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SaraKay Smullens

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Confronting Diabetes In Celebration: Yes to Philly and a New Chapter of Hope

Posted: 10/31/08 06:00 PM ET

Downtown Philadelphia, where we live, has erupted in screams that will go on into the early hours of tomorrow. Tonight our Phillies won the World Series, and as I write, not only are screams piercing through our closed windows, but so are the sounds of firecrackers, illegal, but the police officers will, no doubt, turn a cheek. This win is an outlet for both joy and the pain that the times, and events, have brought us all.

My husband and I joined the throngs of hundreds tonight outside, and enveloped by the new chill of winter we screamed and cheered with a marvelous rainbow coalition of strangers, united like friends. In the dark of evening only my husband could see that as I cheered, there were tears streaming down my face.

Earlier this afternoon, my daughter called my husband, her stepfather, a doctor. Her first born Charlotte Rose, now 7, recently elated to be given the part of a mushroom in the Washington Ballet Company future winter production of Nutcracker, was diagnosed with type one diabetes (commonly known as juvenile diabetes) last February. And today, in the midst of a cold, Charlotte Rose'e sugar levels rose dangerously, the first time this has happened since she was hospitalized, so dangerously, gravely ill, soon after the new year.

This ruthless disease came like a villainous monster, out of no where, following a flu, which is a story you will hear again and again from stricken families. Until it happened to those I cherish, I had no idea how lethal this illness is. I thought that if insulin is needed, one got it and all would be well. How wrong I was.

In type one diabetes, some insulin is always needed, and kids with the illness must have several needle sticks a day to determine how much, followed by the shots themselves. (Some children do have a pump, which dispenses the insulin, eliminating the need for the shots in most circumstances.) Without insulin, children will loose limbs, become blinded, and eventually die.

Once insulin is received, for the lucky kids there is a honeymoon period, which means that the little pancreas so hungry for the insulin needed to break down the sugar and carbs begins, almost magically, to produce insulin. The little one's body works hard, very hard, against great odds, to function. This, despite the fact, that for reasons still not understood, in the child with diabetes, the body itself has turned on its own pancreas and will do all it can to destroy it. And so during the honeymoon, the little pancreas, like the little engine that can, fights back. Against all odds. And always looses.

For diabetes is no fairy tale, and there has been no documented honeymoon period for longer than two years. For Charlotte Rose, now, one year and nine months after diagnosis, her honeymoon is most likely over. I would give you the days and hours and even seconds of this respite, but we are not sure exactly when the honeymoon began. I can tell you that every night I have prayed that it would continue somehow, someway for her and every other child in the world and their families given this relief. But I have known better.

Tonight, this glorious night in Philadelphia, my oldest grandchild and her younger sister by 18 months, Amelia, watched the Phillies game in DC, rooting for their mother's home town team. Charlotte Rose was very ill, her parents protectively there guarding both daughters, doing all that they could to remain calm in the waiting room of reality.

Everyone with a child who has a debilitating illness who can be offered treatment that buys time until a cure is found is grateful beyond words. Everyone I know with this anxiety provoking membership card, where willing yourself to remain calm and positive and actively engaged sees children without this hope with new eyes. No matter how sensitive and caring we had tried to be before the rug was pulled from us, each suffering child and their families now tears at our hearts with new urgency.

The older I have gotten, the more I have tried to hear all opinions with an open mind and a caring attitude. I well know that people of conscience and thoughtful minds can differ. And honest expression and the ability to see the point of view of another and compromise is a sign of a healthy marriage, family, work setting, community, society.

The answer in most childhood illnesses lies in disciplined research often concentrating on stem cells. And I believe those who deny this opportunity to children do not know how to really think, or to understand, or to view the world beyond themselves with any accuracy of vision. And to those who explain that their vision is because of G-d's will, I ask what kind of a G-d would turn away from alleviating the pain of children.

And so tonight, as the cheering and cries of victory resounds in Philadelphia, I cheer for a team and a city that has given me a marvelous transplant from the city of my birth, Baltimore, and has been so very good to me and those I love. As I cry for all children who suffer, I find new hope in this hometown victory. It feels a sign that the blind direction and lack of vision of the past eight years may finally come to an end.


 
 
 

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Downtown Philadelphia, where we live, has erupted in screams that will go on into the early hours of tomorrow. Tonight our Phillies won the World Series, and as I write, not only are screams piercing...
Downtown Philadelphia, where we live, has erupted in screams that will go on into the early hours of tomorrow. Tonight our Phillies won the World Series, and as I write, not only are screams piercing...
 
 
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10:22 PM on 11/03/2008
I'm such a fan of Ms. Smullens' work, from her inspiring and heart-warming books to her brilliant, beautiful editorials in the Philadelphia area newspapers. She approaches a subject with great sensitivity, thorough knowledge and understanding, exceptional caring and insight. Ms. Smullens has given a breath of fresh air to the subject matter on so many occasions through her words and her work is truly a joy to read. Thank you Ms. Smullens for inspiring hope once again. I also support stem-cell research, the best possibility to date to explore in giving little ones and their families a ray of hope with this and other similar heart wrenching, delilitating, ruthless diseases. A political figure who opposes such important research is not only blind but selfish and uninformed, and we cannot afford to be lead by either. We also cannot afford another 4 years of sightless direction, ignorance, continuing economic crisis and financial mess, rising healthcare costs, rising taxes, rising energy prices, and more and more faltering, despaired, hopeless voters. More experience does not necessarily mean more common sense or foresight. Barack Obama is the one and only intelligent choice for leadership for our country. Let's get out there tomorrow and show ourselves and the world that America is ready for a real leader, real leadership, and for real change...a CHANGE in the right direction. Obama for President of the United States!
08:55 PM on 11/03/2008
I am a great fan of Ms. Smullens' work, from her brilliant books to her inspiring editorials in the Philadelphia area newspapers. She approaches a subject with great sensitivity, great insight and remarkable caring and understanding. I thoroughly agree with the importance of stem-cell research; it indeed is the best possibility to explore which we have right now to give those precious little ones and their families hope with this, and other heartwrenching diseases. It is appalling for a presidential candidate to be against it. But then again, McCain seems generally blind to the real issues and challenges our country faces today...we as Americans, however, simply cannot afford another 4 years of blind direction. Barack Obama is the one and only intelligent choice for leadership for our nation, a nation which can be great again under the right leadership. Let's get out there tomorrow and show the world the people of America have spoken. Obama for President of the United States!
07:07 PM on 11/02/2008
i am very familiar with sara kay smullens work. i have
read many of her columns in the philadelphia papers,
and each time i finish an article, i feel that my life
has expanded...as has my knowledge on a subject.
she writes with clarity and brilliance. i am grateful
every time i discover she has once again put pen to
paper. what a welcome addition to the huffington post.
03:40 PM on 11/02/2008
SaraKay and her family are dear friends of ours, and this article once again reflects how beautifully, thoughtfully, and powerfully she moves between the personal and the political. I watched my 84-year father die of end-stage Parkinson's -- another disease for which the only hope of a cure lies within the discoveries of stem-cell research. My father was in the sunset of his life, but his ending was exceedingly painful and humiliating for him; he had always been such a proud man. He deserved the right to end his years with dignity. Charlotte Rose is at the beginning of her life; she deserves every opportunity to grow up and live like other active young girls,. How can anyone deny anyone else's loved ones such opportunities?
Janis L. Goodman, Ph.D.
09:41 AM on 11/02/2008
An emotionally intelligent article -- let's hope that we are on the brink of new research and technology and that our country will finally use our resources to advance stem cell research. So many hurting children and their families would benefit. Thank you for inspiring hope.....
11:54 AM on 11/01/2008
If the Phillies can win the World Series after 28 years, then there is hope that a cure can be found for Type 1 Diabetes! This victory may be harder to achieve, but as Ms. Smullens writes, stem cell research is one the best possibilities to explore. Watching the rest of scientfic world becoming the center of work on this dynamic technology is one of the legacies of the failed Bush presidency. I agree with her assertion that a victory for Barack Obama is a victory for an intellegent and measured response to the many difficult issues facing the United States, stem cell research support being one of them.