What were the details of Kai’s diagnosis and his subsequent treatments?
Kai was born at 39 weeks, and when he was delivered it was discovered he had wet lungs. He spent six days in the neo-natal intensive care unit. The day we were to get released home the hospital we received a call that Kai’s newborn screening test results came back abnormal. He then needed to be transferred to the children’s hospital for further testing. That’s when it was confirmed Kai did indeed have X-linked SCID.
Further genetic testing on me revealed that I am a carrier. Both of my teenage daughters were tested and came back with positive carrier results. With no family history, this was very traumatic and I’ve had a hard time wrapping my head around it all, even years later.
Kai never had any active infections going into any of his treatments. When the doctors told us strict isolation, that’s what we lived. I wanted my son to have the best chance at life. So being lenient on isolation restrictions wasn’t an option.
Kai has his first HSCT at 2 ½ months, his second HSCT at 9 months and gene therapy at 15 months. The total time spent in isolation was 2 ½ years.
What was the most difficult part for Kai as he underwent treatment?
For Kai, I would have to say not being allowed around other children and having less interaction with his school-age sisters was difficult at times.
For us, the most difficult parts were the financial burden on our family, learning to live in strict isolation, and trying to bring the least number of germs back into our household when going out individually.
For myself, dealing with post-traumatic stress disorder on my own has been challenging throughout his treatment and journey. Self-care is very important!
What was the most unexpected part about the treatment for Kai?
The most unexpected part of treatment was that Kai’s two HSCTs failed, extending our time in isolation.
Another unexpected aspect about treatment was that we put trust in doctors who didn’t ultimately make decisions that were in the best interest of our child and never educated us on all treatment options.
What do you wish you’d known about treatment before going into it?
We wished that we would have known that X-linked SCID has treatment options, not just the traditional bone marrow transplant, also known as HSCT. We wished that we would have been informed of failure rate for half-match donors. We would have liked to have been given the information for the SCID Angels for Life Facebook page when our son was first diagnosed. Truly, that group has been my best resource for SCID information and helped me get through the most difficult moments in our journey.
What advice do you have for other parents as their children undergo treatment?
Before moving forward with treatment, request a second opinion from another facility preferably one on the Primary Immune Deficiency Treatment Consortium, or PIDTC list. Always, always, always advocate for your child despite how much knowledge your child’s doctor has. Always remember you play a key role in the decision making for your child’s treatment plan. Don’t let doctors’ egos get in the way when it comes to making the best decision; it might take moving mountains but I can tell you first hand it is so worth it. Doctors don’t have to like you but their job is to take care of your child the right way.
What words of encouragement do you have for parents whose children have been diagnosed and are going through the process of preparing for treatment?
As a SCID mom, I have a love-hate relationship with SCID.
It has brought me deep sadness on so many levels, knowing that my children will walk this same path if they choose to go on to have children. It seems it’s a vicious cycle that will never end, but as a mother the only thing I can do is educate myself and pass my knowledge onto them and others when the time comes.
The things I love about SCID are the incredible people that helped me along the way, the people that keep advocating for SCID children worldwide, and, last but not least, the SCID families that are like no other who are always in the shadows with open arms. I credit so many of them for helping me get through this journey.
I can tell you that you are not alone in this fight. You have and always will have a SCID Army behind you.
This time in your life will probably bring some of the darkest days you will ever experience, but I promise there is light at the end of this long journey. Never give up hope, even on days that might not be the best. Take it one day at a time and you will make it through this SCID journey, and in years to come, you too will tell your story.