalling approximately $10,000 - 12,000.

We all know that most people might not suspect a bigger, worse challenge like FA. The standard of care is to not diagnose, correct. So I asked a friend at Google what was the best way to bring the possibility of FA to the attention of people who are researching medical conditions or communicating about medical conditions online on their platform. I was interested in almost an “ad-like” solution that pops up or inserts a message if the context – search, GMail, etc. -- provides keyword triggers of FA-type anomalies (I know there is a large universe) and birth defects like “heart murmur,” “Tetralogy,” “bifid,” “no thumbs” and “extra digits” within a few words of each other.

He suggested these two Google resources as possible solutions:

http://www.google.com/grants/
free advertising from google for non-profits

http://www.google.com/coop/
annotate, supplement search results so that searches deliver more relevant, authoritative results. to see an example, search on "diabetes" and look at the trusted sources that have tagged content on the web.

I normally would just tackle this myself but am a bit swamped with work and other challenges right now. I don’t know if there is a FARF person, U of Oregon student or volunteer who might want to check this out at Google and other search engines, like Yahoo. In addition, it might be good to audit the FA references on top lay health and medical information sites, like WebMD. I know this seems to be really “in the weeds” but helping to change the standard of care through communication with medical professionals and possible patient populations must be one of the Research Fund’s goals. Hope this all makes sense.

Meanwhile, I am still trying to get Xuezhou Ji tested. The adoption agency has been less-than-cooperative. I have engaged an organization called, Love Without Boundaries http://www.lovewithoutboundaries.com/, and its medical director has compassionately agreed to navigate the orphanage and medical systems in China to make sure it happens. Hopefully, she will test negative.

Hope everyone is well out there. Please say “hi” to Dave. Thinking of you always and appreciative of everything you do.

Fondly,

Allen

________________________________________
From: Allen Goldberg
Sent: Thursday, September 06, 2007 11:08 AM
To: 'Linda'
Subject: Special Needs Baby in China

Linda:

Thank you for taking my call last week.

I appreciate all of the work you have done informing Xuezhou Ji’s physicians’ and prospective parents about the need to get her tested for Fanconi anemia. If the prospective parents fell through for any reason, I just wanted to let you know that there is a community of wonderful families with children who have Fanconi anemia who could be added to your prospect pool. These families intimately understand the challenges associated with having a child with FA. I am confident that there are a number who would be undeterred by the diagnosis. If you would like to get in touch with this group, please let me know.

Again, I hope that Xuezhou Ji tests negative and all of this is moot. But just in case, please know that there are parents who would welcome Xuezhou Ji into their families.

Regards,

Allen




Sunday, October 22, 2006


It is the start of the Henry Birthday Pageant. All of your doctors came into town for it.

Actually, there is a meeting of the Fanconi Anemia Research Fund in Bethesda that they have all come to attend. On Thursday night we went out there with Joe and Jack to say hello. We saw Dr. McMillan, Dr. Auerbach and Lynn and Dave Frohnmayer.

There were a few other "Fanconi Families" there. One family is the McQueen's of Richmond. I wonder if they know about Jared DeMarco. The McQueen's are super nice. They are raising a lot of money for research. I met the kids for the first time. There is a daughter and the little boy, Casey, has Fanconi.



He is 7 years old. Very handsome guy. I had the usual feeling of just wanting to hug him tight.

It was especially nice seeing Lynn and Dave. I was remembering when Dave had a heart attack when he was here in Washington years ago. You were still around and must have been well. We lent Lynn our car and tried to help them out as much as possible. Luckily he was in a room full of doctors when he started to have trouble. He came through it all okay.

Lynn and Dave lost 2 daughters to Fanconi and their other daughter, Amy, has FA too. She is in college. There are two sons as well. Honestly, I do not know how they do it. On top of running the Fanconi Anemia Research Fund and being a parent, Dave is the president of a college. That is a huge job.

Last night we went out for dinner with Dr. Auerbach. It is always nice spending time with Dr. Auerbach. She said that Dr. Gillio was here for just a little bit and then headed out. After dinner we met up with Dr. Wagner and his wife. We talked a lot about you -- one of my most favorite things to do. Dr. Wagner remembered how he used to see you at hotels and Georgetown when he came to DC. Mom and I learned a lot more about you and what happened, and how Fanconi transplants are going now. They are going much better. Timing. Timing. Timing.

Dr. Wagner is an amazing man. You and Fanconi Anemia let me and Mom meet really remarkable people -- people who we probably would never meet otherwise.

We talked about the fact that you've been dead four years. To me that is officially way too long. I can't say, "he died a year or so ago," anymore. I think I wrote "dead" here because it is harsher than "gone." I feel like you've been dead, not gone.

Dr. Wagner, Dr. Auerbach, Dr. Hughes, Lynn and Dave are Tzaddikim. A Tzaddik is a righteous person. I feel fortunate to know them. I feel fortunate to know there are people like them who devote themselves to saving lives. It makes me feel hopeful.

Yesterday during the day we went to a farm with Susan, Simon and Alex. I asked Mom about the pictures we took of you and Jack at Butler's Orchard. She is going to find them for me.







Today we went to a book signing at Politics & Prose. Jeffrey Goldberg wrote a book. Mom just read it and I will read it when she is finished. I think it will be weird to read about someone you know. Maybe that is why I haven't read all of the book that Mom has written about you and her.

I remember buying Harry Potter CDs at Politics & Prose with you and Jack. Jack was psyched he went with us today because some of his Gan buddies were there, Sam Shoyer and Jacob Stern. Both of you made the best friends there. Mom and I are a little worried that Joe doesn't have any close friends like you and Jack have.

We are going to go with Simon to Cactus Cantina on Wednesday night for your birthday. Ari and Jake, are coming too. Today I was looking at the picture of the four of you -- Henry, Simon, Ari, Jake -- that I have in my Henry memory box. That made me sad. Mom is really sad right now too.

Twice in the past few days someone has asked me, "Do you know what the worst day is?" One was a friend from work and he answered his own question, "the day we start daylight savings time." The other person was Jack. He said the worst day is the day before school starts.

I didn't say anything when they asked that question, but my mind was shouting "October 25!" I think that is the worst day until December comes around and then it is definitely December 11.

The Cardinals are in the World Series. We are pulling for them. I hope Aunt Jen gets to go to some games. She went to one of the Championship games. I don't know if Cousin Hannah and Uncle Dan got to go.

Hey, I wanted to tell you a funny story. We were telling Papa Teddy about Jack's saxophone lessons and he told us how we came to have the instrument. Your great-grandfather was a used car dealer in Brooklyn. He bought a car from someone or someone traded in a car and guess what they found in the trunk.

Monday, February 06, 2006


This is very cool. I should get to work on that bike ride for Hope for Henry that I said I want to plan.



Fanconi anemia killed her son, Jake. Now she's driven to save others

Monday, February 06, 2006

ANDY DWORKIN
The Oregonian

When Jake Shearer was diagnosed with Fanconi anemia three years ago, his family had never heard of the rare disease.

They learned there is no cure for the genetic illness, which affects perhaps 500 U.S. families, at least seven in Oregon.

And the family could not find a perfectly matched marrow donor to offer a stem-cell transplant, the best treatment for the illness. After months of looking, Jake got an imperfectly matched transplant. But he died several months later, in October 2003.

Now Jake's mother, Portland resident Peggy Padden, wants to help erase the obstacles her family faced after his diagnosis. For the second consecutive year, she has organized a walk and run around Valentine's Day to raise money for the Eugene-based Fanconi Anemia Research Fund. She hopes the event Sunday will educate people about the disease and support research into better treatments, including gene therapy.

The fundraiser includes a drive to register new marrow donors, increasing the odds for patients to find a perfect match. That could help people facing a wide variety of diseases treatable with marrow donations.

The drive could also help her youngest son, Spencer. The 18-year-old Grant High School senior also has Fanconi anemia. He's very healthy now. But Fanconi anemia is a relentless disease, and he probably will need a transplant one day.

"We want to keep looking to find a match for him and other people," Padden said. "Most of us have decided to donate our organs when we die to save someone's life. And with the bone marrow registry, hopefully you can save someone's life while you're alive."

Most patients die young

Fanconi anemia is a failure of one of the body's basic systems for repairing strands of DNA, which commonly break as cells divide. That causes the bone marrow to stop making new blood cells, greatly increases a person's risk for cancer and sometimes causes birth defects. Most patients die by their 20s.

The disease strikes people who inherit flawed copies of a Fanconi gene from each parent. In the past 14 years, scientists have found 11 different genes whose mutations can cause the disease -- one of which is identical to BRCA2, a gene linked to breast cancer.

Much of that research was at least partly funded by the Eugene-based research fund, started in 1989 by University of Oregon President David Frohnmayer and his wife, Lynn. Two of the couple's daughters died of the disease, Katie in 1991 and Kirsten in 1997. Their third daughter, Amy, 18, has the disease.

"I remember reading about them" years ago, Padden said. "I just couldn't imagine anything worse, especially two children."

The Eugene foundation is funded largely by donations raised by the Frohnmayers and other families with Fanconi anemia, Executive Director Mary Ellen Eiler said.

Last year, more than 140 families nationwide held golf tournaments, casino nights, auctions and other fundraisers, she said. Most of those events raise $500 to $5,000. So Padden's first 5K last year, which raised $12,000, represents a large amount of money for the fund, Eiler said.

Padden said she planned last year's run in just six weeks. Still, the event drew 235 people -- a number she hopes to top this year. An elementary school teacher, Padden has started working half time, freeing up hours to raise awareness and funds for Fanconi anemia research. She gets help from her husband, Glen Shearer, and from Spencer and her middle son, Conor, who does not have Fanconi anemia.

Padden hopes to expand the race to other cities in coming years, like the Race for the Cure, which benefits breast cancer research. With Fanconi science advancing rapidly, she said, "Research is where our hope is. . . . Gene therapy is our absolute dream."

Treatment ideas offer hope

Gene therapy probably can't fix every problem with Fanconi anemia, including cancer risk. But scientists think they might be able to use genetic treatments to prevent or fix bone marrow failure, the disease's main cause of death. Now, a transplant is the main treatment for marrow failure. And the transplants are risky, especially without a perfect marrow match.

For a brief, exciting time, Shearer's family had a perfect match for Jake: his brother Spencer. Only when doctors started testing Spencer further did they find low blood counts, leading to his diagnosis.

"It was really pretty hard to believe," Spencer said. "It was more hard with my brother than me."

Spencer said he feels good now, and rarely thinks about his illness -- mostly when he goes for blood tests every few months. He is finishing high school and looking forward to college, hopefully at the University of Oregon or the University of Hawaii.

Jake was studying computer science and fine arts at Carroll College, in Helena, Mont., when he grew ill, Padden said. He was engaged to be married and had recently started running.

"He was just an absolutely wonderful person. He loved life. He was interested in just about everything. He was happy, kind, curious," Padden said.

She thinks the fundraiser would make him proud.

"I know he sees what's going on," she said. "He would say, 'Oh, cool.' "

Andy Dworkin: 503-221-8239; andydworkin@news.oregonian.com



Monday, October 10, 2005



Third daughter of UO president has genetic disease

By ANDY DWORKIN
The Associated Press

EUGENE — Beginning her studies at Stanford University, Amy Frohnmayer ponders the usual freshman worries: What should I major in? Will I get along with my roommate? How will I find all my classes?

One uncommon question also follows the South Eugene High School graduate: When will I have to put college on hold and head for my transplant?

Eighteen-year-old Amy, daughter of University of Oregon President and Medford native Dave Frohnmayer, has Fanconi anemia, a rare genetic disease that killed both her sisters. The illness brings a high risk for cancers and hampers the formation of blood cells, leading to anemia, fatigue, infection and bleeding. A bone marrow transplant doesn’t change the cancer risk, but it can fix the blood problems, stretching life expectancy beyond the usual 20 years.

But there’s a catch: This particular transplant works best when patients are fairly healthy, before they develop leukemia or severe infections. It also leads to the death of more than a quarter of patients, making it wise to delay as long as possible.

"I actually was going to have a transplant instead of going to school this fall," she said at her home in Eugene, as she prepared to leave for college. But "I’m so healthy now, and starting school, I just wanted to get on with my life.

"I’m getting used to the idea that it’s up in the air, and someday I’m going to have to do something ... But that’s life. It’s random and unexpected."

For Amy, life is a mix of wonderful possibilities leavened with the certainty of hard times ahead. In one sense, she said, she’s no different from others: A traffic accident could cut short any life on any day. But Fanconi anemia amplifies that, offering keener awareness of life’s joys while forcing early, often public, experience with sickness and death.

The Frohnmayer family has dealt with the disease since before Amy’s birth. Her oldest sister, Kirsten, was diagnosed in 1983 at age 10. Her other sister, Katie, also had the illness. Her father dropped out of the governor’s race in 1986 to help care for the girls. Their mother, Lynn, quit her state children’s services job to do the same.

The family started a fund to spur research into the illness, which was poorly understood at the time, and launched a highly publicized search for compatible bone marrow donors. They registered thousands of donors, which helped other patients, but found no match for the two girls.

Neither of the Frohnmayers’ sons, who don’t have Fanconi anemia, was a bone marrow match. Before Amy’s birth, the family hoped she could be a compatible donor. She was a perfect match for Katie. But tests just after Amy’s birth showed she had Fanconi anemia. That meant she could not be a donor but would need one, too.

Katie Frohnmayer died in 1991 at age 12. Kirsten Frohnmayer died in 1997, two years after a transplant from a mismatched donor, and two years after getting her bachelor’s degree from Stanford.

"Having my two sisters die has been very painful," Amy said. "But it’s also given me an appreciation for what I have. It just reinforces that life is so fleeting, and we are lucky to be here and have the people we have in life."

Amy is healthier, at her age, than either of her sisters were. She has not yet had a major health problem. When she does, and needs a transplant, the family has identified a potential donor who is a 70 percent match. And the fund, at Lynn Frohnmayer’s urging, sponsored research into a drug that has improved the success of such mismatched bone marrow donations to perhaps 70 percent, more than double the previous success rate.

Those odds spurred the Frohnmayers to go to New York to ask a doctor about a transplant this year. The doctor saw Amy’s robust health and busy life, and advised the family to hold off. "He said, ‘Do you really want to do this?’ " her mother recalls. "‘Yes, her chances are 70 percent. But what I want you to hear is, it’s only 70 percent.’ "

So the family is waiting, looking for signs of troubling mutations in Amy’s blood cells. She’ll have blood drawn every six weeks at Stanford and have bone marrow tests in Portland every six months. In the meantime, she’ll continue taking only a small dose of medicine to boost her blood counts.

"I have lots of energy. I feel good. I feel healthy," she said. "The bottom line is, I’m extremely lucky."

Amy threads her gratitude through life in many ways. Tacked to her bedroom door in Eugene before she packed for school was, "Some Reasons why Life is Beautiful." The two-page list included chocolate milkshakes, towels hot from the dryer and getting mail. The first item: "Falling in love." The last: "Getting out of bed every morning and being grateful for another beautiful day."

In high school, Amy packed her schedule with activity. She took courses to earn her International Baccalaureate diploma, took part in the Model United Nations and was an officer in student government. She played on the tennis team and helped found the girls cross-country ski team.

The senior class voted her "Most Likely to Succeed."

"The whole school knows she has this disease and knows the implications of that," Lynn Frohnmayer said. "But they voted her most likely to succeed. I thought that was fascinating."

Amy volunteers with Courageous Kids, a group that helps children deal with grief and death. Members started mailing her after her sisters died. But Amy didn’t go to meetings then. She wasn’t sure about public grief, shied away from counseling or support groups and felt she had to be strong for her parents. Grief, she said, is taboo in American culture — a topic she explored in a high school research project.

"Isolation is a huge issue throughout the grieving process. You feel alone," she said. "People are extremely afraid to talk about death."

Amy is working to change that. She makes a point of saying her sisters "died," avoiding euphemisms like "passed away" or "lost." She works with a Courageous Kids theater group, showing how grief can be healthy. Two summers ago, she was a Courageous Kids Camp counselor for four girls whose fathers had died.

She said she may want to work with grieving children after college, perhaps becoming a social worker like her mother. It’s a path Lynn Frohnmayer can picture.

"Amy is one of the most sensitive and caring and genuinely, deeply kind and compassionate youngsters I have ever known," her mother said. "Maybe that compassion, in part, grows out of what she had to experience and endure, but there’s more than that. She got this dreadful FA gene. But she got a gene for compassion, too."

Social work will have lots of competition at school. Amy has a long list of competing interests: psychology, poetry, literature, Spanish and international relations. She wants to study abroad in a Spanish-speaking country. She is excited about the diverse student body at Stanford — which includes her brother John, a junior there.

Picking Stanford, she adds, is no criticism of her father’s college: "I didn’t consider Oregon, but not because I don’t think it’s a great school. I do. But for me, part of the college experience is about getting out and being away."

But even as she leaves, Amy expects to find her way back to Oregon. She’s already considering what she’ll miss: grabbing a plate of pad Thai at Eugene’s Saturday Market, hanging out with friends on 13th Street, hiking Mount Pisgah, getting frozen yogurt with her mom at a shop near their home.

Her parents, too, will have plenty to miss. For the first time since Kirsten’s birth in 1973, there will be no kids living at home.

"I’m not looking forward to this at all," Lynn Frohnmayer said. "The bottom line is, she is my dear friend. She is a treasured companion. I love spending time with Amy. I’m going to have a bit of a tough adjustment."

On the Net: Fanconi anemia research fund: http://www.fanconi.org/Courageous Kids: http://www.peacehealth.org/Oregon/CourageousKids.htm

Tuesday, September 27, 2005




Gratitude opens doors her rare disease can close

Monday, September 26, 2005

As she begins her studies at Stanford University this week, Amy Frohnmayer ponders the usual freshman worries: What should I major in? Will I get along with my roommate? How will I find all my classes?

One uncommon question also follows the South Eugene High School graduate: When will I have to put college on hold and head for my transplant?

Eighteen-year-old Amy has Fanconi anemia, a rare genetic disease that killed both her sisters. The illness brings a high risk for cancers and hampers the formation of blood cells, leading to anemia, fatigue, infection and bleeding. A bone marrow transplant doesn't change the cancer risk, but it can fix the blood problems, stretching life expectancy beyond the usual 20 years.

But there's a catch: This particular transplant works best when patients are fairly healthy, before they develop leukemia or severe infections. It also leads to the death of more than a quarter of patients, making it wise to delay as long as possible.

"I actually was going to have a transplant instead of going to school this fall," she said at her home in Eugene, as she prepared to leave for college. But "I'm so healthy now, and starting school, I just wanted to get on with my life.

"I'm getting used to the idea that it's up in the air, and someday I'm going to have to do something . . . But that's life. It's random and unexpected."

For Amy, life is a mix of wonderful possibilities leavened with the certainty of hard times ahead. In one sense, she said, she's no different from others: A traffic accident could cut short any life on any day. But Fanconi anemia amplifies that, offering keener awareness of life's joys while forcing early, often public, experience with sickness and death.

The Frohnmayer family has dealt with the disease since before Amy's birth. Her oldest sister, Kirsten, was diagnosed in 1983 at age 10. Her other sister, Katie, also had the illness. Her father, David, now president of the University of Oregon, dropped out of the governor's race in 1986 to help care for the girls. Their mother, Lynn, quit her state children's services job to do the same.

The family started a fund to spur research into the illness, which was poorly understood at the time, and launched a highly publicized search for compatible bone marrow donors. They registered thousands of donors, which helped other patients, but found no match for the two girls.

Neither of the Frohnmayers' sons, who don't have Fanconi anemia, was a bone marrow match. Before Amy's birth, the family hoped she could be a compatible donor. She was a perfect match for Katie. But tests just after Amy's birth showed she had Fanconi anemia. That meant she could not be a donor but would need one, too.

Katie Frohnmayer died in 1991 at age 12. Kirsten Frohnmayer died in 1997, two years after a transplant from a mismatched donor, and two years after getting her bachelor's degree from Stanford.

"Having my two sisters die has been very painful," Amy said. "But it's also given me an appreciation for what I have. It just reinforces that life is so fleeting, and we are lucky to be here and have the people we have in life."

Healthier than her sisters

Amy is healthier, at her age, than either of her sisters were. She has not yet had a major health problem. When she does, and needs a transplant, the family has identified a potential donor who is a 70 percent match. And the fund, at Lynn Frohnmayer's urging, sponsored research into a drug that has improved the success of such mismatched bone marrow donations to perhaps 70 percent, more than double the previous success rate.

Those odds spurred the Frohnmayers to New York to ask a doctor about a transplant this year. The doctor saw Amy's robust health and busy life, and advised the family to hold off. "He said, 'Do you really want to do this?' " her mother recalls. " 'Yes, her chances are 70 percent. But what I want you to hear is, it's only 70 percent.' "

So the family is waiting, looking for signs of troubling mutations in Amy's blood cells. She'll have blood drawn every six weeks at Stanford and have bone marrow tests in Portland every six months. In the meantime, she'll continue taking only a small dose of medicine to boost her blood counts.

"I have lots of energy. I feel good. I feel healthy," she said. "The bottom line is, I'm extremely lucky."

Grateful to be alive

Amy threads her gratitude through life in many ways. Tacked to her bedroom door in Eugene before she packed for school was, "Some Reasons why Life is Beautiful." The two-page list included chocolate milkshakes, towels hot from the dryer and getting mail. The first item: "Falling in love." The last: "Getting out of bed every morning and being grateful for another beautiful day."

In high school, Amy packed her schedule with activity. She took courses to earn her International Baccalaureate diploma, took part in the Model United Nations and was an officer in student government. She played on the tennis team and helped found the girls cross country ski team.

The senior class voted her "Most Likely to Succeed."

"The whole school knows she has this disease and knows the implications of that," Lynn Frohnmayer said. "But they voted her most likely to succeed. I thought that was fascinating."

Amy volunteers with Courageous Kids, a group that helps children deal with grief and death. Members started mailing her after her sisters died. But Amy didn't go to meetings then. She wasn't sure about public grief, shied away from counseling or support groups and felt she had to be strong for her parents. Grief, she said, is taboo in American culture -- a topic she explored in a high school research project.

"Isolation is a huge issue throughout the grieving process. You feel alone," she said. "People are extremely afraid to talk about death."

Amy is working to change that. She makes a point of saying her sisters "died," avoiding euphemisms like "passed away" or "lost." She works with a Courageous Kids theater group, showing how grief can be healthy. Two summers ago, she was a Courageous Kids Camp counselor for four girls whose fathers had died.

She said she may want to work with grieving children after college, perhaps becoming a social worker like her mother. It's a path Lynn Frohnmayer can picture.

"Amy is one of the most sensitive and caring and genuinely, deeply kind and compassionate youngsters I have ever known," her mother said. "Maybe that compassion, in part, grows out of what she had to experience and endure, but there's more than that. She got this dreadful FA gene. But she got a gene for compassion, too."

A new experience

Social work will have lots of competition at school. Amy has a long list of competing interests: psychology, poetry, literature, Spanish and international relations. She wants to study abroad in a Spanish-speaking country. She is excited about the diverse student body at Stanford -- which includes her brother John, a junior there.

Picking Stanford, she adds, is no criticism of her father's college: "I didn't consider Oregon, but not because I don't think it's a great school. I do. But for me, part of the college experience is about getting out and being away."

But even as she leaves, Amy expects to find her way back to Oregon. She's already considering what she'll miss: grabbing a plate of pad Thai at Eugene's Saturday Market, hanging out with friends on 13th Street, hiking Mount Pisgah, getting frozen yogurt with her mom at a shop near their home.

Her parents, too, will have plenty to miss. For the first time since Kirsten's birth in 1973, there will be no kids living at home.

"I'm not looking forward to this at all," Lynn Frohnmayer said. "The bottom line is, she is my dear friend. She is a treasured companion. I love spending time with Amy. I'm going to have a bit of a tough adjustment."

Andy Dworkin: 503-221-8239; andydworkin@news.oregonian.com