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Spring 2010 - National Marfan Foundation

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<strong>National</strong> <strong>Marfan</strong> <strong>Foundation</strong>: Education, Research and Support for the <strong>Marfan</strong> Community<br />

What’s Inside<br />

Heartworks Galas . . . . . . . . . . 1, 22<br />

Gala Photos . . . . . . . . . . . . 12–13<br />

Clinical Trial Update . . . . . . . . . . . 3<br />

Message from the President . . . . 3<br />

<strong>2010</strong> Conference . . . . . . . . . . . . . . 4<br />

MedQuest . . . . . . . . . . . . . . . . . . . . . 6<br />

Membership Campaign . . . . . . . . . 7<br />

Have Heart Campaign . . . . . . . . . . 9<br />

Emergency Planning . . . . . . . . . .<br />

<strong>National</strong> Volunteer<br />

10<br />

Network . . . . . . . . . . . . . . . . . . 14–19<br />

People & Events . . . . . . . . . 14–15<br />

Chapter & Network News ... 16–18<br />

Volunteer Profile . . . . . . . . . . . 19<br />

Medical Education . . . . . . . . . . . . 20<br />

<strong>Spring</strong> <strong>2010</strong><br />

Vol.29, No.2<br />

Heartworks Gala Photos Inside<br />

New Guidelines Announced to<br />

Prevent Aortic Dissection Tragedies<br />

NMF at Forefront of Coalition to Promote Awareness<br />

On March 16, the country’s leading medical associations, including the American<br />

College of Cardiology (ACC) and the American Heart Association (AHA), released<br />

the first-ever diagnosis and treatment guidelines for aortic disease. The goals of these<br />

guidelines are to identify those who are at risk of aortic dissection and make sure<br />

they are managed properly so they can avoid a fatal tear or rupture. In addition, the<br />

guidelines provide doctors with information about how to detect and treat an aortic<br />

dissection in the emergency department so that even a tear in progress can be identified<br />

quickly and treated emergently.<br />

In anticipation of the release of these guidelines, the <strong>National</strong> <strong>Marfan</strong> <strong>Foundation</strong><br />

convened the TAD (Thoracic Aortic Disease) Coalition to help assure that people<br />

with aortic disease can get the highest quality of patient care. The TAD Coalition<br />

created a companion piece to the medical guidelines and named it “Ritter Rules” to<br />

honor John Ritter. The purpose of Ritter Rules (which can be found on page 11) is<br />

to help raise awareness among the public about aortic dissection so that people can<br />

reduce their risk of the same kind of tragedy that took the life of the beloved actor.<br />

Continues on page 10<br />

Heartworks Galas Shine Attention on <strong>Marfan</strong> Syndrome<br />

The Heartworks gala in New York City continues to be a beacon<br />

for the <strong>National</strong> <strong>Marfan</strong> <strong>Foundation</strong>, reaffirming each year the<br />

commitment of our New York area friends and colleagues to the<br />

<strong>Foundation</strong>’s mission. The Heartworks that are taking place in<br />

other parts of the country are also showcasing the NMF and<br />

focusing the spotlight on <strong>Marfan</strong> syndrome. Heartworks St. Louis<br />

was a great success again this year; Heartworks Westchester was<br />

taking place on May 22, as this issue was going to print. Another<br />

Heartworks is being inaugurated in Atlanta on November 18.<br />

The monies raised at Heartworks are critical because they help<br />

secure core programs and services for the <strong>Marfan</strong> syndrome and<br />

related disorders community.<br />

“We are continuing to seek new Heartworks opportunities<br />

around the country,” said Carolyn Levering, NMF President and<br />

CEO. “As we add new events, NMF members will have more<br />

opportunities to be part of the energy and commitment that is<br />

extended to the <strong>Marfan</strong> community at these affairs.”<br />

Hero<br />

with a<br />

Heart<br />

Hoda Kotb, Karen Murray, Hero with a Heart Award recipient Duke Cameron, MD,<br />

and Mayor Michael Bloomberg<br />

In New York, the April 22 event featured masters of ceremonies Hoda Kotb, of NBC, and her colleagues from the New York<br />

NBC affiliate, Jane Hanson and Janice Huff. Their excitement about the honorees, the live auction, the silent auction and the<br />

Turn to page 12 for more photographs from the 10th Anniversary Heartworks Gala Continues on page 22


2<br />

Connective Issues<br />

Dates & Deadlines<br />

June<br />

June 6<br />

June 6<br />

June 26<br />

July<br />

July 8–11<br />

July 23<br />

July 25<br />

July 30<br />

July 31<br />

July 31<br />

August<br />

August 28<br />

August 29<br />

August 29<br />

September<br />

TBD<br />

TBD<br />

Sept. 20<br />

Sept. 26<br />

<strong>Spring</strong> <strong>2010</strong><br />

Mid-Atlantic Provisional Chapter Family Lunch and Smithsonian<br />

Museum Tour<br />

Contact: Amy Speck, siberianspring@hughes.net<br />

NMF Northern Illinois Chapter 17th Annual Walk-a-Thon<br />

Ty Warner Park, Westmont, IL<br />

Contact: Bruce Klein, 630-415-0044 or bklein01@sbcglobal.net<br />

Silicon Valley, CA, Local Network Group Meeting<br />

Contact: Maya Zimmerman, maya.m.zimmerman@gmail.com<br />

NMF 26th Annual Conference, Houston, TX<br />

Register at www.marfan.org<br />

Contact: Maggie Hogan, 800-8-MARFAN, ext. 38 or<br />

mhogan@marfan.org<br />

12th Annual JAFGO Golf Outing, Mill Pond Golf & Catering, Medford, NY<br />

Contact: Glenn Stidham, 631-676-6706<br />

Massachusetts Chapter “Heart to Heart” Support Meeting<br />

11:00 am at Children’s Hospital Boston at Waltham<br />

Contact: Jon Rodis, 617-846-4975 or jrmarfan58@aol.com<br />

Heart of Iowa Chapter Moonlight Stroll, 8:30–10:00 pm, Pleasant Hill, IA<br />

Contact: Teri Dean, 515-371-5633 or tkdean11@mchsi.com<br />

Heart of Iowa Chapter 10th Anniversary Have Heart for <strong>Marfan</strong> Walk<br />

and Fun Run. Registration begins at 7:00 am, Pleasant Hill, IA<br />

Contact: Teri Dean, 515-371-5633 or tkdean11@mchsi.com<br />

PennJersey Chapter NMF Night at the Riversharks baseball game<br />

Contact: Annette & Dan Makanoff, 856-751-1796 or<br />

dmakanoff@comcast.net<br />

Chapter Quarterly Financial Form and Year-End Summary Due<br />

Silicon Valley, CA, Local Network Group Meeting<br />

Contact: Maya Zimmerman, maya.m.zimmerman@gmail.com<br />

Mid-Atlantic Chapter Summer Barbecue and Meeting, Centreville, VA,<br />

1:00–4:30 pm<br />

Contact: Kelly Berklite, kberklite@verizon.net<br />

PennJersey Chapter 5th Annual Family Picnic<br />

11:00 am–4:00 pm, Laurel Acres Park, Mt. Laurel, NJ<br />

Contact: Annette & Dan Makanoff, 856-751-1796 or<br />

dmakanoff@comcast.net<br />

10th Annual Northern CA Chapter Family BBQ/Fundraiser/Steering<br />

Committee Meeting<br />

Contact: Susan Meier, 916-632-3214 or susan.meier@starstream.net<br />

Sacramento, CA, Area Local Network Family Potluck and Game Night<br />

Contact: Susan Meier, 916-632-3214 or susan.meier@starstream.net<br />

St. Louis Chapter Meeting, Barnes-Jewish Hospital, 7:00–9:00 pm<br />

Contact: David Striker, 314-542-2413 or dasmd913@aol.com<br />

Massachusetts Chapter Annual Get Together, Winthrop, 1:00–5:00 pm<br />

Contact: Jon Rodis, 617-846-4975 or jrmarfan58@aol.com<br />

For more details about upcoming events and meetings, be sure to check the NMF<br />

Calendar on our website, www.marfan.org.<br />

22 Manhasset Avenue<br />

Port Washington, NY 11050<br />

516-883-8712 | 800-8-MARFAN<br />

www.marfan.org<br />

Boards & Staff<br />

Board of Directors<br />

Jon Tullis, Chair, PA<br />

Gavin Lindberg, Vice Chair, MD<br />

Karen Murray, Secretary, NY<br />

Raymond Chevallier, Treasurer, NY<br />

Susan Falco, Executive Committee Member-at-Large, NY<br />

Gary Kauffman, Executive Committee Member-at-Large, FL<br />

Mary J. Roman, M.D., Executive Committee Member-at-Large, NY<br />

Scott Avitabile, Member-at-Large, NJ<br />

Steven Crombe, Member-at-Large, FL<br />

Teri Dean, Member-at-Large, IA<br />

Barbara Heller, Member-at-Large, MD<br />

Jerry Lerman, Member-at-Large, NY<br />

Jim Sidorchuk, Member-at-Large, NY<br />

Diane M. Sixsmith, MD, Member-at-Large, NY<br />

Benjamin Weisman, Member-at-Large, MA<br />

Priscilla Ciccariello, Chair Emeritus, NY<br />

Michael Weamer, Board Advisor, NY<br />

Professional Advisory Board<br />

Dianna Milewicz, MD, PhD, Chair, University of Texas Houston Health Science Center, TX<br />

Alan C. Braverman, MD, Washington University School of Medicine, MO<br />

Peter H. Byers, MD, University of Washington School of Medicine, WA<br />

Duke Cameron, MD, Johns Hopkins Hospital, MD<br />

Heidi Connolly, MD, Mayo Clinic, MN<br />

Joseph S. Coselli, MD, Baylor College of Medicine and St. Luke’s Episcopal Hospital, TX<br />

Jessica G. Davis, MD, New York Presbyterian Hospital-Weill Cornell Medical Center, NY<br />

Richard B. Devereux, MD, New York Presbyterian Hospital-Weill Cornell Medical Center, NY<br />

Hal Dietz, MD, Johns Hopkins Hospital, MD<br />

Sylvia A. Frazier-Bowers, DDS, PhD, University of North Carolina at Chapel Hill, NC<br />

Ronald V. Lacro, MD, Children’s Hospital Boston. MA<br />

Irene Maumenee, MD, University of Illinois Eye and Ear Infirmary, IL<br />

D. Craig Miller, MD, Stanford University School of Medicine, CA<br />

Reed E. Pyeritz, MD, PhD, University of Pennsylvania School of Medicine, PA<br />

Francesco Ramirez, PhD, Mount Sinai School of Medicine, NY<br />

David L. Rimoin, MD, PhD, Cedars-Sinai Medical Center, CA<br />

Lynn Y. Sakai, PhD, Oregon Health Sciences University, OR<br />

Paul D. Sponseller, MD, Johns Hopkins Hospital, MD<br />

Vincent L. Gott, MD, Johns Hopkins Hospital, MD, Member Emeritus<br />

Victor A. McKusick, MD (1921–2008)<br />

Scientific Advisory Board<br />

Bjorn Olsen, MD, PhD, Chair, Harvard Medical School, MA<br />

Craig T. Basson, MD, PhD, New York Presbyterian Hospital-Weill Cornell Medical Center, NY<br />

John C. Carey, MD, University of Utah Health Sciences Center, UT<br />

Bruce D. Gelb, M.D., Mount Sinai School of Medicine, NY<br />

Christine Seidman, MD, Harvard Medical School, MA<br />

Robert W. Thompson, MD, Washington University School of Medicine, MO<br />

Richard J. Wenstrup, MD, Myriad Genetic Laboratories, Inc., UT<br />

Victor A. McKusick, MD (1921–2008)<br />

Staff<br />

Carolyn Levering, President & CEO<br />

Judy Gibaldi, Senior Vice President, Operations & Finance<br />

Josephine Grima, PhD, Vice President of Research & Government Relations<br />

Jennifer Buffone, LCSW, Director of Support Services & Volunteer Development<br />

Jennifer Grignoli, Director of Development<br />

Maggie Hogan, Director of <strong>Foundation</strong> Relations & Conference Planning<br />

Jonathan Martin, Director of Education & Awareness Programs<br />

Eileen Masciale, Director of Communications, Newsletter Editor<br />

Brian Polk, Director of Information Technology<br />

Cathie Tsuchiya, Administrative Director & Local Fundraising Coordinator<br />

Kathy Jeffers, Manager of Volunteer Development<br />

Amy Kaplan, RN, Manager, Information Resource Center<br />

Alexandra Dubow, Design & Production


There is still time to enroll in the Atenolol vs. Losartan in<br />

Individuals with <strong>Marfan</strong> Syndrome clinical trial—the deadline<br />

for the trial to enroll 604 participants is January 31, 2011.<br />

You must be between six months and 25 years of age and meet<br />

additional criteria (see box below for details). There were 535<br />

people enrolled in the trial as of April 26, <strong>2010</strong>; only 69 more<br />

are needed.<br />

The clinical trial is funded by the <strong>National</strong> Heart, Lung,<br />

and Blood Institute and conducted by the Pediatric Heart<br />

Network and leading <strong>Marfan</strong> syndrome clinics around the<br />

country. It is comparing the effect of losartan, an FDA-approved<br />

medication, and atenolol, a beta blocker that is the current<br />

Connective Issues<br />

Message from Carolyn Levering, NMF President & CEO<br />

The NMF was gratified by the publication of the new guidelines on aortic disease diagnosis and treatment<br />

earlier this year. With the American College of Cardiology (ACC) and American Heart Association (AHA)<br />

leading the effort, along with several other important medical associations, the guidelines are a critical step in<br />

the right direction for people with aortic disease, including our <strong>Marfan</strong> syndrome and related disorders<br />

community.<br />

It wasn’t too long ago—1995—that the NMF was a lone voice advocating for awareness of aortic disease<br />

in order to prevent emergency department tragedies. At that time, there were an increasing number of people<br />

calling our hotline who had lost a loved one who had been misdiagnosed in the emergency department. We saw this sad trend<br />

and knew we had to be proactive in raising awareness to help the <strong>Marfan</strong> community. As a result, we developed our Emergency<br />

Medicine Campaign.<br />

Continues on page 21<br />

Less Than 70 Additional Patients Needed: Enroll in Clinical Trial Today<br />

If you or your child have recently been diagnosed or<br />

if you have been thinking about enrolling in the trial,<br />

now is the time to take action. For more information<br />

about the clinical trial, go to the NMF website,<br />

www.marfan.org.<br />

Who Can Be in The Trial?<br />

To be in the clinical trial you must:<br />

• Be between the ages of six months and 25 years at the<br />

time you begin the trial.<br />

• Have a diagnosis of <strong>Marfan</strong> syndrome.<br />

• Not be pregnant.<br />

• Not have had any aortic surgery.<br />

• Not have serious side effects from either atenolol or losartan.<br />

• Not need to take atenolol or another beta blocker to treat a<br />

medical problem other than your dilated aorta.<br />

• Be willing and able to travel 5 times over 3 years to the<br />

study site for all study echocardiograms and examinations.<br />

gold standard, on the aorta (the large vessel that carries blood<br />

away from the heart) in people with <strong>Marfan</strong> syndrome.<br />

The length of the study is three years from the time of<br />

enrollment. Scholarships are still available from the NMF to<br />

help people travel to a study site and help cover other costs<br />

that are not covered by their health insurance.<br />

<strong>Marfan</strong> Research: A Family Affair<br />

Jennifer Phillips, of<br />

South Grafton, MA,<br />

h a s t w o s o n s ,<br />

Gregor y, 13, and<br />

Douglas, 11, who<br />

have already completed<br />

the three-year study,<br />

visiting the site at<br />

Children’s Hospital<br />

Boston. She is thrilled<br />

that they were able to<br />

participate and contribute<br />

to <strong>Marfan</strong> syndrome<br />

research.<br />

“Even though it was three years, participating in the trial did not<br />

require any extra effort on our part,” said Jennifer. “The boys were<br />

already seeing the cardiologist regularly, taking medication and<br />

getting echocardiograms. There was only one extra appointment.<br />

It was an easy decision for us to get involved.”<br />

Jennifer and her husband, Justin, who also has <strong>Marfan</strong> syndrome,<br />

were fully confident in the trial. As Jennifer noted, “The two study<br />

drugs are already approved and on the market and we knew<br />

their record of safety. It’s really a matter of finding out how they<br />

affect the <strong>Marfan</strong> aorta and we wanted to do our part.”<br />

Douglas and Gregory were happy to be involved in the study. In<br />

fact, they are the ones who urged their father to enroll in the<br />

NMF-supported adult study on losartan that was conducted at<br />

Brigham & Women’s Hospital.<br />

Volume 29, No. 2 3


4<br />

Connective Issues<br />

Registration Still Open for 26th Annual Conference<br />

on <strong>Marfan</strong> Syndrome and Related Disorders<br />

There’s still time to<br />

register for the<br />

NMF’s 26th<br />

Annual<br />

Conference<br />

in Houston,<br />

July 8-11.<br />

Co-sponsored<br />

by Baylor College<br />

of Medicine and the<br />

University of Texas Health Science Center at Houston, the<br />

conference offers something for everyone. This year’s program<br />

includes a general session with topics in cardiology, ophthalmology,<br />

cardiothoracic surgery, pediatric complications and<br />

other relevant issues as well as 60 medical and psychosocial<br />

workshops. For full conference details and online registration,<br />

visit the NMF website at www.marfan.org.<br />

Early Bird discount registration and registration for children<br />

and teens end on May 31. Adults may register any time after<br />

May 31, including on-site at the conference.<br />

CONFERENCE AT-A-GLANCE (Subject to Change)<br />

Friday, July 9<br />

1:00 PM Registration Opens<br />

4:00 – 5:00 PM Orientation for First-Time Attendees<br />

5:30 – 7:00 PM Welcome Reception<br />

7:00 – 8:30 PM Special Screening of <strong>Marfan</strong> documentary<br />

In My Hands<br />

Saturday, July 10<br />

8:30 AM – 12:15 PM General Session<br />

12:30 – 2:15 PM Awards Lunch<br />

2:30 – 6:00 PM Medical Workshops<br />

Sunday, July 11<br />

8:30 AM –12:45 PM Psychosocial Workshops<br />

1:00 – 3:00 PM Farewell Lunch and Living Successfully<br />

Program<br />

<strong>Spring</strong> <strong>2010</strong><br />

Conference Programs for Children and Teens<br />

Throughout the weekend there are special programs and fun<br />

activities for children (ages 5–12) and teens (ages 13–19). This<br />

year’s program for children includes visits to the Houston<br />

Aquarium and the Museum of Health and Science and an<br />

Ask A Doctor session with members of the NMF’s Professional<br />

Advisory Board. Teens will also have fun and educational<br />

opportunities at the conference. There will be workshop sessions<br />

designed just for them as well as a trip to Oil Ranch,<br />

the largest guest ranch in Texas.<br />

PAB Member Dr. David Rimoin, of Cedars-Sinai Medical Center,<br />

examines a young NMF member at the free <strong>Marfan</strong> Clinic (available by<br />

appointment only) at the Annual Conference.<br />

<strong>Marfan</strong> Documentary Film<br />

A highlight of this year’s conference is a special screening of<br />

In My Hands, an inspiring documentary film that focuses on<br />

individuals and families learning to live with <strong>Marfan</strong> syndrome.<br />

Tony Award-winning dancer and choreographer Ann Reinking,<br />

whose son Chris is affected with <strong>Marfan</strong> syndrome, is featured<br />

in the documentary, working with a group of teenagers and,<br />

through dance, building their self-esteem. This wonderful<br />

film is a moving tribute to everyone with <strong>Marfan</strong> syndrome—<br />

don’t miss it!<br />

Continues on page 21<br />

Last year was our first conference experience, and it was really a life-changing event for my<br />

husband and me. With the knowledge we obtained at the conference, my husband felt more<br />

empowered to advocate for himself. Earlier this year, he had valve-sparing aortic root replacement<br />

surgery and is now doing great. He could easily have been one of the emergency room<br />

tragedies, if not for all the knowledge we obtained at the conference. Thank you!<br />

Heather Bergstrom, Minnesota


NMF to Honor Denton A. Cooley, MD,<br />

Pioneer in Heart Surgery<br />

Denton A. Cooley, MD<br />

<strong>Marfan</strong> Eye Study Needs Volunteers<br />

NMF Professional Advisory Board member Dr. Hal Dietz and his<br />

colleagues at Johns Hopkins University are investigating the eye<br />

problems that individuals with <strong>Marfan</strong> syndrome have, and<br />

whether any currently available medications help with these<br />

problems. They are interested in hearing from individuals who do<br />

not have significant eye problems, as well as those who do. This<br />

will also help them get a better understanding of the types and<br />

frequencies of eye problems present in <strong>Marfan</strong> syndrome. They<br />

are looking for information on individuals in all age groups.<br />

Participating in the study requires filling out a short questionnaire<br />

about your medical diagnosis, eye history, medications, and<br />

past/current eye physicians. The questionnaire should take<br />

about 10–20 minutes to complete, depending on your medical<br />

history. A consent form and medical release form is also included.<br />

Records will be obtained from your past/current eye physicians,<br />

so if you do not know exact details of your eye history, it is not a<br />

problem.<br />

If you are interested in participating, please email the research<br />

team at <strong>Marfan</strong>EyeStudy@jhmi.edu and they will send you a<br />

copy of the questionnaire, consent form, and medical release<br />

form to sign. Please also feel free to ask them any questions<br />

you have in your email.<br />

Please note that patients who are currently enrolled in the losartanatenolol<br />

clinical trial are not eligible for this study because their<br />

medication type is unknown.<br />

Connective Issues<br />

The NMF is delighted to be awarding its prestigious Antoine <strong>Marfan</strong> Award to Denton<br />

A. Cooley, MD, at the annual conference awards luncheon, July 10, in Houston. The<br />

award is bestowed annually to a noted medical professional who has made a significant<br />

commitment to improving the length and quality of life for people with <strong>Marfan</strong> syndrome<br />

and related disorders.<br />

Dr. Cooley is a world-renowned surgeon who pioneered many techniques used in<br />

today’s cardiovascular surgery. He is surgeon-in-chief and president emeritus of the<br />

Texas Heart Institute, which he founded in 1962. Dr. Cooley is also currently chief of<br />

Cardiovascular Surgery at St. Luke’s Episcopal Hospital, Consultant in Cardiovascular<br />

Surgery at Texas Children’s Hospital and Clinical Professor of Surgery at the University<br />

of Texas Medical School at Houston. He served on the full-time faculty of Baylor<br />

College of Medicine for 18 years as a professor of surgery.<br />

Dr. Cooley is celebrated for performing the first successful human heart transplant<br />

in the United States and the first heart surgeon to implant an artificial heart in man.<br />

With his associates, he has performed more than 100,000 open heart operations during<br />

his illustrious career.<br />

Please join the NMF at the 26th Annual Conference as we salute this most deserving<br />

honoree.<br />

PAB and SAB News<br />

The NMF is proud to share news from members of our Professional<br />

Advisory Board (PAB) and Scientific Advisory Board (SAB).<br />

Dr. Hal Dietz (PAB) was appointed Chair of the <strong>National</strong><br />

Arthritis and Musculoskeletal and Skin Diseases Advisory<br />

Council. He also became a member of the Global Fibrosis<br />

<strong>Foundation</strong> Medical Advisory Council. Dr. Dietz was awarded<br />

the George E. Brown Memorial Lecturer Award from the<br />

American Heart Association and the Niccolo Paganini Prize<br />

at the International Congress on <strong>Marfan</strong> Syndrome organized<br />

by SIMA (Asociacion Sindrome de <strong>Marfan</strong>) from Spain.<br />

Dr. Dianna Milewicz (PAB) was<br />

appointed Chair of the Thoracic<br />

Aortic Disease Coalition (TAD<br />

Coalition).<br />

Dr. Bjorn Olsen (SAB) was awarded<br />

the International Association for<br />

Dental Research (IADR)<br />

Distinguished Scientist Award for<br />

Craniofacial Biology Research.<br />

Dianna Milewicz, MD<br />

Dr. David Rimoin (PAB) was awarded the American College<br />

of Medical Genetics Lifetime Achievement Award and the<br />

Johns Hopkins University Distinguished Alumnus Award.<br />

Volume 29, No. 2 5


6<br />

Connective Issues<br />

MedQuest: Post-Aortic Surgery Issues<br />

People with <strong>Marfan</strong> syndrome and related disorders should have their aorta evaluated regularly so that the size of the blood vessel and<br />

the function of the aortic valves can be monitored. When the aorta reaches a critical size (usually 4.5–5.0 cm), surgery is recommended<br />

to prevent a potentially fatal tear or rupture. After this initial surgery, the <strong>Marfan</strong> journey continues. And, as the NMF’s Professional<br />

Advisory Board (PAB) reminds us, vigilance is still needed. Repairing the aortic root can solve the immediate problem, but the <strong>Marfan</strong>affected<br />

person must continue to be monitored and take precautions because the rest of the aorta is still at risk. In this issue of Connective<br />

Issues, PAB member Dr. Alan Braverman, Director of the <strong>Marfan</strong> Syndrome Clinic at Washington University School of Medicine<br />

and Barnes-Jewish Hospital in St. Louis, addresses some of the common post-aortic surgery questions.<br />

How often does the aorta need to be imaged<br />

after aortic surgery?<br />

After prophylactic (preventative) aortic root replacement surgery,<br />

the thoracic aorta should be imaged annually with CT<br />

or MRI scans to evaluate the aortic repair and remaining<br />

segments of the thoracic aorta. MRI is often preferred as to<br />

avoid repeated radiation exposure which occurs with CT scans.<br />

If an ascending (type A) aortic dissection has occurred,<br />

then it is important to have the aorta evaluated frequently at<br />

first to look for any signs of progressive enlargement or<br />

dilatation of the dissected aorta that was not grafted. Usually,<br />

this includes a CT scan or MRI scan in the first to third<br />

month after the dissection, then at six months, 12 months,<br />

18 months and 24 months. If the aortic size is stable, then<br />

annual aortic imaging is performed. A similar protocol is<br />

used to image the aorta after a type B or descending aortic<br />

dissection.<br />

Is medication still required after aortic surgery?<br />

Medications are required after aortic surgery. Even if the blood<br />

pressure is normal, beta blockers are used to lessen the stress<br />

on the aorta. If an individual has high blood pressure, then<br />

additional medications are used. The goal is to have the<br />

blood pressure 120/80 or less.<br />

What is the likelihood that there will be an<br />

enlargement in another part of the aorta and<br />

that more surgery will be needed?<br />

A small percentage of people with <strong>Marfan</strong> syndrome will<br />

develop enlargement in other parts of the aorta, such as the<br />

arch, descending or abdominal aorta. Therefore, it is important<br />

to continue to image the aorta over time. However, if an<br />

aortic dissection has occurred, it is much more common to<br />

develop enlargement (aneurysm formation) in the aorta which<br />

has been weakened by the tear. Other related disorders, such as<br />

Loeys-Dietz syndrome, are much more commonly associated<br />

with aneurysms in other parts of the aorta and its branches.<br />

<strong>Spring</strong> <strong>2010</strong><br />

Can exercise be resumed after aortic surgery?<br />

Are there limitations?<br />

Appropriate exercise is important for everyone as long as<br />

guidelines specific to his/her specific situation are followed.<br />

Although the proximal aorta is at highest risk for aortic<br />

enlargement and dissection in <strong>Marfan</strong> syndrome, the rest of<br />

the aorta may develop enlargement and is at risk for dissection,<br />

too. Thus, it is still recommended that people with <strong>Marfan</strong><br />

syndrome choose exercise and activities that do not put a<br />

heavy strain on the aorta. For example, choose light levels of<br />

exercise such as leisurely walks or easy bike riding, golf or<br />

recreational swimming rather than heavy weight lifting (or<br />

isometric exercise). A general rule is to limit the activity to a<br />

level at which one is able to speak in a conversational voice.<br />

If a woman with <strong>Marfan</strong> syndrome has already<br />

undergone aortic root replacement, is she still<br />

at an increased risk if she became pregnant?<br />

All women with <strong>Marfan</strong> syndrome are considered at higher<br />

risk for aortic dissection during pregnancy and should be<br />

evaluated by a multidisciplinary team of doctors including<br />

an obstetrician knowledgeable about <strong>Marfan</strong> syndrome<br />

(often a maternal fetal medicine specialist), a cardiologist and<br />

a geneticist. There are many examples of successful pregnancy<br />

in women with <strong>Marfan</strong> syndrome who have previously<br />

undergone aortic root replacement. Unfortunately, there<br />

have also been reports of aortic dissection in the aorta away<br />

from the repair. Women who have already had aortic root<br />

replacement are still at risk for dissection in the descending<br />

aorta and must be monitored very carefully during pregnancy<br />

and in the several weeks following delivery. There are no<br />

large databases of women with <strong>Marfan</strong> syndrome who have<br />

had pregnancy after aortic surgery from which to draw<br />

conclusions about the exact level of risk. The risk is much<br />

greater if an aortic dissection has occurred and one generally<br />

advises against becoming pregnant if there is residual aortic<br />

dissection present.


Connective Issues<br />

<strong>2010</strong> Membership Campaign: “My Support Counts”<br />

Did you know that only five percent of the <strong>Marfan</strong> syndrome and related disorders community regularly support the NMF’s annual<br />

membership drive? This astounding figure places pressure on the NMF as we continue to provide services to all those in need. If<br />

you value NMF programs and want to continue to receive the Connective Issues newsletter, join or renew your membership today!<br />

Please don’t let your membership expire on June 30. For less than 10 cents a day you can show that your support counts.<br />

My Support Counts!<br />

I’m an NMF member because:<br />

“When I was diagnosed with<br />

<strong>Marfan</strong> syndrome in the early<br />

1980’s, I felt very alone. I got<br />

involved with the NMF and<br />

became a Board member.<br />

Being a member of the NMF<br />

has kept me informed about<br />

my own health and given me<br />

the opportunity to help others.”<br />

Cheryl Williams, Oceanside, NY<br />

Member Since: 1992<br />

Only 5% of the <strong>Marfan</strong> syndrome<br />

and related disorders community<br />

that we serve are NMF members!<br />

My Support Counts!<br />

I’m an NMF member because:<br />

“The NMF has always been<br />

there ready to help me.<br />

When I got sick, they helped<br />

me through my situation.<br />

If you contact them, you<br />

won’t be left without an<br />

answer. The NMF is the<br />

greatest.”<br />

Lucinda Bowers, Boone, NC<br />

Member Since: 2003<br />

It is vital that everyone<br />

who benefits from NMF<br />

programs and services<br />

becomes a member. To<br />

become an NMF member,<br />

go to www.marfan.org and<br />

click on “Donate.” The<br />

suggested membership<br />

contribution is only $35 per<br />

year for individuals and<br />

$50 per year for families.<br />

Please join today!<br />

Monthly Giving Program: Easy Way to Join! Prefer to give monthly instead of in one lump sum? Join the NMF monthly<br />

giving program. You can elect to give $10 or more per month and your gift will automatically be charged to your credit card.<br />

It’s an easy way to support the NMF and spread your gift out over time. Just visit www.marfan.org and click on “Donate.”<br />

Volume 29, No. 2 7


8<br />

Connective Issues<br />

In My Hands at New York Academy of Sciences<br />

On April 21, the New York Academy of Sciences held a special<br />

screening of In My Hands, followed by a panel discussion.<br />

The panel, which was moderated by Richard Murray, Vice<br />

President, U.S. Regional Medical Affairs at Merck, consisted<br />

of NMF Professional Advisory Board members Hal Dietz,<br />

MD, and Ron Lacro, MD; Wall Street executive and <strong>Marfan</strong><br />

patient Ben Carpenter; producer Ann Reinking; and directors<br />

Brenda Siemer Scheider and Emma Joan Morris. They discussed<br />

the making of the film, the science of <strong>Marfan</strong> syndrome<br />

and the ongoing clinical trial of losartan (Merck’s Cozaar) and<br />

atenolol in <strong>Marfan</strong> syndrome.<br />

Special thanks to Adrienne Burke, director of public<br />

outreach, for the New York Academy of Sciences, who<br />

organized this event. Her interest in <strong>Marfan</strong> syndrome stems<br />

from her nephew Paul J. Burke, III, who was born in July<br />

2009 with very severe characteristics of <strong>Marfan</strong> syndrome.<br />

Sadly, he passed away in December as a result of his condition.<br />

“When Adrienne first contacted me, she and her family<br />

were still reeling from her nephew’s diagnosis,” said Jonathan<br />

Martin, NMF Director of Education and Public Awareness.<br />

“I was incredibly moved by Adrienne’s commitment to raising<br />

awareness of <strong>Marfan</strong> syndrome, especially when I heard the<br />

tragic news of Paul’s untimely death.”<br />

Several NMF Network Groups—including those in<br />

Sacramento, Silicon Valley and Northeast Indiana—have also<br />

Facebook Awareness<br />

Jennifer Aguayo, of Plainfield, IL, used Facebook to educate her<br />

friends and family about <strong>Marfan</strong> syndrome. Here’s how she did it.<br />

For <strong>National</strong> <strong>Marfan</strong> Awareness Month, I wanted to educate<br />

my 260+ friends on Facebook—some of whom had never<br />

heard of <strong>Marfan</strong> syndrome until 11 months ago when my<br />

son, Aaron, received it as a possible diagnosis. And, many<br />

were still not aware of what the disorder is.<br />

Each day, I posted a status, link or picture with a fact or<br />

story about <strong>Marfan</strong> syndrome. I numbered each day and<br />

included information about what <strong>Marfan</strong> is, what body<br />

systems it affects, what it’s like to have the disorder, and<br />

what is expected in a “Marf’s” life. I invited friends to join<br />

the NMF Facebook Cause and directed friends where to<br />

donate. I included links to the NMF’s very informative<br />

video PSA, clips from In My Hands, and to Maya Brown-<br />

Zimmerman’s amazing blog (Musings of a <strong>Marfan</strong> Mom).<br />

I shared what the NMF has done for our family and the<br />

benefits of joining NMFconnect.<br />

I was so pleased to receive nice comments and kudos<br />

from people in the <strong>Marfan</strong> community, but I was very sur-<br />

<strong>Spring</strong> <strong>2010</strong><br />

Standing left to right: Emma Joan Morris, Brenda Siemer Scheider, Richard Murray,<br />

Hal Dietz, MD. Seated, left to right: Ben Carpenter, Ron Lacro, MD, Ann Reinking<br />

focused get-togethers around In My Hands and members<br />

have found it invaluable.<br />

“The documentary was able to put into words what so<br />

many of us have felt,” said Maya Zimmerman, of Milpitas, CA.<br />

“If you have <strong>Marfan</strong> syndrome, if someone you love has <strong>Marfan</strong><br />

syndrome, or if you are curious about <strong>Marfan</strong> syndrome and<br />

want to learn more, watch this!”<br />

A special screening of In My Hands will be held at the NMF<br />

Annual Conference. All conference attendees are invited to attend.<br />

prised by the response from<br />

my friends and family who<br />

are not directly affected by<br />

<strong>Marfan</strong> syndrome. Many<br />

were so appreciative to learn<br />

details of the disorder, and<br />

they reposted many of my<br />

postings to share with their<br />

friends. My hope is that I’ve<br />

armed my Facebook friends<br />

with enough information<br />

that they may spot <strong>Marfan</strong><br />

Jennifer Aguayo and son Aaron<br />

characteristics in someone<br />

they know and direct them to their physician or the NMF.<br />

Get involved with the NMF on Facebook!<br />

Become a fan of the <strong>National</strong> <strong>Marfan</strong><br />

<strong>Foundation</strong> and donate to the Official<br />

<strong>National</strong> <strong>Marfan</strong> <strong>Foundation</strong> Cause. Consider “donating your<br />

status” to the NMF on your birthday. You can increase awareness<br />

and raise money for the NMF from the comfort of your<br />

own home!


Kudos to the volunteers who got involved in the Hang-a-<br />

Heart Campaign. They generated awareness about <strong>Marfan</strong><br />

syndrome and raised funds by contacting local businesses and<br />

inviting them to hang our red paper heart <strong>Marfan</strong> mobiles in<br />

exchange for donations from customers. Some volunteers<br />

who got in on the action were:<br />

Sharon Nasutovicz, of Utica, NY, raised $2,604<br />

Mary Taylor, of Powell, OH, raised $580<br />

Susan Axness, of Minot, ND, raised $191<br />

Vicki Smith, of Rose City, MI, raised $100<br />

North Dakota Network Group raised $98<br />

Connective Issues<br />

Do You Have Heart for <strong>Marfan</strong>? These Volunteers Do!<br />

The NMF is grateful to its many members who initiated public awareness and fundraising campaigns in February, which is<br />

<strong>National</strong> <strong>Marfan</strong> Awareness Month. While many people like to kick off their Have-a-Heart efforts during this special month,<br />

you can Have-a-Heart for <strong>Marfan</strong> all year long. Thank you to the volunteers who participated in two special NMF projects!<br />

Roses Are Red<br />

Violets Are Blue<br />

I Gave to the NMF<br />

to Show My<br />

Love Is True!<br />

Your Name Here<br />

Roses Are Red<br />

Violets Are Blue<br />

I Gave to the NMF<br />

to Show My<br />

Love Is True!<br />

www.marfan.org<br />

Your Name Here<br />

www.marfan.org<br />

Above: Sharon Nasutovicz, of Utica, NY,<br />

who raised more than $2,604, including<br />

$450 at a Hang-a-Heart fundraiser at<br />

Daylight Donuts in New Hartford, NY. On<br />

February 23, the donut shop donated 100<br />

percent of proceeds from that day’s sales of<br />

a dozen glazed donuts to spotlight the NMF<br />

Hang-a-Heart campaign.<br />

Helping Sharon with hearts<br />

for hanging is Chuck<br />

Sadallah of Daylight<br />

Donuts.<br />

Right: Selma Kerzman,<br />

co-leader of the North<br />

Dakota Network Group,<br />

and Sia Ranjibar, owner<br />

of the Coffee Break in<br />

Bismarck, surrounded by<br />

hearts for the Hang-a-Heart<br />

Campaign.<br />

have he rt challenge<br />

Many NMF members stepped up to the Have Heart Challenge<br />

this year and we are so happy they did! In the 3rd Annual<br />

Have Heart Challenge, NMF members asked friends, family<br />

members and co-workers to donate to the NMF, and their<br />

donations were matched by a challenge grant from the Neuco<br />

Family of Naperville, IL and Neuco Inc. Some of this year’s<br />

participants included:<br />

Anne Laffoon, of Sugar Hill, GA, raised $3,160<br />

Anne Hinds, of Louisville, KY, raised $2,050<br />

Josephine Ragusa, of Valhalla, NY, raised $1,208<br />

Melody Franklin, of Fort Wayne, IN, raised $345<br />

Jon & Laura Kroeze, of Mounds View, MN, raised $300<br />

Mary Ann Nowacki, of Toledo, OH, raised $173<br />

Donna O’Sullivan, of Coram, NY, raised $170<br />

Bertha Rayman, of Boynton Beach, FL, raised $125<br />

Ricky Collins of Louisville, KY, raised $110<br />

Mary & Ron Taylor of Powell, OH raised $100<br />

Alicen Martin of Bismarck, ND, raised $80<br />

To date, $7,821 has been raised. It’s not too late to get involved<br />

—take the Have Heart Challenge. You can make a difference!<br />

Volume 29, No. 2 9


10<br />

Connective Issues<br />

Planning for an Emergency<br />

Learning as much as you can about <strong>Marfan</strong> syndrome or the<br />

related disorder that you have and following the recommended<br />

treatment protocol prescribed by your doctor—medications,<br />

imaging, lifestyle adaptations—can help<br />

you prevent a medical emergency. However,<br />

<strong>Marfan</strong> syndrome and many of its related<br />

disorders still present challenges that can<br />

result in unforeseen emergencies; the most<br />

life-threatening is a tear in the aorta.<br />

While you are maintaining your preventive<br />

care regimen, it’s also critical to<br />

be ready in case such an emergency arises.<br />

But, where do you start?<br />

The NMF has streamlined the process<br />

for you with an Emergency Information<br />

Packet Template that is available for free<br />

on the NMF website, www.marfan.org.<br />

This template will enable you to have all your personal<br />

Guidelines to Prevent Aortic Dissection Tragedies<br />

Continued from page 1<br />

Ritter Rules are not a part of the ACC/AHA guidelines, but<br />

rather an information tool the Coalition developed for the<br />

public.<br />

“No one has to die or lose a loved one to aortic disease.<br />

With Ritter Rules, people at risk will be informed about<br />

their health and be able to advocate for their families and<br />

themselves,” said Amy Yasbeck, Ritter’s widow and founder<br />

of The John Ritter <strong>Foundation</strong> for Aortic Health, which is a<br />

member of the TAD Coalition.<br />

As a result of the efforts of the NMF on behalf of the<br />

TAD Coalition, Ritter Rules has already received high profile<br />

national media attention, including The CBS Early Show and<br />

The Doctors on television and Doctor Radio on Sirius XM.<br />

The NMF is grateful to the TAD Coalition members who<br />

have given of their time for these media opportunities, notably,<br />

Amy Yasbeck; NMF Professional Advisory Board member Dr.<br />

Dianna Milewicz; Dr. Kim Eagle, chair of the International<br />

Registry for Aortic Dissection; Dr. Loren Hiratzka, medical<br />

director for TriHealth, Inc.; and Dr. Luke Hermann, emergency<br />

medicine physician at Mt. Sinai Hospital in New York.<br />

More information can be found on the TAD Coalition<br />

website, www.TADCoalition.org. It provides basic information<br />

about aortic disease, including risk factors, profiles of<br />

people who have suffered from aortic dissection, and links to<br />

a wealth of resources. A link to the AHA/ACC guidelines is<br />

also available on the website.<br />

<strong>Spring</strong> <strong>2010</strong><br />

medical information easily available in a single file. It includes<br />

emergency contacts, allergies, medications and dosage, medical<br />

and surgical history, healthcare proxy and<br />

more.<br />

In addition, the NMF offers a Hospital<br />

Interview Form, which can help you determine<br />

if your local hospital is equipped to handle<br />

aortic emergencies. The form includes a list<br />

of relevant questions about their services<br />

and provides the opportunity for NMF<br />

information about aortic dissection diagnosis<br />

and treatment to be sent to the hospital.<br />

To access the Emergency Information Packet<br />

Template and Hospital Interview Form, go to the<br />

NMF website, www.marfan.org, click on Living with<br />

<strong>Marfan</strong> Syndrome, then click on Patient Toolkit.<br />

TAD Coalition<br />

The TAD Coalition (www.TADCoalition.org), which was convened specifically<br />

to promote the new guidelines and help assure that people with<br />

aortic disease can get the highest quality of patient care, has three<br />

primary goals:<br />

• Increase public awareness of both genetic and<br />

environmental factors that put people at risk of thoracic aortic<br />

aneurysms and acute aortic dissections<br />

• Provide educational materials concerning the symptoms, clinical<br />

evaluation and medical management of thoracic aortic disease<br />

• Improve the diagnosis and treatment of acute aortic<br />

dissections in the hospital emergency department<br />

“The TAD Coalition is playing a critical role in helping to maximize the<br />

impact of the new thoracic aortic disease diagnosis and management<br />

guidelines,” said Loren Hiratzka, MD, who chaired the writing committee<br />

for the American College of Cardiology and the American Heart<br />

Association and is a member of the TAD Coalition. “While these new<br />

guidelines will inform and update the medical community, the TAD<br />

Coalition will inform the public of risk factors and symptoms for these<br />

aortic diseases. Together, we hope there will be better outcomes and,<br />

certainly, a reduction in the number of deaths from aortic dissection<br />

and rupture due to earlier diagnosis and improved medical management.”<br />

Members of the TAD Coalition include the Ehlers-Danlos <strong>National</strong><br />

<strong>Foundation</strong>, GenTAC (Registry for Genetically Triggered Aortic Aneurysm<br />

and Dissection), International Registry of Acute Aortic Dissection (IRAD),<br />

John Ritter <strong>Foundation</strong> for Aortic Health, Loeys-Dietz Syndrome<br />

<strong>Foundation</strong>, <strong>National</strong> <strong>Marfan</strong> <strong>Foundation</strong>, Nebraska Methodist Health<br />

System and the Specialized Center of Clinically Oriented Research<br />

(SCCOR) on Thoracic Aortic Aneurysms and Dissections. The American<br />

Heart Association and the American College of Cardiology have partnered<br />

with the TAD Coalition to promote awareness and adoption of the<br />

new guidelines.<br />

Dianna Milewicz, MD, PhD, chair of the NMF’s Professional Advisory<br />

Board, serves as the chair of the TAD Coalition.


Ritter Rules<br />

Ritter Rules are life-saving reminders to recognize, treat and prevent thoracic aortic dissection,<br />

a deadly tear in the large artery that carries blood away from the heart. Named for actor John<br />

Ritter, who died of a thoracic aortic dissection, Ritter Rules combine knowledge with action.<br />

Know the urgency, symptoms, who is most at risk and which imaging tests are required to<br />

diagnose this medical emergency.<br />

Urgency: Thoracic aortic dissection is a medical emergency. The death rate increases<br />

1% every hour the diagnosis and surgical repair are delayed.<br />

Connective Issues<br />

John Ritter<br />

Pain: Severe pain is the #1 symptom. Seek immediate emergency medical care for a sudden onset of severe pain in<br />

the chest, stomach, back or neck. The pain is likely to be sharp, tearing, ripping, moving or so unlike any pain you<br />

have ever had that you feel something is very wrong.<br />

Misdiagnosis: Aortic dissection can mimic heart attack. Heart attacks are far more common than aortic dissection.<br />

But if a heart attack or other important diagnosis is not clearly and quickly established, then aortic dissection should<br />

be quickly considered and ruled out, particularly if a patient has a family history or features of a genetic syndrome<br />

that predisposes the patient to an aortic aneurysm or dissection.<br />

Imaging: Get the right scan to rule out aortic dissection. Only three types of imaging studies can identify aortic<br />

aneurysms and dissections: CT, MRI and transesophageal echocardiogram. A chest X-ray or EKG cannot rule out<br />

aortic dissection.<br />

Risk Factor: Aortic dissections are often preceded by an enlargement of the first part of the aorta where it comes out<br />

of the heart, called an aortic aneurysm. If you have an aneurysm, you are at increased risk for an aortic dissection.<br />

Risk Factor: A personal or family history of thoracic disease puts you at risk. If you or a family member is living<br />

with an aneurysm or if you have a family member who has had an aortic dissection, you are at an increased risk for<br />

thoracic aortic dissection. You and your other family members should be evaluated to determine if a predisposition<br />

for aortic aneurysm and dissection is running in the family.<br />

Risk Factor: Certain genetic syndromes put you at risk. These genetic syndromes greatly increase your risk for<br />

thoracic aortic disease and a potentially fatal aortic dissection: <strong>Marfan</strong> syndrome, Loeys-Dietz syndrome, Turner<br />

syndrome and vascular Ehlers-Danlos syndrome.<br />

Risk Factor: Bicuspid aortic valve disease puts you at risk. If you have a bicuspid aortic valve (two leaflets instead of<br />

the typical three), or have had a bicuspid aortic valve replaced, you need to be monitored for thoracic aortic disease.<br />

Triggers: Lifestyle and trauma can trigger aortic dissection. It is possible to trigger an aortic dissection through injury<br />

to the chest, extreme straining associated with body building, illicit drug abuse, poorly controlled high blood pressure<br />

or by discontinuing necessary blood pressure medications. Rarely, pregnancy can trigger an aortic dissection. However,<br />

women with aortic aneurysms and connective tissue disorders who are pregnant are at higher risk of aortic dissection<br />

during late pregnancy and delivery and should be carefully monitored by a cardiovascular specialist.<br />

Prevention: Medical management is essential to preventing aortic dissection. If you have thoracic aortic disease,<br />

medical management that includes optimal blood pressure control, aortic imaging and genetic counseling is strongly<br />

recommended. Talk with your physician.<br />

Volume 29, No. 2 11


12<br />

Connective Issues<br />

Mayor Michael Bloomberg, Karen Murray, Hoda Kotb and Terry Lundgren,<br />

President and CEO, Macy’s and Bloomingdale’s<br />

Randy Falco and Hero with a Heart Award recipient Herbert Pardes, MD<br />

<strong>Spring</strong> <strong>2010</strong><br />

Randy and Susan Falco with daughter Jessica<br />

Hero<br />

with a<br />

Heart<br />

NMF Chair Jon Tullis and former Board<br />

member Mary Witte<br />

Ben Carpenter and Leonard Girardi, MD<br />

Wayne Isom, MD, and Michael Weamer<br />

Ann Reinking<br />

Carolyn Levering and Al Larson


NMF member Jonathan Lerman with<br />

daughter Sydney<br />

NMF members Sheila McLean, Alix McLean Jennings and Suzanne and Yamil Kouri<br />

Tommy Tune<br />

Hal Dietz, MD, and NMF member Chris Ihde<br />

Connective Issues<br />

NMF members, the Strick Family<br />

NBC’s Jane Hanson, Hoda Kotb and Janice Huff<br />

Henry Rodrique and Dr. Allan Goldberg, of Merck, with (from left) Josephine Grima,<br />

Hoda Kotb and Joyce Goldberg<br />

Volume 29, No. 2 13


14<br />

<strong>National</strong> Volunteer Network<br />

Scrappy the Dinosaur<br />

Depner Farms, an agri-tourism business in Caseville, MI,<br />

organized a fundraising project through which they auctioned<br />

a 22 ft. dinosaur sculpture (“Scrappy”) constructed from<br />

recycled farm equipment parts. Fifty percent of the proceeds<br />

went to the charity of the buyer’s choice. The highest bidder,<br />

Pamela Deering, of Bad Axe, chose the NMF as the charity<br />

because her son, Ian, has <strong>Marfan</strong> syndrome. Pamela bid on<br />

Scrappy as a surprise Christmas gift for her husband, Bryan.<br />

The Deerings own and operate D&W Salvage in Bad Axe,<br />

which will (quite appropriately) be Scrappy’s permanent home.<br />

As Pamela said, “Scrappy will be right at home! And, it felt<br />

great to support a cause that affects my family.” Thanks to<br />

the generosity of Depner Farms and the Deering Family, the<br />

NMF received a donation of $1,000.<br />

Awareness at Shawnee State<br />

The Women’s Center<br />

at Shawnee State<br />

University in<br />

Portsmouth, OH,<br />

held a Heart<br />

Awareness Day on<br />

February 5, asking all<br />

employees to donate<br />

$5 each to wear red<br />

in support of the<br />

American Heart<br />

Association’s Go Red<br />

for Women and the<br />

NMF’s Have Heart<br />

Campaign. As a result, $300 was raised for the NMF.<br />

<strong>Spring</strong> <strong>2010</strong><br />

People People &<br />

Scrappy’s designer, Robert Lefief, Bryan Deering and son Ian Deering<br />

Some of the SSU employees who wore red for the day.<br />

Quilt Fundraiser<br />

Kathy Magee, of San Antonio,<br />

TX, held her 5th annual Have<br />

Heart quilt fundraiser in<br />

February. Kathy wrote to her<br />

family and friends, explaining<br />

<strong>Marfan</strong> syndrome and describing<br />

how it has affected her life.<br />

She stressed the importance of<br />

Kathy Magee and son Aiden<br />

raising funds for the NMF and<br />

let potential donors know that all who sent a check would<br />

be entered into a drawing to win the quilt she made for this<br />

purpose. She raised $1,130 this year, for a five-year total of<br />

$6,000.<br />

Casual Days at Work<br />

The NMF was chosen as the charity of choice for the month<br />

of February by employees at Great River Medical Center in<br />

West Burlington, IA. On the day chosen, the employees were<br />

permitted to wear jeans with the purchase of a $2.00 sticker.<br />

Thanks to employees Joel and Michele Johnson, who recommended<br />

the NMF for this fundraiser, more than $470<br />

was raised. Through a similar fundraiser, PeoplesBank in<br />

York, PA, raised $520 for the NMF during March.<br />

One Man’s Fundraising Efforts<br />

When 90-year old Art<br />

Berven, of Des Moines,<br />

IA, learned that one of<br />

his young friends from<br />

church, 10-year old<br />

Haley Dostalik, had<br />

<strong>Marfan</strong> syndrome, he<br />

set out to learn everything<br />

he could about<br />

Haley Dostalik and Art Berven<br />

the disorder. Next, he<br />

arranged for the Dostalik family to speak about <strong>Marfan</strong> syndrome<br />

at a “Men in Mission” group meeting. Then, with the<br />

help of his two daughters, he spearheaded an Entertainment<br />

Book fundraiser and raised $646 for the NMF. Said Berven,<br />

“I hope in some way these funds help get the word out about<br />

<strong>Marfan</strong> syndrome.” Kari Dostalik, Haley’s mom, was touched<br />

by Berven’s efforts. She said, “Art is a very special friend of our<br />

family. He started this fundraiser on his own without our<br />

knowledge and help. We are so blessed to have him in our lives.”


Events Events<br />

NMF and TCI: A Lifesaving Partnership<br />

The NMF is grateful to TCI (Tall Clubs International) for their<br />

generosity throughout the year.<br />

• The Portland Skyliners donated $578.00<br />

• Members of the Rocket City Tall Club, Huntsville, AL, donated<br />

change totalling more than $70.00<br />

• The St. Louis Tip Toppers raised almost $90 through their<br />

monthly collection jar and donations from club members.<br />

Get involved with TCI. Find your local chapter at www.tall.org.<br />

Floral Design Fundraiser<br />

On March 11, more than<br />

thirty ladies celebrated the<br />

semiannual Girls Night Out<br />

in Downers Grove, IL, at<br />

Heritage House Florist by<br />

learning how to make spring<br />

floral arrangements and<br />

supporting the NMF. This<br />

Kathy Kisvocil (left) and Stephanie Parkinson<br />

effort was coordinated by<br />

NMF member Stephanie Parkinson, of Downers Grove.<br />

Here’s how it worked: Kathy Kisvocil, Heritage House owner,<br />

hosts two design classes during the event. Stephanie helped to<br />

promote the event and was invited to have a spokesperson talk<br />

to the class about <strong>Marfan</strong> syndrome. While there is no charge<br />

for the classes, there is a suggested donation, which goes to the<br />

charity. Thanks to Heritage House for their $750 donation.<br />

Fundraising at School<br />

Peter Donato, 15, of<br />

Framingham, MA, and<br />

the Marian High School<br />

Christian Outreach<br />

Group raised $350 by<br />

selling chocolate hearts<br />

during the month of<br />

February.<br />

Motoring for <strong>Marfan</strong><br />

Peter accepting the check on behalf of the NMF<br />

In October, Mendie Campbell and family held the 5th Motoring<br />

for <strong>Marfan</strong> Car and Bike Show in Oilton, OK, in honor of<br />

young Bill Campbell. They raise $1,203, bringing their<br />

total donated to the NMF since 2003 to more than $6,000.<br />

<strong>National</strong> Volunteer Network<br />

“Change of Heart” Fundraiser<br />

Brothers Andrew and Stephen Melin (age 13 and 11) of St.<br />

Helens, OR, created bags in which people can put their<br />

spare change and distributed them to friends and family in<br />

early February for their annual “Change of Heart” fundraiser.<br />

At the end of the month, Andrew dressed in a banana costume<br />

to help collect the bags. The younger children in the neighborhood<br />

had fun following him around, and the adults asked<br />

why he was dressed up. This gave him an opportunity to talk<br />

about the NMF and <strong>Marfan</strong> syndrome. Andrew and his family<br />

were thrilled when they counted the change—they raised<br />

$802, which was twice as much as the year before.<br />

Jonnie’s Goodguys<br />

Jonnie’s Goodguys<br />

(jonniesgoodguys.org),<br />

an Indianapolis-based<br />

running club, braved a<br />

30 degree start at the<br />

Indianapolis Marathon<br />

on October 17, 2009,<br />

where they raised $400<br />

for the NMF. The<br />

Goodguys run in races<br />

throughout the country<br />

to raise money and<br />

Some of Jonnie’s Goodguys (L–R): Andi Solero,<br />

Dan Solero, Jessica Soules, Ed Cooning IV,<br />

Russ Hantz, Jeremy Cutler, Steve Hantz<br />

awareness for <strong>Marfan</strong> syndrome in memory of their friend<br />

Jonathan Miller, who died of an aortic dissection in 2005.<br />

More recently, they participated in the One America Indy<br />

500 Mini Marathon on May 8. Participants of the group will<br />

present their medals from this event to members of the<br />

Central Indiana <strong>Marfan</strong> Support Group.<br />

Read about more People & Events in the Connective Issues<br />

online supplement at www.marfan.org, including:<br />

• Online awareness conducted by Maya Zimmerman and<br />

Larie Beck<br />

• Brad Giacone’s bowling party<br />

• Pottery decorating by Jennifer Rankins and her children,<br />

Drew and Sarah<br />

• Ethan May’s Bar Mitzvah project<br />

• Laura Cockerham and Gracie’s Corner Candle Shoppe<br />

• Wrapping for the NMF by Nancy Giacone<br />

Volume 29, No. 2 15


16<br />

<strong>National</strong> Volunteer Network<br />

Massachusetts Chapter<br />

The Massachusetts Chapter hosted an NMF<br />

Resource and Support Meeting on January 24 at Children’s<br />

Hospital’s Waltham location. Close to 40 people attended<br />

the meeting, including special guests Carolyn Levering,<br />

President and CEO of the NMF and Jennifer Grignoli,<br />

NMF Director of Development. Carolyn and Jennifer spoke<br />

about the exciting activities that NMF volunteers are doing<br />

around the country. It was a great way for Chapter members<br />

and the NMF to get better connected with each other.<br />

The chapter’s Second Annual <strong>Marfan</strong> Awareness Raffle<br />

took place in February and raised more than $2,000.<br />

Mid-Atlantic Provisional Chapter<br />

Volunteers from the Mid-Atlantic Provisional Chapter staffed<br />

a gift-wrapping table at Borders book store in December.<br />

They were able to raise awareness and $211 for the NMF.<br />

In addition, on February 28, the chapter held an awareness<br />

event at the University of Maryland vs. Florida State University<br />

women’s basketball game at College Park, MD. The University<br />

of Maryland allowed the local NMF volunteers to distribute<br />

information to interested fans at the game; there was also an<br />

<strong>Spring</strong> <strong>2010</strong><br />

Chapter and Network Group<br />

Members of the Massachusetts Chapter<br />

Members of the Mid-Atlantic Provisional Chapter with Florida State Coach Sue Semrau<br />

(front row, right)<br />

announcement made during the game about <strong>Marfan</strong> syndrome<br />

while the NMF logo was prominently featured on the scoreboard.<br />

Both universities have a special interest in <strong>Marfan</strong><br />

syndrome because of tragedy. Chris Patton, a Maryland<br />

basketball player, died as a result of <strong>Marfan</strong> syndrome in<br />

1976 during a pick-up game and Florida State lost a key<br />

member of their team, Ronalda Pierce, in 2004, to <strong>Marfan</strong><br />

syndrome. In honor of Ronalda, Florida State’s Coach Sue<br />

Semrau presents the Ronalda Heart Award each year to the<br />

player that best exemplifies the high standards that Ronalda<br />

demonstrated on and off the court.<br />

Following the game, a local pub, the Hard Times Café,<br />

sponsored a fundraiser, with 20 percent of all income that<br />

evening donated to the NMF. About 80 people came and<br />

$265 was donated to the NMF.<br />

On March 6, the group held a meeting at Johns Hopkins<br />

University featuring a presentation by NMF Professional<br />

Advisory Board member Dr. Hal Dietz, who addressed<br />

Recent Developments in <strong>Marfan</strong> Syndrome Research.<br />

Northern Illinois Chapter<br />

The kick-off for the Northern Illinois Chapter’s annual<br />

World’s Finest Chocolate bar fundraiser was held on January<br />

24. Nearly fifty attendees enjoyed a chili lunch and picked<br />

up their chocolate bar orders —83 boxes in total were<br />

picked up that day. Through the chocolate bar sales, the<br />

chapter raised $3,000.<br />

On February 16, Chris Malaisrie, MD, Assistant Professor,<br />

Division of Cardiothoracic Surgery at Northwestern<br />

University, gave a presentation to 150 medical students<br />

about aortic surgery and <strong>Marfan</strong> syndrome at Moraine<br />

Valley College. Members of the Northern Illinois Chapter<br />

augmented the presentation with an information display<br />

about <strong>Marfan</strong> syndrome and related disorders.<br />

Northern California Chapter<br />

The Northern California Chapter raised more than $400 by<br />

participating in the “Coasters for a Cause” program, offered<br />

by Six Flags Discovery Kingdom in Vallejo. Chapter members<br />

sold discounted Six Flags tickets and received $5 for each<br />

ticket sold. The funds were used to help cover some of the<br />

expenses for the group’s <strong>Marfan</strong> Syndrome Educational<br />

Symposium held on May 1.<br />

During the summer and fall, Northern California Chapter<br />

members will be conducting <strong>Marfan</strong> education and awareness<br />

during various community theatre productions of RENT in<br />

their area. Anyone in Northern California who wants to


News: Each One Reach One<br />

participate should contact Charlotte Lusschen, the Chapter’s<br />

Community Outreach Coordinator, at 510-582-7433 or<br />

clusschen@aol.com.<br />

Los Angeles/Orange County Network Group<br />

Suzanne Bowman and her son, Patrick, members of the Los<br />

Angeles/Orange County Network Group, created an eyecatching<br />

awareness display for the March performances of<br />

RENT at the Santa Clarita Regional Theatre. Suzanne also<br />

arranged for an ad about <strong>Marfan</strong> syndrome and the NMF to<br />

appear in the Playbill. At one of the performances, they teamed<br />

with Al Larson, father of RENT playwright Jonathan Larson,<br />

who gave a heartfelt curtain speech, stressing the importance<br />

of early diagnosis of <strong>Marfan</strong> syndrome.<br />

Members of the Los Angeles/Orange County Network Group at the <strong>Marfan</strong> syndrome<br />

display at the Santa Clarita Regional Theater<br />

Silicon Valley Network Group<br />

The Silicon Valley Network Group is taking advantage of the<br />

latest internet technology at their meetings. At their April 17<br />

meeting, they featured NMF Professional Advisory Board<br />

member Dr. Paul Sponseller, from Johns Hopkins Hospital in<br />

Baltimore, who gave a presentation on dural ectasia via Skype.<br />

Eastern North Carolina Network Group<br />

The Eastern North Carolina Network Group welcomed Dr.<br />

Stephanie Burns Wechsler, Associate Professor of Pediatrics/<br />

Cardiology from Duke University, as its guest speaker at its<br />

December meeting. Dr. Wechsler gave a presentation on<br />

<strong>Marfan</strong> syndrome and answered questions from group members.<br />

On February 27, members of the Eastern North Carolina<br />

Network Group staffed an information booth about <strong>Marfan</strong><br />

syndrome at the 2nd Annual Heart Expo at the Greenville<br />

Convention Center. They had a donation jar at the Expo and<br />

raised close to $60 for the NMF.<br />

<strong>National</strong> Volunteer Network<br />

New Network Group in<br />

Northeast Florida<br />

The newly formed Northeast Florida Network Group is<br />

planning its first meeting for this summer in the Jacksonville<br />

area. Subsequent meetings will be in different locations to<br />

make it more convenient for people in the area. Please contact<br />

one of the co-leaders for more information: John Lamberti,<br />

Co-chair, at 386-313-1073 or kidhi@yahoo.com; and Ridge<br />

Atrews, Co-chair, at 904-509-7547 or atrews@ gmail.com.<br />

Network Group of Omaha<br />

Sherry Heldt, Chair of the Network Group of Omaha, and<br />

her husband Roger made a huge impact on <strong>Marfan</strong> awareness<br />

when RENT was performed at Omaha’s Shelterbelt Theatre<br />

in Omaha from November 19 – December 30, 2009. They<br />

disseminated information and were permitted to make a curtain<br />

speech about Jonathan Larson, aortic dissection and<br />

<strong>Marfan</strong> syndrome. Sherry and Roger, who had also told the<br />

audience about their son, Shawn, who died of an aortic dissection<br />

like Larson, were invited to join the cast on stage at<br />

the end of the last performance to sing Seasons of Love, the<br />

show’s signature song. The stage manager told Sherry and<br />

Roger that their presence and <strong>Marfan</strong> awareness efforts set<br />

the mood for the entire show.<br />

Members of the Network Group of Omaha with the cast of RENT<br />

Ali Khoynezhad, MD, Adult Cardiac Surgeon, Endovascular<br />

Aortic Repair, spoke to the group on January 16 at<br />

Monroe-Meyer Institute in Omaha.<br />

Continued on page 18<br />

For more details about Chapter and Local Network<br />

Groups, go to www.marfan.org, click on “Get Involved”<br />

and select Chapter and Network Group Web Pages.<br />

Volume 29, No. 2 17


18<br />

<strong>National</strong> Volunteer Network<br />

There are many ways to feel connected to the <strong>Marfan</strong> community,<br />

both online and in person. The NMF offers a special opportunity<br />

to become involved by joining or creating a community<br />

for people with <strong>Marfan</strong> syndrome and related disorders in your<br />

geographic area—through the Network Group.<br />

Why do people get involved in Network Groups?<br />

“I enjoy the fellowship and want to be sure members have a<br />

group to turn to,” said Sheila Shawen, Chair, Dayton Network<br />

Group. “I am motivated to be involved with the NMF because<br />

it is the lifeline of hope for curing this disorder and for managing<br />

to cope with it in the meantime.”<br />

NMF Network Groups offer local gatherings so members<br />

can come together in their own communities, without having<br />

to travel a long distance. They are less formal than a chapter;<br />

they have no officers and no bank account. They are also<br />

different from a Support Group, which focuses solely on<br />

psychosocial support with a professional, volunteer facilitator.<br />

<strong>Spring</strong> <strong>2010</strong><br />

Chapter and Network News<br />

Continued from page 17<br />

North Dakota Local Network Group<br />

The North Dakota Network Group, co-led by Selma<br />

Kerzman and Dena Kemmet, held a Movie for <strong>Marfan</strong><br />

night on January 1 at a local theater. They had arranged for<br />

the theater to donate 100 percent of ticket sales for that<br />

night. Nearly 100 people attended and the theater donated<br />

$625 to the NMF.<br />

In addition, Selma was interviewed on a local television<br />

station about her family’s experience with <strong>Marfan</strong> syndrome.<br />

She also was able to promote the Network Group’s participation<br />

in the NMF Hang-a-Heart Campaign. Group member<br />

Interested in Starting or Joining A Network Group?<br />

Help strengthen the <strong>Marfan</strong> community nationwide by<br />

getting involved with your local Chapter or Network Group.<br />

Go to the NMF website at www.marfan.org, click on “Get<br />

Involved” and select “Chapter and Network Group Web<br />

Pages” to find opportunities in your area. If none exist,<br />

start a new Network Group! For more information, contact<br />

Kathy Jeffers, Manager of Volunteer Development, at 800-<br />

862-7326 ext. 11 or kjeffers@marfan.org.<br />

Natasha Thorson, of Minot, was also successful in generating<br />

local awareness. She was featured in an article about <strong>Marfan</strong><br />

syndrome in the Minot Daily News in March.<br />

Congratulations to the members of the North Dakota<br />

Network Group, who have decided to become the NMF’s<br />

newest provisional Chapter.<br />

“We are excited to see the growth of our <strong>National</strong><br />

Volunteer Network, and especially laud the dynamic Network<br />

Groups who are taking on Chapter status,” says Carolyn<br />

Levering, NMF president and CEO. “This gives the group<br />

legal standing in their community and a greater capacity to<br />

address member and community needs.”<br />

Volunteering does wonders for me<br />

and empowers my whole family.<br />

Kathy Magee<br />

Chair, San Antonio Network Group<br />

Meeting topics and activities for Network Groups are<br />

determined by its members. Some Network Groups organize:<br />

• Get-togethers where people share experiences,<br />

information and healthcare resources<br />

• Presentations by local medical experts so that members<br />

can become better educated about <strong>Marfan</strong> syndrome<br />

and related disorders<br />

• Discussions about improving your ability to be your<br />

own best advocate<br />

• Awareness activities directed toward local medical<br />

professionals or schools in the community (the NMF<br />

has toolkits for various projects)<br />

• Fundraising activities to raise money to advance the<br />

NMF mission of education, support and research<br />

• Fun events so members can simply enjoy socializing<br />

with each other<br />

Local gatherings can create a common bond and a sense of<br />

accomplishment that help individuals better manage their<br />

condition. Connect with the NMF <strong>National</strong> Volunteer<br />

Network today to enjoy these benefits yourself and help<br />

extend them to others.


Volunteer Profile: Sherry Heldt<br />

Sherry Heldt, of Omaha, NE, joined the NMF in 2001, a year after her son Shawn died of <strong>Marfan</strong><br />

syndrome. Shawn had not been diagnosed with <strong>Marfan</strong> syndrome before he died; after his death, Sherry was<br />

diagnosed with the condition. It was then that she threw herself into learning more about <strong>Marfan</strong> syndrome<br />

and she searched the internet for whatever information she could find. She got involved in the Heart of Iowa Chapter, and now<br />

serves on its Board of Directors. She also is the founder of the NMF Network Group of Omaha.<br />

What kind of <strong>Marfan</strong>-related activities have you been<br />

involved in?<br />

My husband Roger and I held a very informal Garden Walk in<br />

2003 to help generate awareness and raise money for the NMF.<br />

Later on, I participated in a panel about <strong>Marfan</strong> syndrome<br />

that was part of the Heart of Iowa Chapter’s presentation to<br />

medical students at the College of Osteopathic Medicine at<br />

Des Moines University and I have helped with our Walk/<br />

Fun Run.<br />

Local connections are so important to me. That’s why, in<br />

2004, I contacted Kathy Jeffers to start the NMF Network<br />

Group of Omaha. We first met at a local Denny's Restaurant<br />

until a local doctor provided us with a conference room to<br />

use at Monroe-Meyer Institute.<br />

Our group has been involved in gift wrap fundraising at<br />

Barnes & Noble and Younker’s Community Day Event Fundraisers.<br />

We have get-togethers at which we invite medical<br />

professionals to speak to us about <strong>Marfan</strong> topics ranging from<br />

dental concerns and cardiac imaging, to genetics and ophthalmology<br />

issues, to nutrition and physical therapy. We also take<br />

advantage of the NMF’s resources, with special viewings for<br />

our members of NMF videos, including most recently the<br />

documentary, In My Hands.<br />

We have also tried to leverage local productions of RENT<br />

for <strong>Marfan</strong> syndrome awareness in our area. We have had an<br />

awareness booth at thirty performances, including those at<br />

Shelterbelt Theatre, Millard North High School (student<br />

edition) and Nebraska Wesleyan University.<br />

Of course we have social gatherings too, such as our<br />

annual picnic and pizza party.<br />

How do you connect with others in the <strong>Marfan</strong> community on<br />

the internet?<br />

In 2004, I started a Living with <strong>Marfan</strong> Syndrome site through<br />

MSN. I also joined other online <strong>Marfan</strong> forums. It was satisfying<br />

to help people get the information they need and for all<br />

of us to be connected. I joined NMFconnect on the NMF<br />

website as soon as it launched and am pleased to see that<br />

there are now more than one thousand members.<br />

How do you think online connections are beneficial?<br />

It is very exciting to connect people who have <strong>Marfan</strong> syndrome<br />

and related disorders on one site. People who are interested<br />

<strong>National</strong> Volunteer Network<br />

Sherry Heldt<br />

in learning more can benefit from those who know what it is<br />

like living with a connective tissue disorder. It helps people<br />

eliminate the feeling of isolation; they really aren’t the only<br />

ones out there with this condition. I believe the greatest benefit<br />

of online groups like those on Facebook is the ability to<br />

share experiences and bring about awareness. It also is a good<br />

way to get more people to support the NMF. Word of mouth<br />

certainly travels faster on the ‘net!<br />

What advice do you have for someone with <strong>Marfan</strong> syndrome<br />

who doesn’t consider themselves internet-savvy?<br />

If you have a computer, get on it! If not, go to the library!<br />

There will be people there to help you and it will definitely be<br />

worth your time. There is so much information to help you<br />

learn about this disorder and there is power in knowledge.<br />

Get connected to 1,229 people (and counting) with<br />

<strong>Marfan</strong> syndrome and related disorders from the<br />

comfort of your home. Go to www.marfan.org and<br />

join NMFconnect today!<br />

Volume 29, No. 2 19


20<br />

Connective Issues<br />

Medical Education: Models That Work<br />

The NMF frequently hears stories of people frustrated by the quality of care they receive or difficulties they have faced in getting a<br />

proper diagnosis. While there are many excellent healthcare providers, not everyone has access to the level of skill, understanding and<br />

experience that is exemplified by the members of our Professional Advisory Board and <strong>Marfan</strong> Clinic specialists. The NMF conducts<br />

aggressive outreach to medical professionals, but you can also take action. Here are some examples of a few of the volunteer-run projects<br />

that have worked around the country.<br />

Massachusetts Chapter’s Physician Awareness<br />

Committee (PAC)<br />

In 2006, the Massachusetts Chapter formed the Physicians<br />

Awareness Committee (PAC) to facilitate educational programs<br />

for healthcare providers in their area. The goal is to provide<br />

area health professionals with the most current information<br />

on <strong>Marfan</strong> syndrome through customized presentations for<br />

various specialists. Presentations focus on early detection of<br />

<strong>Marfan</strong> syndrome and effective management of the condition.<br />

Through the ongoing relationship with two <strong>Marfan</strong><br />

syndrome clinics in Boston, the PAC has partnered with<br />

leading physicians and a nurse who are available to provide<br />

educational programs. In addition, individuals affected with<br />

<strong>Marfan</strong> syndrome are often on-hand to provide the patient<br />

perspective. The PAC volunteers reach out to education<br />

coordinators at various institutions and work with them to<br />

schedule the presentation.<br />

“The success of this program is due to the partnership<br />

between the volunteers and their local <strong>Marfan</strong> clinics,” said<br />

Jonathan Martin, Director of Education for the NMF. “It is<br />

sometimes challenging to capture the attention of decisionmakers<br />

in hospitals, but when aligned with qualified doctors<br />

and nurses, volunteers can have great success.”<br />

Jon Rodis, who chairs the PAC, concurs. “The doctor-todoctor<br />

approach of the PAC is truly one of its greatest assets.<br />

Together, we have raised the bar on <strong>Marfan</strong> awareness in<br />

some of the key medical institutions and medical specialties<br />

within the state of Massachusetts.”<br />

The Massachusetts Chapter has also had success partnering<br />

with local EMS/EMTs, where chapter member Kaddy Ackroyd<br />

has provided the patient perspective at a number of presentations.<br />

The Chapter has also targeted school nurses, with chapter<br />

member Suzanne Kouri, a trained registered nurse, conducting<br />

numerous in-service presentations and conferences.<br />

Heart of Iowa Chapter’s Annual Presentation to<br />

Medical Students<br />

Since 2002, the Heart of Iowa Chapter has regularly been<br />

invited to speak to first and second year medical students at<br />

Des Moines University. Chapter President Teri Dean searched<br />

far and wide to find a clinician/professor who realized that real<br />

life experience is an invaluable tool for educating the doctors<br />

of tomorrow, and finally found Dr. Roberta Wattleworth.<br />

<strong>Spring</strong> <strong>2010</strong><br />

After Dr. Wattleworth provides<br />

a clinical overview of <strong>Marfan</strong><br />

syndrome, Teri and her chapter<br />

volunteers take over.<br />

“Students get exposed firsthand<br />

to a rare condition, see the<br />

variance in the manifestation of<br />

<strong>Marfan</strong> syndrome, and hear the<br />

personal stories about misdiagnosis<br />

that too often lead to premature<br />

death in young people,” said Teri. Dr. Roberta Wattleworth<br />

Vicki Asbury in Kansas City has also had success with<br />

this model, and Rick Guidotti, of Positive Exposure, has<br />

been partnering with various genetic disorder organizations,<br />

including the NMF, to reach medical students around the<br />

country as well.<br />

School Projects<br />

As part of her Masters in Public Health, Maya Zimmerman<br />

partnered with her Master’s program advisors, the NMF and<br />

the Ohio State University Medical Center’s Connective Tissue<br />

Disorders Clinic to provide education on emergency diagnosis<br />

and treatment of aortic dissection to area triage nurses and<br />

EMS/EMT first responders. As a person living with <strong>Marfan</strong><br />

syndrome, she was able to offer a patient perspective amidst<br />

the medical information, greatly increasing the overall impact<br />

of the presentation.<br />

There have also been a number of high school and college<br />

students who have coordinated with the NMF and a local<br />

doctor or nurse to create educational opportunities in their<br />

communities. Among them was Mary Burchett, of Kentucky,<br />

who, as a high school student, partnered with a local physician<br />

to provide continuing education programs to five hospitals<br />

for her Girl Scout Gold Award.<br />

Many other volunteers have coordinated successful projects<br />

to reach doctors and nurses in their areas. The common factor<br />

in each of these successes was the ability to partner with local<br />

medical professionals, who provided the medical information,<br />

while the volunteers offered the patient perspective. This is<br />

the winning combination.<br />

Contact Jonathan Martin, NMF Director of Education, at<br />

jmartin@marfan.org if you have a medical partner and need<br />

help getting started.


26th Annual Conference<br />

Continued from page 4<br />

An Important Appeal: The NMF Conference<br />

Scholarship Program Needs Your Support<br />

Each year the NMF provides assistance through a Conference<br />

Scholarship Program to help individuals and families come<br />

to conference. Many in our <strong>Marfan</strong> community have limited<br />

financial means, little or no health insurance coverage or do<br />

not have access to specialty <strong>Marfan</strong> care at home. The number<br />

of applications we receive for scholarships increases every year.<br />

Especially in these tough times, help is needed.<br />

The teen program is the best part of<br />

the conference. It was great for my<br />

son’s self-esteem and, for him, the<br />

value of meeting others with the same<br />

issues was priceless.<br />

Joanne Jordan, Corona, CA<br />

There are several conference scholarship funds, including<br />

one named in memory of Julie Kurnitz, a long-time NMF<br />

member and Board member who died in 2004. Julie always<br />

valued the NMF Annual Conference and the connections made<br />

there with her <strong>Marfan</strong> family. Today, Lyz Kurnitz-Thurlow<br />

continues to work hard to support the <strong>Foundation</strong>, in particular<br />

the program that meant so much to her sister. The<br />

Message from the NMF President & CEO<br />

Continued from page 3<br />

The death of Jonathan Larson in 1996 and the subsequent<br />

investigation by the New York State Department of Health<br />

(NYS DOH) launched the NMF into its first partnership in<br />

this campaign: a collaborative effort with the NYS DOH to<br />

create educational materials on <strong>Marfan</strong> syndrome and aortic<br />

dissection. From our work with the Larson family, to our<br />

collaboration with the Emergency Nurses Association and<br />

<strong>National</strong> Society of Risk Managers to our success in the media<br />

(including being part of the story line on NBC-TV’s ER in<br />

2001), we have been able to successfully expand our Emergency<br />

Medicine Campaign and increase its impact.<br />

The NMF envisioned an aortic disease coalition as a<br />

strategy for continuing the momentum of our Emergency<br />

Medicine Campaign. To realize this vision, the NMF convened<br />

key opinion leaders during the American Heart Association’s<br />

Scientific Sessions in November 2008. Included were members<br />

of our PAB, a representative of the <strong>National</strong> Heart, Lung,<br />

and Blood Institute, and leading medical experts who were<br />

on the writing committee for the guidelines. Following this<br />

meeting, the Thoracic Aortic Disease (TAD) Coalition was<br />

Connective Issues<br />

letter she sends to her friends and family to raise money for<br />

the Julie Kurnitz Conference Scholarship Fund expresses<br />

how important the conference was to her sister. She writes:<br />

Julie benefited from all the medical advances, and would be<br />

thrilled at the ongoing advances. But, what she also benefited<br />

from was the Annual Conferences…. People with <strong>Marfan</strong><br />

syndrome are able to schedule appointments with all sorts of<br />

doctors who deal with the various problems and needs of<br />

patients with <strong>Marfan</strong> syndrome. For people who don’t live<br />

near big, well-informed, medical centers, this is a special<br />

opportunity. But then—the Marfs get to meet with each<br />

other, and go to workshops and discussions, and laugh and<br />

cry and bond and compare notes and love each other. I was<br />

jealous when Julie talked about her genetic family, but also<br />

so glad she had them.<br />

The Annual Conference is priceless for those in the <strong>Marfan</strong><br />

community, but the Conference Scholarship Program can only<br />

happen through your generosity. A donation of any amount<br />

helps, so please give whatever you can. Mail your check to<br />

the NMF, 22 Manhasset Avenue, Port Washington, NY 11050<br />

or donate online at www.marfan.org. Thank you for helping<br />

support this important program.<br />

established. When the guidelines were published this spring,<br />

the Coalition was poised to maximize them and communicate<br />

key messages that directly benefit the <strong>Marfan</strong> syndrome and<br />

related disorders community, as well as the broader population<br />

of people who are at risk of aortic dissection.<br />

We continue to work hard every day to prevent avoidable<br />

deaths in hospital emergency departments. We hope you will<br />

learn from the guidelines and use Ritter Rules (on page 11)<br />

to help you advocate for yourself and your loved ones.<br />

You are an important part of our efforts. Programs like<br />

the Emergency Medicine Campaign can’t happen without<br />

your support. Our Membership Appeal is in progress right<br />

now (see page 7). Please visit www.marfan.org to become a<br />

paid member today. Through our diverse array of programs,<br />

we will continue to work hard to increase early diagnosis and<br />

prevent deaths in hospital emergency departments. It’s what<br />

we do every day.<br />

Sincerely,<br />

Volume 29, No. 2 21


22<br />

Connective Issues<br />

Heartworks Galas<br />

Continued from page 1<br />

on-site Fund-A-Need added to the sparkle of the evening.<br />

New York City Mayor Michael Bloomberg was again<br />

on-hand as the honorary chair of Heartworks. He presented<br />

the Founder’s Award to NMF Board member Karen Murray,<br />

President, VF Sportswear, who has served as corporate host<br />

of Heartworks since its inception.<br />

Hero with a Heart Awards were presented to two distinguished<br />

doctors: Dr. Duke Cameron, Professor of Cardiac<br />

Surgery and Pediatrics, Johns Hopkins Hospital, and Dr. Herbert<br />

Pardes, President and CEO, New York Presbyterian Hospital.<br />

The NMF also recognized the 10th Anniversary Circle of<br />

Honor, all previous recipients of the Hero with a Heart Award.<br />

Ben Carpenter, CRT Capital<br />

Paul Charron, former chairman of Liz Claiborne<br />

Dr. Richard Devereux, New York Presbyterian/Weill Cornell<br />

Dr. Hal Dietz, Johns Hopkins Hospital<br />

Susan Falco and Randy Falco<br />

Tenth<br />

Anniversary<br />

Heather Holmes Floyd<br />

Dr. Valentin Fuster, Mt. Sinai Medical Center<br />

Dr. Leonard Girardi, New York Presbyterian/Weill Cornell<br />

Medical College<br />

Dr. Antonio M. Gotto, Jr., DPhil, Weill Cornell Medical<br />

College<br />

Dr. O. Wayne Isom, New York Presbyterian/Weill Cornell<br />

Medical College<br />

Allan Larson<br />

The late Dr. Victor A. McKusick, Johns Hopkins Hospital<br />

Merck & Co.<br />

Ann Reinking, Tony Award winner<br />

Dr. Mary Roman, New York Presbyterian/Weill Cornell<br />

Medical College<br />

Dr. Paul Sponseller, Johns Hopkins Hospital<br />

Michael L. Weamer, CAE, American Heart Association<br />

<strong>Spring</strong> <strong>2010</strong><br />

Circle of Honor<br />

Circle<br />

of Honor<br />

Another highlight of the evening was an exciting live auction,<br />

which featured tickets to the Super Bowl, tickets to the<br />

American Idol finale, a trip to Turks and Caicos and a home<br />

dinner party with celebrity chef, James Briscione. The silent<br />

auction was also a success. Approximately $90,000 was raised<br />

that night from the auctions.<br />

The evening’s Fund-A-Need, which is in its fifth year at<br />

the Heartworks gala, featured the story of 23-year-old Jessica<br />

Falco, the daughter of Randy and Susan Falco, who has bravely<br />

faced several medical challenges with <strong>Marfan</strong> syndrome and is<br />

now a college graduate. Her parents kicked off the challenge<br />

with a generous $15,000 donation and others followed suit,<br />

resulting in nearly $100,000 from this appeal.<br />

Broadway legend Tommy Tune entertained the audience<br />

with a fantastic performance. Then the evening closed with a<br />

retrospective video highlighting ten years of gala entertainment<br />

and support from the Broadway community. (This video, and<br />

the tribute videos for the Hero with a Heart Award recipients,<br />

can be viewed on the NMF channel at www.YouTube.com.)<br />

Heartworks St. Louis<br />

NMF Professional Advisory Board member Alan Braverman<br />

and his wife, Becky, hosted the second annual Heartworks<br />

St. Louis on March 6, honoring the esteemed surgeon Dr.<br />

Gregorio Sicard, Executive Vice Chairman of the Department<br />

of Surgery and Chief of the Vascular Surgery Section at<br />

Washington University School of Medicine, Barnes-Jewish<br />

Hospital.<br />

Nearly 200 people, including many members of the NMF’s<br />

St. Louis Chapter, attended the event, which was held in the<br />

spectacular Starlight Ballroom at the Chase Park Plaza. The<br />

evening was capped off by dancing to the sounds of the Ralph<br />

Butler Orchestra.<br />

The NMF is grateful to the St. Louis medical community<br />

for supporting the event again this year.<br />

Carolyn Levering, Hero with a Heart Award recipient Gregorio Sicard, MD,<br />

and Alan Braverman, MD<br />

Heartworks Westchester<br />

Hero<br />

with a<br />

Heart<br />

NMF member Barbara Lerman and her family and friends<br />

were planning for the third annual Heartworks Westchester<br />

as this issue went to press. The event is held in honor of<br />

Sydney Lerman, the seven-year-old daughter of Barbara and<br />

her husband, Jonathan (and granddaughter of NMF Board<br />

member Jerry Lerman and his wife, Judi). A fun-filled event<br />

is planned for the Metropolis Country Club in White Plains,<br />

NY, on May 22. Look for photos and highlights in the next<br />

issue of this newsletter.


We Remember and Honor . . .<br />

Connective Issues<br />

The <strong>National</strong> <strong>Marfan</strong> <strong>Foundation</strong> is grateful to its members and friends who have made contributions in memory of, or in<br />

honor of, the following individuals. These donations are fully appreciated and support our mission to save lives and enhance the<br />

lives of those affected by <strong>Marfan</strong> syndrome and related connective tissue disorders.<br />

In Memory of:<br />

My Son, Larry<br />

Your Dad, Manny<br />

Your Husband, Chuck<br />

Your Husband, Tim<br />

Your Beloved Sister, Ruth<br />

Adrian Adame<br />

Carol Adame<br />

Elias Adame<br />

Antone Aguiar<br />

Alice C. Andersen<br />

Kaitlyn Anthony<br />

Richard J. Armstrong<br />

Guy Arnold<br />

Nancy Avis<br />

McKenzie Bailey<br />

Dear Daughter, Elissa<br />

Faith Bell<br />

Devoted Father, Max<br />

Belopolsky<br />

Derek Benham<br />

Robert Berst<br />

Daniel Bevis<br />

Grete Bode<br />

Scott Boegle<br />

Madison Boudreaux<br />

Walter T. Boyer, Sr.<br />

Dave Bressen<br />

Manuel Broady<br />

Irene M. Brown<br />

Carol Jane Camp<br />

Gabrielle Ruelos Cannistraci<br />

William P. Cavanaugh, Jr.<br />

Sarah Cayo<br />

Marie Louise Clement<br />

Cenac<br />

Charlie Ciccariello<br />

Steve Ciccariello<br />

Edward James Davis<br />

Vivian Hedwig Pollari<br />

Davis<br />

Peter DeMattia<br />

Louis DeSousa<br />

The Doyle Family<br />

Sonny Edrich<br />

Amy Elster<br />

James Elster<br />

Sam Elster<br />

Bill Feinstein<br />

Erwin, Larry and Bill<br />

Feinstein<br />

Phyllis Frederickson<br />

James K. Gann<br />

William Gilmore<br />

Rachel Yael Goodman<br />

Andrew Gross<br />

Virginia Handley<br />

Simon Harris<br />

Ima Lee Beougher Heier<br />

Shawn Heldt<br />

Marilyn Higdon<br />

David W. Hill<br />

Jim Hinds<br />

Bill Holmes<br />

John Howell<br />

Daryl Johnson<br />

Willard Johnson<br />

Frank Katz<br />

David B. Knapp<br />

Julie Kurnitz<br />

Victoria Jean Kvamso<br />

Matthew Langmaid<br />

Gary Luedde<br />

Lizbeth Lyons<br />

Norma Makanoff<br />

Lynn Malizia<br />

Joey Mazzuca<br />

Eileen McCarthy<br />

Ronnie Mittman<br />

Zachary Haines<br />

Moorhead<br />

Luci Morehead<br />

Joe Neustadt<br />

Terry Newlin<br />

James O’Keefe<br />

Stephen Parfenoff<br />

Christopher Paulsen<br />

Cora Perkins<br />

Merv Peterson<br />

Michelle Pinard<br />

Kevin Rado<br />

Houston Rains<br />

Mel Rapton<br />

Andrew J. Rexroth<br />

Kevin M. Richard<br />

Dylan Rohrer<br />

Maryann Roney<br />

Patrick Roulston<br />

Deborah Sahli<br />

Mildred Cohen Scherzer<br />

Valerie Schoenmann<br />

Spencer N. Sellas<br />

Michael Sidrow<br />

Christina Sims<br />

Lester I. Smith<br />

Shirley Snyder<br />

Leon Stein<br />

Dennis Stelmach<br />

Bridget Stewart<br />

Carolyn Stricklin<br />

Glenn K. Style<br />

Stanley Tobin<br />

Marge Waigand<br />

George Wakat<br />

Gertrude Wiedemann<br />

Eric L. Wika<br />

Evalyn D. Zimmerman<br />

In Honor of:<br />

Mike Adolf<br />

Stephen & Brenda Aigner<br />

Matthew Albanese<br />

Ari<br />

Austyn N. Bevis<br />

Dr. Braverman & Staff<br />

Carol & Owen Brown<br />

Livia Cangemi<br />

John Cardillo<br />

Mrs. Anne Chudnofsky<br />

Louise Chudnofsky<br />

Mrs. Wendy Davis<br />

Jason Decker<br />

Alice Dermer<br />

Peter Donato<br />

Abigail Eaton<br />

The Edrich Family<br />

Lindsay Fabri<br />

The Fink Family<br />

Rose Fisher<br />

Joseph Gagliano, Jr.<br />

Gertrude Glick<br />

Haley Blair Golden<br />

Joel Green<br />

Matt & Shauna Green’s<br />

forthcoming child<br />

Connor Hajj<br />

Angela Hebert Held<br />

Sherry Heldt<br />

Lee & Lisa Howell<br />

Sam Howell<br />

Maxie Howlett<br />

Eileen Ilberman<br />

Gail & Howard Jehan<br />

Jo Anne Welch Jones<br />

Brittney Klein<br />

Mr. & Mrs. David Knapp<br />

Kevin Mahony<br />

Harold & Barbara Makanoff<br />

Clare Meyers<br />

Ilana Mysior<br />

Dr. Donald Novy<br />

Ty Nugent<br />

Ryan O’Sullivan<br />

Casey & Karen Paradine<br />

Todd & Marisa Pawell and<br />

Family<br />

Kerry Piasecki<br />

Marilyn Prindle<br />

Dr. Pyeritz and Dr. Bavaria<br />

Drew & Sarah Rankins<br />

Kenneth Robins<br />

Timothy, Shaun, Joshua &<br />

Christopher Roman<br />

Mr. & Mrs. Peter Roos<br />

Felizia Marjorie Rosenthal<br />

Mrs. Thelma Rosenthal<br />

Samantha from Austin<br />

Bill & Rita Schrandt<br />

Dr. & Mrs. Nicholas Sellas<br />

Andy & Angela Shaw<br />

Cara Shaw<br />

Colin Shields<br />

Ralph & Barbara Slater<br />

Mr. & Mrs. James Spaulding<br />

David Staton<br />

Russell Ward<br />

David Warren<br />

The Warren Family<br />

Scott & Andi Maron Weiss<br />

The Welte Family<br />

Emily Wheeler<br />

NMF Members and Volunteers Raising Money through Firstgiving<br />

Alix McLean Jennings with her<br />

husband, Ezra, and daughters<br />

Cassie, left, and Penelope<br />

Alix McLean Jennings, whose<br />

three-year-old daughter, Cassie,<br />

has <strong>Marfan</strong> syndrome, ran in<br />

the More & Fitness Women’s<br />

Half Marathon in Central Park<br />

in New York City on April 25,<br />

to raise funds for the NMF.<br />

Alix created a fundraising page<br />

through Firstgiving and shared<br />

the link to her page with everyone<br />

she knows, and her friends<br />

and family shared it with their<br />

networks as well. As a result of<br />

their generosity, the total raised<br />

as this newsletter went to press<br />

was $30,567.<br />

Jessica Berklite, age 11, and her mom Kelly, of Centreville,<br />

VA, created a Firstgiving fundraising page to raise funds for<br />

the NMF. To date, they have raised $1,445.<br />

Heather Earnhart, of Chicago, IL, created a Firstgiving page<br />

in honor of her five-year-old daughter, Gabriella, asking people<br />

to Have a Heart for <strong>Marfan</strong>. Thanks to donations from family<br />

and friends, $1,609 has been raised for the NMF so far.<br />

Stephanie Parkinson of Downers Grove, IL, raised $1,310<br />

for the NMF through her Firstgiving page, plus $1,920<br />

through other online efforts.<br />

Ellen England, leader of the Northeast Indiana Network<br />

Group, created a group page through Firstgiving to raise funds<br />

for Have Heart; they exceeded their goal by raising $530.<br />

Creating a Firstgiving page to raise money for the NMF is easy and helps raise critical funds for NMF<br />

programs. To learn how, contact Cathie Tsuchiya at 800-8-MARFAN, ext. 13, or ctsuchiya@marfan.org.<br />

Volume 29, No. 2 23


22 Manhasset Avenue<br />

Port Washington, NY 11050<br />

Early Bird Registration Ends May 31<br />

HOUSTON!<br />

JULY 8–11!<br />

BE THERE!<br />

Early Bird discount registration<br />

and registration for children<br />

and teens end on May 31.<br />

Adults may register any time<br />

after May 31 including on-site<br />

at the Conference. Turn to<br />

page 4 for more information.<br />

Non Profit Org.<br />

U.S. Postage<br />

PAID<br />

RIPON, WI<br />

PERMIT No.100<br />

I highly recommend the annual conference! It<br />

was wonderful to talk with people who are just<br />

like us. The workshops were enlightening and it<br />

was amazing to talk to the <strong>Marfan</strong> experts one<br />

on one. Overall, it was a great experience!<br />

Lori and Brian Bates, with their sons, Luke (left) and Andrew

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