
Please tell me about your family’s NF journey.
  
 Rosie  was born with café au lait spots and we didn’t think anything of it; I  thought they were just birthmarks. At her six-month check up the doctor  counted five spots on her body and mentioned neurofibromatosis,but said  not to worry unless she had 6 or more. I took her home and found eight. I  called him back and said, “now what?” the doctor then referred us to  the NF Clinic at Children’s Memorial Hospital in Chicago. Rosie had her  first NF clinic visit at 10 months old.
 
 But  it wasn’t until her third birthday that she was officially diagnosed  with NF1;waiting for the official diagnoses and seeing the disorders  indicators come out in her made for a very frustrating two years.  Just  after her diagnoses, she began randomly throwing up and was also very  lethargic. Her pediatrician wanted to treat her for acid reflux, then it  was “maybe she just can’t shake a virus”. But I knew in my gut  something was really wrong, so I contacted the NF specialist and asked  if he had seen this type of thing before. He wanted her in for an MRI  that same day. The MRI revealed that she had an inoperable brain tumor  and acquired obstructive hydrocephalus. It was the most devastating news  I have ever received. We were faced with our child having brain surgery  and placing a shunt in her brain to work as a drain for the excess  fluid; it  all happened so fast. 
 
 To  date, Rosie has had thirteen surgeries, five of those brain surgeries  due to shunt malfunctions. The other surgeries were due to other  complications. NF caused the brain tumor, but  the brain tumor’s  location has caused all of Rosie’s other medical issues. For example:  she has growth issues. At one point she was growing at a rate of 11  inches a year. It’s called Pituitary Gigantism. With Rosie, the growth  hormone is on full-blast. She is the height of a nine-year-old despite  being only seven. I remember when I had to buy her new shoes every month  or so--it was crazy. I have to give her injections everyday to try and  control the growth hormone. Since 2009, the growth hormone suppressant  is working, but now I can see she’s going through another growth spurt,  so we don’t know if it's working now, or needs another adjustment. 
 
 We’re  running out of options with what can be done for her. With her it’s  trial and error with treatment because of her particular diagnosis of  NF; she has a very rare and complex case. We live day-to-day and try to  make the best of it. She’s definitely a very special kid with what she’s  going through. The toughest question she’s asked me was, “Am I gonna  die?” Talk about heart wrenching, but we don’t lie to her, “everyone  dies Rosie”, I can remember saying, “but most people just die when  they’re older, like Nana.” She has seen too many kids loss their  battles. 
 
 This  year, her New Year’s resolution is to live to be 10. She is staying  strong and living for the moment. She’s a positive kid; loving, caring  and compassionate. She’ll comfort other kids in the hospital who are  going through a hard time. No matter how long she’s here, she is leaving  her mark on this world. 
 
 Rosie  enjoys spreading joy, sunshine and hope every where she goes. She has  spoken at two different high schools about blood drives and as a result  they had a record number of kids sign up to donate blood;the impact  she’s had is amazing. She’s also providing toys for family BINGO night  for the Littlest Tumor Foundation’s Wellness Retreat. She’s raised over  $300,000 for her causes and she’s collected thousands of toys for  Rosie’s Toy Box. Rosie will talk to anybody and promoting her Toy Box (www.Research4Rosie.com) anywhere.  She’s always busy doing something. Rosie has plans for the year for all  the different things she wants to do. She even has a little rap that  she has to introduce herself. She’s learned to take a challenging  situation in her life and  turn it into a positive one for  everyone around her.   
 What type of neurofibromatosis does she have?
  
 The  short answer NF1. The long answer, Rosie has a very complex and  extremely rare case; a combination of medical diagnoses. Her case has  never been seen before or since her diagnosis. That’s the weird thing  about NF, every case is so unique. It’s the same, but very different,  the way NF manifests itself in each individual; it’s a mystery, so  unpredictable.  
 
 Because  Rosie has a very distinct set of syndromes, conditions and disorders  that come together to make a very unusual case of NF. The “norms” that  doctors have seen with other NF kids are atypical for Rosie. She is  often times teaching her doctors, just how to treat her NF and brain  tumor. 
  
 How is Rosie’s spirit through all this? I’ve heard she’s got a super-upbeat shiny personality.
 
 She’s  an amazing kid; very inspiring! She’s very charismatic and can strike  up a conversation with almost anyone. I certainly can’t take all the  credit for it, it’s God given. But it also has to do with the way we’ve  handled all her medical issues, how we approach it. She knows she can  trust us, that we are honest with her, we don’t dumb things down. We  tell her in words she’ll understand and not sugar-coat things, she knows  what she’s facing and she comes to terms with it on her level. I  remember when Rosie was really little she was taking a bath and tried  washing off a brown spot on her leg; I told her it was one of her NF  spots. Later I had given her a brown-and-white spotted dog and Rosie  said the dog had NF too. We told her from day one, that she had NF, how  it made her special; that God made her that way and she should be proud  of who  she is, it’s apart of her, it doesn’t define her. I think that lots of  kids have parents who want to hide it; I think it makes them feel  ashamed, like it’s something they shouldn’t talk about or share. 
 
 Discuss how her sibling supports her.
  
 Bella  is very supportive of her sister, but it’s really tough on her too. She  goes through a gamut of emotions with her sister’s conditions  Being  jealous of the attention Rosie gets, then feeling guilty for feeling  jealous because she understands that Rosie has to have our attention at  times, feeling angry because she got stuck with a sister with NF and  cancer, but at the same time knowing Rosie didn't choose this life  either. They share all the usual sibling rivalry like any other family.  But she’s there for Rosie 100% and she chooses to be apart of  everything, and she does have a choice, I think that’s important. When  Rosie has a surgery, Bella is right there sitting on the hospital bed  with Rosie, talking to her or watching TV with her before she has to go  in. As for her personality, she’s a little quieter and isn’t nuts about  the  limelight, but she’s learned to speak her mind by listening and  watching her little sister. Bella is a stronger person because of what  she’s gone through with Rosie; she’s empathetic and very loving. 
  
 What are some ways your family has raised awareness for Rosie?
  
 I publicly speak and raise awareness in anyway I can. We’ve  educated family, friends, neighbors, other parents and classmates--our  community really--about NF.  At one time, some of the kids and even  parents at Rosie's school worried that Rosie's NF was contagious. I’ve  also learned that sometimes people don’t even know they have NF or  weren’t told about it until later in life. Some pediatricians don’t even  know about it. At least ours knew about the café au lait spots and had  enough knowledge of its existence to refer us on to Children's. There  have been nurses who have “heard about it” but have never come into  contact with people who have had NF, while other nurses don’t even know  about it. We take that opportunity to teach them; Rosie will lift up her  shirt and say, "see" so they recognized it the next time they  see it on another child We’ve even tried to get on Oprah and now we are  pushing to meet Ellen DeGeneras. We have been incredibly blessed with  all the people who have supported us; without all of their love and  support we just wouldn't be able to reach as many people as we do. Both  the girls were also adopted by teams through Friends of  Jaycln Foundation.  Rosie has two teams at North Central College in  Naperville and Bella has one here in Palatine, the FREMD girls swimming  and diving team. They love it!  Rosie tells me everyday to live for the  now, in the moment, to have hope, love and humor in our lives to say how  you feel today and don't wait for tomorrow. She is a blessing in my  life   
 
What are some words of advice that you have for other families who have children with NF?
  
 To  be honest with their children and not make them feel different in a  negative way. To help their child to be proud of who they are. They  should surround themselves with knowledge, because knowledge is power;  make a difference, get involved. We could sit around feeling sorry for  ourselves, feel bad that NF has touched our lives or we could get off  the couch and go do something about it. The best advice I can give to a  parent of a child with NF is to be honest with your kids. I’ve met  people who don’t know what to tell their children about NF. Get the  support of others around you. Connect with other families who are  going through what you are, who really "get it", who understand. There  is this one family, whom I have never met in person, in Minnesota where  they too have to cope with a loved one having NF. We support each other.  
  
 Rosie  reminds us all to live life to the fullest. There’s this one commercial  on TV and there is this woman standing on top of a mountain and Rosie  said, “That’s the way we need to live mom.” – Overcoming everything and  staying positive through whatever live throws at you.
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 E-mail: RosiesToyBox@gmail.com