Articles Tagged with University of Minnesota


One mother’s hope, a cure for EB

IMG_0282_1-25Elisa is my third daughter and she was born with Epidermolysis Bullosa (EB).  She has a severe form of the Recessive Dystrophic form of EB .  What is EB? The scientific answer is: “a genetic disease where the lack of collagen VII (the glue for your skin) causes the layers of skin to not adhere to each other and form blisters”. The truth is that EB (in severe forms) is a long, terminal disease.  Yes, because no matter what you do as a caretaker of someone with EB, after years, or even only a few months of every day suffering they die.  So, for a parent, in my case a mom, how am I suppose to wrap my head around the fact that I am going to bury my daughter? It is just the most unnatural thing that a parent can think of. IMG_0393_1_30My Elisa, has an inexplicable severity in the mucosal membranes (the whole GI tract), so no matter how careful I can be or how meticulously I bandage her, I cannot prevent the internal blistering.  At only three months she already had been in the ER two times for two episodes in which she nearly suffocated.  Daily, painful dressing changes of an hour or so to wrap every single blister and to separate fingers and toes or they will fuse together; dreadful baths where you have all her body exposed and the fear of sheering the skin off; constant itching due to the deterioration of the nerve endings because of the inflamed wounds; chronic not healing wounds, to disinfect constantly to prevent infections; eyes blisters and or abrasions, and much more….this is the daily life of an for someone with EB. For the first six months of her life I didn’t know how I would have survived, how my family would handle the whole thing. Elisa’s sisters (Greta 6 and Stella 4 ) could not cuddle her, play with her, feed her and could not understand why.  All of your plans, dreams, and routine are broken. We can’t go out all together, we can’t bring her to crowded places if she has wound on her face, the ones that you can’t cover and inevitably, the family gets split. You try to keep spirits high, you keep reminding yourself to live day by day, enjoy every moment.  Then you wake up in the morning to the same “groundhog day” and you see your daughter sleeping in a pool of blood and fluid from a blister in her mouth and or esophagus and you are actually happy about it because it means that it popped and she didn’t suffocate while sleeping.  Then you start all over again, your EB day.  Now, you can get Freud as your shrink but, really, can you get used to all this?  Or to the idea of seeing you child suffer day and night and knowing that the end of this will be only when she dies?

IMG_1093No, that is my answer.  I can’t.  I chose hope, hope that here is someone out there that could change things.  And I found that someone.  We met Dr. Tolar and our life changed. He is conducting a trial for who suffer from EB.  The idea is to give the patient healthy stem cells from a donor in the hopes that these cells will go and fix the wounded sites and produce the missing collagen for a healthy skin.  It is not a cure but, in cases like Elisa could improve her condition and give her a life that she would not otherwise have.  We decided that we would not watch Elisa suffer the few years of life that she had in front of her and try to make her life better knowing that there were risks, or that she could not even make it.  But, did that really matter? She gave us the answer when she became so sever that needed an esophagus dilation almost every month.  IMG_2485At the age of 16 months Elisa underwent the bone marrow transplant at the Children’s Hospital at the University of Minnesota.  Dr. Tolar has been on her side since she was four months old and we prepared her as much as possible for this “system reboot!”.  We are now at day +180 and her life has already changed. There are no dressing changes anymore, and all the chronic wounds are healed.  Hands and feet are always exposed and she can now touch mommy’s face, and grab a balloon or anything that she could not do with gloves. She does not itch like before, only when blisters are healing.  Yes, she still gets blisters but they are smaller and heal in a matter of days.  She had few complications from the transplant that we needed to address and we are still dealing with some side effects from the drugs.  It is a long recovery process but she can now sleep through the night and she is happy almost all of the time. I don’t know if she will make it, we are still in the process of fixing things.  What I do know is that she, among others, have been part of the cure for EB.  Anything we have gained, anything we have learned with Elisa’s BMT will not only benefit her, but also those that will follow.  When Dr. Tolar finds the cure it will be because of Elisa and all the other children that underwent this life changing transplant.  My only hope is that it will come soon enough so that she could live the rest of her life without EB.


-Gabriella, Elisa’s mommy

Reflecting on 2012 – Epidermolysis Bullosa Awareness and Advocacy

As I reflect on the last year, I think about how this journey began and the opportunities that have come from it.  As we enter into this new year, I would like to just take a look back at some of the moments of 2012 and say thank you.  It is all because of the people dedicated to this cause that we have been able to accomplish so much this year.

Many people on this journey have been touched some how by the life of  Tripp Roth, for many he is the reason that Epidermolysis Bullosa is part of their lives.  This little boy had an amazing ability to change lives in so many profound ways, which is why so many of us were so shaken when he died on January 14, 2012.  

His life gave me and many others a purpose much bigger than we knew possible and he has become the motivation for many of us to continue to raise awareness and fight for a cure.  For me personally, he is why I am here today, he sparked my passion and opened my heart to an entire new world and gave me the inspiration I had been longing for to make a difference.

Unfortunately Tripp would only be the first of many who would be taken from us too soon.  In 2012 we also said good bye to a sweet little boy named Seth who was in the process of being adopted by Charlie Knuth’s parents.  After an extended visit from him mom Trisha, Seth became very ill and unfortunately his body just could not fight anymore.  Seth died on February 22nd finally feeling a mother’s love; knowing that he had a family.  

On March 24th, the community said goodbye to sweet little Chloe.  Chloe fought very hard, but was never able to leave the hospital.  Although her stay was far too brief, she touched so many hearts.  She sparked an awareness campaign lead by Mollie Walker of Louisiana.  Mollie sold shirts designed for Chloe and donated the proceeds to EB Research.

As we approached the Easter season, many in the community we again shaken by the loss of Quinn Seymour on April 7th at Amplatz Children’s Hospital.  Quinn was recovering from a bone marrow transplant, but unfortunately developed MRSA Pneumonia and she did not have the immune system to fight it.  She died peacefully in the arms of her parents.  It is because of Tripp that I had the opportunity to know and love Quinn and her family.  I connected with Quinn in a very special way and she is missed so deeply.

In all approximately 37 have been lost this year to EB in the United States.  This is a number that is unacceptable, a number that inspires us to do more and to come together to honor those who have died and those who continue to suffer…to fight EB!   In May I Refuse was launched as a small fundraiser to honor Bella Ringgold’s birthday.  This campaign has reached so many people and it continues to be a successful way to raise awareness and support research.  Due to it’s success, this was created to share awareness and advocacy stories as well as information and ways to become involved.  There were multiple I Refuse fundraisers across the country.  I am very excited to continue development of this campaign in 2013 with a different look and some other fun additions to help get people involved, allow you to bring awareness into your communities and support research for a cure!

In June, many came together to support Pioneering Unique Cures for Kids in the annual Time to Fly walk/run.  Thanks to the support of so many, I was able to personally raise over $11,000 (which was over all the most money brought in by an individual) and as a team, we raised over $25,000!  It was hot, but to see kids like Layla and Jackson braving the heat, we were motivated to get out there and run! I remember the entire time I was running, why I was doing this and why I had to keep going.

In August, I had the opportunity to host several amazing advocates who traveled to Minnesota to visit the hospital and the Ronald McDonald House to see Jax.  All of us had worked together on the the SaveJax campaign earlier in the year that was successful in getting lawmakers involved in getting a medicaid approval that would allow Jax to have his bone marrow transplant.  During our time, we also had the opportunity to sit down with Dr. Jakub Tolar to discuss the current research and ways that we would be able to help him work for these families in finding a cure for EB.  This conversation had tremendous impact on all of us.  You can read SooAnn’s inspiring post HERE.

As summer came to an end, we began thinking about EB awareness week and Aubrey’s 5k that is coordinated by my friend and fellow advocate Andrea Ness.  Aubrey was born October 6, 2010 with Junctional EB.  Upon looking at her, she was nearly perfect.  However, EB was ravaging her insides.  After a short six weeks, Aubrey died surrounded by family on November 17, 2010.  Andrea was deeply affected by Aubrey’s life and has made it her goal to do what she can in her honor.  The race was not only incredibly emotional, they raised over $23,000 for EB research and brought so much EB awareness to Michigan!  It was definitely an amazing way to kick off EB Awareness week!

The last week of October was incredible as I watched my news feed and twitter explode with posts and articles all aiming to raise awareness for EB.  I spent part of the week at the University of Minnesota reaching out to students and staff about what EB is and the groundbreaking research that is being done at the U of M in hopes of finding a cure.  We talked to so many people and handed out over 2000 awareness cards in just a few days!

There was an explosion of awareness online and so many advocacy and awareness pages have popped up to garner attention to EB, advocate for families and support the community as a whole.  Pages like Support Baby Easton have used their following to help share other stories and support the other families who are affected.  The EB community is an amazing family to be a part of.

In December, my friend and EB mom Jen Nick, had the opportunity to host the 2012 Wings of Hope fundraising brunch to benefit Pioneering Unique Cures for Kids.  Guests had the opportunity to listen to our amazing speakers, Marc Seymour, Trisha Knuth and Dr. Jakub Tolar.   It was also a special treat to have a special guest in attendance.  Eleafar “Eduardo” Romero who is currently recovering from his bone marrow transplant was able to attend and spend this inspiring morning with us.  Wings of Hope raised over $20,000 for Dr. Tolar’s research team.  And although the final numbers for the year are not in, I can say with a degree of certainty that thanks to an amazing matching grant from The Jackson Gabriel Silver Foundation and The Epidermolysis Bullosa Medical Research Foundation approximately $900,000 has been raised for Dr. Tolar and his team.  So incredibly exciting!


It is truly awe inspiring to see how far we have come in just one year, the impact that has been made and the tremendous amount of awareness that has been raised across the globe.  I think that we can safely say that 2012 was pretty amazing, but it is my hope that we can make 2013 even better.  Are you in?

Inspirational stories – Life with Epidermolysis Bullosa

In our lives we will encounter opportunities to do something great, to be a part of something bigger than ourselves.  We can choose to ignore those opportunities, or we can embrace them and seek to be better people.  I have been blessed with several such opportunities and I have chosen to play “full on”and to use each of these occasions to learn, to grow, to be inspired.  This year’s Wings of Hope (benefiting Pioneering Unique Cures for Kids) was no exception.  It was such a privilege to be able to co-host this with my lovely friend Jen Nick.  (Jen has a beautiful daughter Layla with EB Simplex Dowling Meara who you will learn about in a later post. )  Jen is one of those people who have come into my life and has inspired me as a mother and as an advocate.  I admire her on many levels and after this event, by admiration and love for her is much deeper.

We knew that we wanted Wings of Hope to be inspirational, but I am not sure that either one of us were truly prepared to hear the stories we heard that day.  Although I knew a lot about Quinn’s journey, hearing Marc’s words gave every one in the room perspective, including me.  As he spoke through his tears, he shared some of the emotional and intimate thoughts about his struggles and Quinn’s suffering.   This was a side of Marc I had only gotten a glimpse of one other time…the day of Quinn’s funeral.   Marc has always inspired me with his strength, his faith and his honesty.  I will always be grateful that he and Mandy trusted me to join them on their journey and his words still move me to tears as I remember their beautiful daughter and I am reminded of her fight…

“Quinn Rosalie Seymour was born August 9, 2011.  At birth she was nearly perfect.  Her thumb and first two fingers were blistered and bloody under the nails, but nothing that

seemed significant in the adrenaline rush that was her unexpected home birth!  Yes, it was fast, and yes it is great living close to a fire station!

We were nothing but giddy as we welcomed our beautiful baby girl into the world.  Mandy and I laid in the hospital starring at each other in disbelief – how did we get here?  Did we really just have a baby girl on the bathroom floor?

The fun, the wonder and joy vanished a short time later.  It was the first time that we realized we should be concerned.  The nurse that was charged with washing her after we got to the hospital had brought Quinn into the room and was apologizing to us.  She said she had never seen it happen like this before, but she had peeled to small patches of skin off Quinn’s bottom when she dried her.  I know now that these were her first blisters.

On day 9 we were referred to a third dermatologist – because the first two had never treated EB and had seen nothing like this on a child. Luckily, he knew EB, he knew enough to give us a verbal diagnosis of EB just by sight.  He told us that day he believed Quinn had the worst form of EB. Her skin biopsies later proved him right, Quinn had Junctional Epidermolysis Bullosa – Herlitz. This is the type you hear about where the children rarely live to see their first birthdays.   EB is called a skin blistering disorder – but i hate that, because it is so woefully inadequate. Children with JEB-Herlitz have awful skin, but they also have internal involvement. Anything with a mucous membrane from the nose to the rear end is invovled.

He did have one piece of good news for us that day….he told us about a ground breaking program that was hard at work trying to cure EB in Minnesota.  He knew a lot about dr tolars research and he encouraged me to learn all I could about the treatment since it might be an option for Quinn.

When Quinn was 5 weeks old I was fortunate to have made contact with Dr. Tolar and gotten a consultation appointment.  I flew to Minnesota to meet him and a few members of his team.  I knew I was coming to learn about this clinical trial that was using stem cells from bone marrow to help the children that suffer with the most severe forms of EB.  In truth, I was there for something else.  I was in Minnesota to decide if I could trust Dr. Tolar with Quinn’s care.  For those of you who don’t Dr. Tolar yet….you will soon learn that it was an easy decision.

I should tell you a bit more about my conversation with Dr. Tolar that day.  He educated me even more about EB and how dangerous this treatment option really is.  Also, he spoke with such compassion for the reality we faced – that time was not on our side.  Every day that Quinn lived without treatment was a day closer to her not being healthy enough for treatment.  She was one day closer to dying from a complication we couldn’t see. He even shared the saddest news I had ever heard – there are still places in Our world that euthanize children with Junctional Epidermolysis Bullosa – Herlitz….the condition Quinn was battling.

For us the choice was clear. We were going to do whatever it takes to give Quinn a chance at life. We saw this treatment as the one HOPE in the world for her.

This treatment offered Quinn a chance at a real life. Without this treatment all we could do is bandage her up to the best of our ability and watch her get sick and die. Dr Tolar  offered HOPE!  Hope for a cure, hope for a life without pain and agony, hope for a life without bandages.  Hope for Quinn to live!

Quinn received her transplant on December 9, 2011, she was 4 months old.  She was by far the youngest to receive a transplant for EB at this point.  She was the 19th to be transplanted in Minnesota and only the third with JEB – Herlitz.  We knew we were doing the right thing for her – that we were fighting with every bit of our beings to save her life.

Post transplant is very challenging.  Quinn had little to no immune system.  She was on countless medications and we were doing everything we could to help her system recover.  She improved very quickly at first.  She improved so much that we were able to leave the hospital with her on Christmas Day(just two short weeks post transplant)…it was the only time Quinn left the hospital with us in Minnesota.

Early in 2012 Quinn was very, very sick. To say the outlook looked bleak is the severest of under statements. It was a dark time for us. During that dark time we did the first post transplant biopsies and boy were we injected with HOPE again.  The transplant was working.  Her biopsies showed signs of improvement – her skin was showing signs that it was manufacturing the missing protein.

On April 7, 2012 Quinn was given her angel wings.  Her battle with EB here on earth was over.  It was discovered that in addition to the daily dialysis she had been on to try and prevent renal failure, she was also fighting two unknown forms of pneumonia.  In 2012 she suffered through 5 different types of pneumonia – all complications because of her weakened immune system.  The transplant was working…her skin was starting to improve, but her body just couldn’t defend itself and heal itself all at once.

It is true that Dr. Tolar is an amazing physician.  That he is truly an amazing man.  Those things brought us to Minnesota.  Those things will keep us supporting him and the important research he is doing.  I do want all of you to understand some other very important things about this research.  To implement this research with children takes many, many caring and dedicated people – not just Dr. Tolar.  It takes a hospital committed to educating all staff on a disorder they won’t see very often.  It takes those staff being committed to doing the best they can to care for the patient and the parents.  This is truly the ugly part of EB.  The part where parents touch their children and hardly anyone else does.  The part where nurses are asked to assist a parent through bandage changes that can last up to 4 or 5 hours long.  Yes, these bandage changes are brutal for the child, the parent and the nurses who help.  Many nurses had to be excused for periods of time because of how rough Quinn’s skin looked and the heat lamp her father insisted upon using to make her a little more comfortable.   It takes a hospital that is willing to commit to letting a parent be in the operating room to remove bandages and then given time in the operating room to re-do those same bandages.  It takes a hospital and physicians committed to allowing parents to have a SAY, and actually listen when they do have a say.  These are all essential pieces that The University of Minnesota, Amplatz Children’s Hospital has.  If you don’t believe how committed their staff is…just look at the two tables by me to see several of the amazing nurses that cared for Quinn, and please make sure you thank them for how hard they work – because I sure can’t thank them enough on my own.

Quinn’s fight here on earth is over.  But the fight to cure EB is not.  There are too many children and adults that suffer with this painful disorder every minute of every day.  There are too many parents that get starred at and scolded by strangers because it is assumed this parent BURNED there child.  The truth is these parents spend more time, effort and energy providing delicate cares to their children than any of us can imagine.  These parents watch as their children suffer through terrible pain and anguish just to take a bath.  EB is a horrendous disorder.  It is often called the “worst disease you never heard of.”  Well, since you are here today, you have heard all about EB…now, I have one last question for all you to consider – what are you willing to do to provide a little hope to one of these beautiful children?”

When Dr. Tolar got up to speak, he captivated the entire room with his passion.  His dedication and appreciation were so evident.  He spoke of the tragedy that is EB…that there is nothing like it.  The suffering that it causes and the lives that it takes.  He spoke about his gratitude…gratitude to have the opportunity to help, to provide hope.  I am not sure if Dr. Tolar will ever truly know the depth of his impact,how extraordinary he truly is.  He is incredibly humble,  he is doing what he believes is the right thing to do…helping people.

Trisha Knuth has always been so incredibly strong, she never really had a choice.  She has had to fight for Charlie since day one, every step of the way she has faced challenge after challenge head on.  She has stuck by Charlie through everything, never giving up and never giving in.  Trisha is the epitome of “Tiger Mom”, and seriously anyone is a fool to try to take her on, they have no idea what they are dealing with.  As a parent I admire her on so many levels…her tenacity, her verve, her unyielding love for her son.  Trish gave us a pretty phenomenal gift on Saturday a very poignant and vivid look into the harsh reality of EB.  The reality of how it not only affects those who are afflicted, but their families.  How EB takes its toll, physically and mentally on every one…

“When Charlie was born in a small town in rural Wisconsin he began to blister immediately after his birth.  The skin slid off his body when nurses and doctors began the normal routine of a caring for a newly born infant.  He was transferred to a pediatric hospital in Wisconsin shortly after, but no one from his family came for him. Not his mother, father, Grandmother, Aunt, no one……..  He lay alone in the Intensive Care Unit.  Born into this world, only to be left in a hospital, in excruciating pain, with no one to comfort him. My husband and I received the phone call from Social Services asking us if we would foster a baby born with a very rare skin disease.  At first, we were told he had the most severe form called Junctional Epidermolysis Bullosa, and that he would die in the first year of his life.  We prepared ourselves to give this baby the most comfort, love, and security we could until the day came he would die.  I brought Charlie home a week later with a large supply of morphine, Vaseline, and gauze.

You can imagine my shock, surprise, and confusion when I was told at his first dermatology appointment a month later that Charlie did not have Junctional EB at all, we were told this in error.  He actually had Recessive Dystrophic EB.  He was missing collogen 7, the protein that binds his skin together.  He would probably not die in the first year of his life, but worse,  he could live this torture for years only to become completely disabled, and die from infection or an aggressive form of skin cancer. The doctors explained that there was no treatment for EB, only wound care.  Maybe, in Charlie’s lifetime a cure would be found.

This is the first time the thought of adoption crossed my mind.  To imagine a child with such a painful, complicated, debilitating illness bouncing around the foster care system was inhumane.  We loved and protected Charlie just as we would our biological children.  Despite the opinions of others who feared for our emotional well-being, Charlie became legally a Knuth one year later.

When Charlie came home with me from the hospital at just two weeks old, I never could have possibly imagined the torture and abuse EB would inflict on my child.  I am glad I didn’t, because I just don’t know if I would have been strong enough to take on this unbelievable challenge.

As an infant, it was visually apparent that Charlie was in enormous pain.  Even though I was able to keep the skin on the outside of his body protected, the skin on his tongue was completely absent.  Lydocaine coated his mouth prior to any sort of eating, or the pain of sucking a bottle would make eating impossible.  Charlie would choke on the skin that slid from the roof of his mouth and become lodged in his throat.  The blisters that covered his esophagus would rupture and leave raw open wounds.  At night as I lay in bed awake, the sound of blood gurgling with every breath he made would play over the baby monitor.  We kept the curtains closed and stayed indoors most days.  The light of the sun or the  gentlest breeze would blister  his eyeballs and render him blinded for days.  Sound agonizing?? When Charlie turned six months old, the challenge of caring for him became 1000 times harder.  You see, Charlie figured out that if something on his body itched, he could rub it.  It started with the sides of his torso.  He would slide his little arms back and forth tearing the skin from both his sides of his body.  Just as one side of him would heal, he would destroy the other side.  Then, it was his ears.  Even though his fingernails literally popped off his fingers as in infant, any sort of rub at all would take his skin off.  The constant rubbing of his ears created constant wounds, infection, and blisters that spread from his head to his toes.  Where ever we went, the eyes of others were upon us.  Often, I was glared at and scolded by others who had assumed that he was burned or somehow mistreated.

The emotional torment EB caused Charlie and our entire family is very difficult for me to talk about, but this side of EB is by far, the most agonizing.  When Charlie was just a toddler, I would beg and plead with him not to itch.  This itch was so deep that it could never be relieved.  This itch began to run our lives.  The need to observe every movement Charlie made became necessary to protect him from himself.  Charlie became aware of this very early.  If he wanted any sort of attention at all, all he had to do was raise his hands near his ears and he knew that we would come running.  After hours and hours of painful dressing changes, Charlie often would silently itch his face and ears while napping.  His sheets, and new clean bandages would become covered in blood,   all of the torture that just ended would have to be redone.  The constant stress of avoiding more of Charlie’s own self- damage made it difficult for me to breathe.  Charlie would scratch when he was tired, when he was happy, when he was anxious, and when he wanted something.  If he didn’t want to go to bed at night, all he had to do was itch.  The painful consequences of his own self damage didn’t matter.  Having actual control over something in his life when nothing else at all was controllable was far more important to him.

He now had no skin on his forehead, his ears, his chest, neck, under his armpits, his groin, or his torso.  In fact, he was missing skin in about 90 percent of his body.  His own little fingers would spread infection from his head to his toes.

Baths became torture.  The only option we had to avoid systematic infection was baths spiked with bleach or vinegar.  High doses of narcotics did nothing but cause more itching.  The intensity of his pain during baths caused him to ravage his own body.  Out of desperation to protect Charlie, I was forced to create restraints.  Small boards with padding were placed in the bend of his arms and kept in place with rolled gauze.  These restraints could not be removed during baths and dressing changes until his body was completely re-dressed and protected.  This took many hours each day and often to my complete devastation, he would re-injure and rip of all of the dressings that were just reapplied.  The torture routine began to create behaviors similar to someone with post-traumatic stress disorder.  Most tasks done with Charlie had to be done in a “certain order.”  Left foot, then right, up the stairs.  Each time our feet landing on the step at the same time.  Any misstep at all would start the process over again.  If dressings were placed out of order, Charlie would beg to have them removed so we could “start over again.”  Hours and hours each day were spent just bargaining, bribing, pleading and begging Charlie to let us care for him.  The sadness, helplessness, and constant anxiety consumed my life.

As a mother, the daily task of restraining and torturing Charlie just to protect him and keep him alive, and neglecting the rest of my family was profound.  I was a safe “outlet” for Charlie’s anger and frustration as well.  Every bath was filled with violent threats by a four year old child.  Dealing with his agony the only way he knew how.  Day after day during dressing changes he screamed that he wanted me to die and that he was going to kill me, only to cling to me afterwards for comfort.  “I’m sorry Momma, I don’t mean it.”  I know Charlie, it’s OK….”You understand right Momma?” …..”of course I do.” I used to think that if we could just control the itch, then life would be so much easier…..If only Charlie didn’t tear the skin off his face.  Then I could handle it.  I could handle totally wrapping his body, but I just want to feel his face against mine.  I want to kiss his cheeks and stroke his hair…

Charlie’s first transplant was December 30, 2010.   The dressings that covered his entire body from head to toe are gone.  The hours and hours spent peeling, preparing, cutting, and organizing dressings on a daily basis is gone as well.  Baths and dressing changes that used to take an entire day have been cut down to one hour.   Even though Charlie’s skin still blisters, it has gotten much stronger.  No longer will skin slide off his entire hand like a glove creating a perfect mold made of flesh.  He has not required any narcotic mediation for baths since his first transplant.  Now that his body can absorb nutrition, he has gained ten pounds and has grown many inches taller.  The pale and translucent appearance of his skin has been transformed to healthy pink skin.

Dr, Tolar

This is for you……

Your research and passion to give my son and others like him a life worth living has trickled down and has changed the lives of my entire family…You know the science, the research, the physical difference this treatment makes.  You see it first-hand.  What you don’t see, is how it changes a families entire dynamic.  My daughter Chloe can now play with Charlie without fear.  Fear that she is going to accidentally hurt him and cause skin to slide off his body.  Fear that her mother is going to yell at her for once again causing Charlie more damage and now her mother has to do more wound care when she just got finished, and there is dinner to be made, and laundry to do, and messes everywhere that need to be picked up and on and on  and on…and when Daddy gets home, he will have to help Mom because she just “can’t do it all by herself.”   And older brothers Alex and Hunter don’t have to “take care of Chloe” while I do wound care all day.  They actually can have a life, play X Box with their Dad, go hunting with Grandpa, have a part time job, and hang with friends.  Now, they can continue the weekly tradition of watching, “The Walking Dead” with their Mom every Sunday night.

Kevin can come home from a work without the stress of the day being immediately thrown at his face the second he walks through the door.  He no longer has the mental anguish of helplessly watching his little boy suffer agonizing pain.  He doesn’t feel as though he is useless around his wife because he cannot “fix” the relentless stress that consumes every minute of the day.

Charlie doesn’t damage is own body anymore…The violent outburst and threats directed at the people who protect him, love him, and fight for him disappeared on December 30, 2010.  The day he had his first transplant.  Charlie wrestles with his dad and his brothers.  Plays with other kids and lives each day without anxiety.  For the first time last summer Charlie went swimming and ran through the sprinkler.  The water that once tortured him…… now is a pure delight.  Charlie plays in the bathtub….

Your research and treatment for EB has made me a better mother.  The overwhelming guilt of neglecting my healthy children no longer tortures my soul.  I now have time.  Time to tell them how much I love them and how incredibly important they are in my life.  Time to paint my daughter’s fingernails and do her hair, time to watch my sons grown into handsome young men.  Time to get on the floor and play Legos with Charlie.  Time to hold Charlie in my arms and actually feel his skin against mine.  Feel my hands on his bare back, and his face nuzzled in my neck.  You cannot under estimate the importance of actually “feeling” the skin of your child for the first time.  This is quality of life.  This is what you have created…”


I want to personally thank Dr. Tolar for taking the time to join us and speak.  To Marc Seymour and Trisha Knuth, thank you so much for being such an important part of making Wings of Hope a success, for sharing your stories and for inspiring others to become involved, to make a difference.  I will always feel incredibly blessed to know you, to love you and to have been touched by you and your children.  The impact that your presence had is immeasurable.  Not only did you move an entire room with your emotion, your stories, your children inspired tremendous generosity and help us raise approximately $20,000 for the research team at the University of Minnesota and to further the studies and trials being conducted at Amplatz Children’s Hospital.

Together we can make a difference and we can continue to fight for a cure to end EB.

Sharing your gifts…advocate and make a difference

Hope, there is always hope.  It is something that I firmly believe…and hope, the difference does start with you…

In the past I have been asked about what lead me to Pioneering Unique Cures for Kids and the work being done at the University of Minnesota.  The answer is actually quite simple.   When I first learned about EB, after coming across “EBing a Mommy” (and reading the entire thing) I began researching.  When I read that there was no hope, I started search for anything, trying to find hope…something, anything really. I would stay up late at night reading anything and everything I could. I needed to know that it was not all heartbreak and tragedy. That is exactly what I got when I found Bella’s blog. When I started reading it, Bella was already gone, but there was something about her story that gave me this sense that there was hope. Hope because there was in fact this incredible team of doctors at Amplatz Children’s Hospital working so hard to give these kids  a better life.   For the first time, I was actually excited to live in Minnesota,!  I knew that there was a door opening and I also knew that this was an opportunity to make a difference…there was no way I could walk away from that!  From that moment on I have just allowed my heart to lead me, and the compassion and love for these children (and adults too) drive me.

Often we think that we have to do extraordinary things to make an impact, but really some of the simplest of things can make such a difference to those who are faced with the many challenges of EB.  Remember there are many different ways to advocate and everyone’s path is different.  The definition of advocate is simply this: a person who publicly supports or recommends a particular cause or policy.  Many of you advocate daily through social media and in your communities.  You make a difference in all of the things that you do and it shows.

Melinda Warner was featured in The Bryan Times (Ohio)


Last week I saw more posts on Facebook and Twitter than I ever have.   Not to mention the number or local news articles that have been posted.  People all over were sharing stories and information on their blogs and on their pages.  Not only were there a lot of things going on in the media, but there were awareness events being held all over the country, like this amazing group in Nevada who raised almost $1100 during awareness week.

(You can read about their fundraiser here

Michelle Shriver and her group at Tropical Smoothie Cafe in Nevada

Everywhere I looked I watched as people from all over came together to support an amazing community, it was truly an beautiful and inspiring thing.

Although you may not think so, you all have something to offer, you too can make a difference.  We all have special gifts that we can share, that we need to share…

“There is a vitality, a life force, an energy, a quickening that is translated through you into action, and because there is only one of you in all of time, this expression is unique. And if you block it, it will never exist through any other medium and it will be lost. The world will not have it.” -Martha Graham

I want to encourage each and everyone of you to keep the momentum of awareness week going and share your gifts.  Maybe you are a great blogger who can offer to share the stories of some of these families, or even help them set up blogs of their own.  If you are a photographer like me, you can offer a tremendous gift to families through your portraiture.  Many moms I know are incredibly crafty and have their own businesses in which they can donate proceeds to help.  You can even do what my friend Andrea Ness has done, she coordinates a run in her community that is in honor of a sweet little girl Aubrey Joy Oberlin.  It is an amazing event that is driven by her dedication and her passion.  The list is really endless and every thing counts…every bit, no matter how big or small it all is part of the difference.

If you are reading this, I have no doubt that EB has touched you in some way.  Maybe you have been inspired by Tripp the way I have or maybe Easton, Liam or another person suffering has inspired you and you are looking for ways to become involved.  Please reach out, I, along with others are always more than happy to help people find ways to share their gifts because they are important and they can have a great impact.  So, let’s work together and make a change.  We can all  help the EB community, educate others, and support the research that will change the lives of many…are you ready?

Okay…it is time to Do Something.

The heart of research…finding a cure for EB

Epidermolysis Bullosa…I remember the first time I ever came across those words.  I did not realize at the time that those words would impact me so profoundly.  It was late at night and I happened to see the link to a blog on a Facebook page that I had started following a short time earlier.  There was this beautiful boy…Tripp Roth.  His mother’s words totally captivated me in a way that I really cannot describe.  I spent the entire night reading the blog from the very beginning.  This was the beginning of my journey into advocacy. Naturally I, like many others, scoured the web trying to find out every thing that I could about EB.  All I really knew at the time was that this was a rare devastating disorder that caused tremendous suffering.  It had an extremely high mortality rate and there was NO CURE.  That is right, there is no cure…those two words absolutely broke my  heart.  The thought that these children are born with no hope shattered me to my very core.  No hope…how could that possibly be? What I did not know at the time was that there was hope.  There was ground breaking research being done to find a cure for EB, and this research, it was being done right here in Minnesota.  Researchers at the  University of Minnesota were conducting clinical trials using adult bone marrow.  Little by little, they were making a difference in the lives of these precious children, they could save their lives and give them hope for some normalcy.  At the heart of this research is Dr. Jakub Tolar

As a pediatric oncologist, Jakub Tolar, M.D., Ph.D., sees tragedy every day. But little compares with the heartbreak he sees working with children who have epidermolysis bullosa (EB), a fatal disease that can cause the skin to slough off at even the slightest touch. “This is one of the most awful diseases I’ve ever seen,” Tolar says. While missing patches of skin are one of the most outwardly apparent signs of the disease, they’re only part of the complex difficulties these children and their families face. With an esophagus full of lesions, it becomes painful to eat. And because of the body’s constant but flawed efforts to repair itself, fingers can fuse together. Eventually, usually by age 20, these children will die of skin cancer. But not if Tolar has his way. A member of the pioneering University of Minnesota team offering promising but risky blood and marrow transplants aimed at curing the disease, he is now focused on finding a safer alternative (see sidebar). “It is high-intensity, potentially high-yield, very novel research,” Tolar says.

Nicole Endres (June 7, 2012)  Meeting the Challenge from

This research is so incredibly critical and and it has been a privilege to have the opportunity to support Dr. Tolar and his team.  I can say with the utmost certainty that he is one of the most inspiring people I have ever encountered.  His genuine compassion for his patients and his dedication to giving them a better life is truly something that is so very rare.  This goes far beyond doing a job….this is his life’s work, this is his passion.  He truly cares about these kids and he wants more than anything to be able to give them a chance.   These kids are at the very heart of everything he does.  Dr. Tolar is continuously striving to make life better for these kids despite the challenges and setbacks.  Because of this dedication, tremendous strides are being made and each new day brings them closer to finding a cure. This research relies heavily on grants and donations and this year the Minnesota Medical Foundation at the University of Minnesota was presented with an incredible opportunity by means of a substantial matching grant.  The Epidermolysis Bullosa Medical Research Foundation and the Jackson Gabriel Silver Foundation have committed to contributing up to $450,000, matching gifts from other donors received by December 31, 2012, dollar for dollar. The response to this has been incredible with donations of approximately $325,000, an amount that means a great deal to the entire team at the U of M.  However there is still $125,000 that can be raised that will be matched!  If all the dollars are raised, that would mean $900,000 being dedicated to this vital research and that is nothing short of amazing. Just take a look at some of the lives that have already been changed thanks to this program… (Click on the images to read their story.)


I find myself looking at these precious faces and seeing the light in their eyes, the joy and the happiness. Then I imagine their life before their transplant, I imagine the suffering that these children were forced to endure and the frustration and sadness of their parents when faced with this reality.  No child should ever have to endure the pain of EB and no parent should have to watch as EB ravages their child inside and out. Every child deserves hope, it is a beautiful gift and it is now a reality for kids with EB thanks to this very special team.  I hope that you will join me in supporting Dr. Tolar and fighting for a cure…providing hope where once there was none.   If you would like to show your support you can make a one time donation or an ongoing pledge through Pioneering Unique Cures for Kids, an organization dedicated to raising funds for this vital research.  To donate, click HERE  Remember, every dollar counts TWICE!  Thank you for helping make a difference and helping to end the needless suffering that is caused by EB.