duplication cares · newsletter. if you were anything like our family, it was so nice to finally...

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ty to thank Tricia and Mark Scott for all of their hard work and ef- forts on behalf of our children! Tricia has spent countless hours on behalf of Duplication Cares and we are grateful for her time and dedi- cation! While Tricia will still be an active participant in Duplication Cares, we are now looking for additional families who want to be involved. Please send me an e-mail if you have a desire to be involved with the board, help with the newslet- ter, be a regional contact, or if you have a skill set to share with the organization. It is a pleasure to serve you and to get to know each of you better. Please let us know how we can better support you and your family. Best Wishes, Jennie Dopp [email protected] Welcome to the 2013 edition of the Duplication Cares Newslet- ter. I apologize for the delay. I had hoped to include an article regarding managing difficult be- haviors in this issue. However, because of our Child Psycholo- gist’s and Behaviorist’s schedule, he has been unable to send me the information I wanted to share with all of you. He promis- es to send it to me and when he does, I will send out the infor- mation to all of you. Even though this edition is sever- al months late, it is still full of great information and updates about some of our members. Thank you for your contribu- tions! If you are interested in submit- ting information for future news- letters, please watch for the e- mail requesting updates some- time in the spring of 2014. Hopefully when you joined this group, you received a copy of a newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your updates and group involvement are key to our success and so we thank you for your participation and in- volvement. In addition to family updates, we are also looking for parents who would like to be more involved with our organization. In the upcoming months we will begin to restructure the board of Du- plication Cares. We want to take this opportuni- Duplication Cares is committed to supporting families with children diagnosed with 7q11.23 Duplication Syndrome, as well as being dedicated to raising awareness in the medical community about the existence and treatment of this disorder. Recommended Resources: 1) “Like” Duplication Cares’ Facebook page AND Duplication Cares’ 7q Dupe Support! 2) Look at the 7q Research Program and Publications: http://louisville.edu/psychology/mervis/research/ dup.html 3) UNIQUE’s Pamphlet: http://www.rarechromo.org/forum/DisordersLeaflets.asp Our Duplication Community... INSIDE THIS ISSUE: School Transitions 2 ADHD 3 Research Clinic Dates 3 Family Profiles 4 Duplication Care’s Mission: Duplication Cares 2013 NEWSLETTER SPECIAL POINTS OF INTEREST: Family Profiles Upcoming Re- search Clinic Dates in Louisville, KY ADHD Resources Copyright C2013 7q11.23 Dup Group. All rights reserved, including the right of reproduction in whole or part in any form.

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Page 1: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

ty to thank Tricia and Mark Scott

for all of their hard work and ef-

forts on behalf of our children!

Tricia has spent countless hours on

behalf of Duplication Cares and we

are grateful for her time and dedi-

cation! While Tricia will still be an

active participant in Duplication

Cares, we are now looking for

additional families who want to be

involved.

Please send me an e-mail if you

have a desire to be involved with

the board, help with the newslet-

ter, be a regional contact, or if you

have a skill set to share with the

organization.

It is a pleasure to serve you and to

get to know each of you better.

Please let us know how we can

better support you and your family.

Best Wishes, Jennie Dopp

[email protected]

Welcome to the 2013 edition of

the Duplication Cares Newslet-

ter. I apologize for the delay. I

had hoped to include an article

regarding managing difficult be-

haviors in this issue. However,

because of our Child Psycholo-

gist’s and Behaviorist’s schedule,

he has been unable to send me

the information I wanted to

share with all of you. He promis-

es to send it to me and when he

does, I will send out the infor-

mation to all of you.

Even though this edition is sever-

al months late, it is still full of

great information and updates

about some of our members.

Thank you for your contribu-

tions!

If you are interested in submit-

ting information for future news-

letters, please watch for the e-

mail requesting updates some-

time in the spring of 2014.

Hopefully when you joined this

group, you received a copy of a

newsletter. If you were anything

like our family, it was SO nice to

finally “meet” other families who

were navigating similar challenges

and issues. Your updates and

group involvement are key to

our success and so we thank you

for your participation and in-

volvement.

In addition to family updates, we

are also looking for parents who

would like to be more involved

with our organization. In the

upcoming months we will begin

to restructure the board of Du-

plication Cares.

We want to take this opportuni-

Duplication Cares is committed to supporting families with children diagnosed with 7q11.23 Duplication

Syndrome, as well as being dedicated to raising awareness in the medical community about the existence

and treatment of this disorder. Recommended Resources:

1) “Like” Duplication Cares’ Facebook page AND Duplication Cares’ 7q Dupe Support!

2) Look at the 7q Research Program and Publications: http://louisville.edu/psychology/mervis/research/

dup.html

3) UNIQUE’s Pamphlet: http://www.rarechromo.org/forum/DisordersLeaflets.asp

Our Duplication Community...

I N S I D E T H I S

I S S U E :

School Transitions 2

ADHD 3

Research Clinic

Dates

3

Family Profiles 4

Duplication Care’s Mission:

Duplication Cares 2 0 1 3 N E W S L E T T E R

S P E C I A L

P O I N T S O F

I N T E R E S T :

Family Profiles

Upcoming Re-

search Clinic Dates

in Louisville, KY

ADHD Resources

Copyright C2013 7q11.23 Dup Group. All rights reserved, including the right of reproduction in whole or part in any form.

Page 2: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

P A G E 2

“What can

parents do to

make the

transition

smoother for

both parents and

student? First,

take a deep

breath!”

School’s Out For Summer

New School, New Teachers and New Rules

The following article was

adapted from

www.peakparent.org

Parents who have students

transitioning into middle

school or junior high in the fall

may have a lot of anxiety about

the change in school routine.

What can parents do make the

transition smoother for both

parents and student? First,

take a deep breath! Transitions

are a natural part of life for

everyone. Transitions take

time and require learning to

adapt and preparing for the

new experience.

Here are a few ideas to

help you and your child feel

better about the new ad-

venture:

Visit the new school so

they can get a sense of

the school, see how clas-

ses are structured, meet

some of the teachers, and

practice opening the

“infamous” locker (a big

milestone between ele-

mentary and middle

school). Talking about

what to expect on Day

One and in the following

weeks at school helps

little ones prepare for

changes.

Take a few pictures of the

school so you can have

them, if needed, for a

social story or a daily

picture schedule.

Address concerns you

have about transition with

the IEP (school) team.

Take advantage of sum-

mer programs. Some

schools have academic

and/or recreational sum-

mer programs. These can

be great opportunities for

your child to gain some

skills in navigating the

school and an opportuni-

ty to meet new students

before school starts.

Embrace all the new pos-

sibilities. Middle school

offers a lot of new oppor-

tunities for your child

including extracurricular

sports and clubs, classes,

and social activities.

Here are a few suggestions

to help you, as his parent,

survive the middle school

transition:

Get connected with the school. Go to back-to-

school nights, open hous-

es, parent-teacher confer-

ences and other events

where you can connect

with the school staff and

other parents.

Be a resource for the

teachers. Let them know

how you can support

them in working with

your child. Communica-

tion is key! A little plan-

ning can go a long way.

tive programs. Most children

with disabilities do well in an

inclusive environment with

their non-disabled peers. Par-

ticipants with more significant

disabilities can also participate

in programs with non-disabled

peers with the help of a peer

buddy or an aide. For teens,

explore volunteer opportuni-

First, look for pro-

grams geographically

close to your

home. Convenience

matters! For exam-

ple, start with your

local recreation cen-

ter and ask to speak

with someone knowl-

edgeable about adap-

ties that help develop job skills.

If you’re looking for something

a little further away from

home, check out special needs

camps. One example is Adams

Camp. http://

www.adamscamp.org/ They

have programs in Colorado,

Nantucket, and Alaska

D U P L I C A T I O N C A R E S

Caption

describing

picture or

graphic.

Page 3: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

Living with ADHD ~ Help is Available

P A G E 3

Ideally, environments that are bene-

ficial to children with ADHD offer

highly-structured surroundings and

consistency through set routines,

rules, and guidelines.

Often, when a child is diagnosed

with ADHD, the

first response from

his or her concerned

parent is, "What can

I do about it?" Alt-

hough life with your

child may at times

seem challenging, it

is important to remember that

children with ADHD can and do

succeed. As a parent, you can help

create home and school environ-

ments that improve your child’s

chances for success.

For resources about diagnosis,

treatment, medications, school

help, family life, organization and

time management and SO much

more, please go to:

http://www.help4adhd.org/

development, complete testing that

can be used to obtain a higher qual-

ity of service in schools, assist with

behavior and medication recom-

mendations, as well as ADHD,

anxiety, and developmental delay.

Speech assessments will also be

completed. Individual testing re-

sults from research clinics will be

given to participants to take home

and apply with their own health

care team.

The following is a list of future

clinic dates and options for families.

If you are interested in participat-

ing, parents or individuals should

contact Dr. Carolyn Mervis by

email (including their phone num-

ber) or by phone (502-852-3604)

The research covered by the Si-

mons Foundation grant is for chil-

dren aged 4 - 17 years. She also has

funds from the National Institute of

Child Health and Human Develop-

ment that can be used for children

with Dup7 from 12 - 35 months.

The latter children would not be

scheduled for research clinics; She

sees them throughout the calendar

year.

2014 Clinic Dates:

January 2014

June 2014

August 2014

Check with Dr. Mervis for

other possible dates or ap-

pointments.

The sooner you are able to contact

Dr. Mervis the better. Limited

space is available in each clinic.

More information

along with recent 7q

Dupe publications can

be found: http://

louisville.edu/

psychology/mervis/

research/dup.html

Duplication Cares is fortunate to

be a partner with Dr. Carolyn Mer-

vis and the University of Louisville

in Kentucky, USA. Dr. Mervis’ and

her research partner, Dr. Colleen

Morris (UNLV), along with their

team are the leading researchers of

7q11.23 Duplication as well as its

genetic opposite, the deletion locat-

ed in the same area, Williams Syn-

drome.

Dr. Mervis has obtained grant mon-

ey and funding which allows her to

further study the 7q11.23 duplica-

tion. Because of our involvement

in this work, we are paving the way

for those individuals who will be

diagnosed in the future. We all

know how we would have liked to

have more information, resources,

and direction upon diagnosis. Now,

individuals in the future will have

that gift.

In addition to the research, Dr.

Mervis’ team can better help us

understand our 7q family member’s

ADHD is

one of the

most

common

disorders

Louisville, Kentucky ~ Research

Caption describing picture or

graphic.

“As a parent,

you can help

create home

and school

environments

that improve

your child’s

chances for

success.”

Page 4: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

Meet Dani Beard. Dani is six years old.

Dani’s mom is Renee Beard. The

Beard family lives in Louisville,

Kentucky, USA

DANI BEARD, age 6, Kentucky USA

Mads Andreas, age 6

Norway Mads Andreas is six. He has a younger sister (3

years in March) and a brother who is 11 years

(both non-dup). He is a sweet, happy and active

boy, who was diagnosed with dup 7q11.23 at age

1 1/2. A lot happened since then. For those who

doesn't know us, here is our story.

Our boy was not eating and drinking, he was non-

verbal, non-social and had few face-expressions.

He had some degree of anxiety, and needed rou-

tines on a daily basis. He also had a lot of pain due

to constipation. We were frequent guests at the

nearest hospital, due to his many problems. He

received intensive speech-therapy in kindergarten

at age 2 1/2 . He started walking when he 16

months.

The boy I describe above, is nothing like the boy

we have today! It's important to bring our

"sunshine story" to those of you who struggle, to

give hope for a better future. Our kids have in-

deed a lot of potential, if they are given correct

help and therapy.

Mads Andreas's interests at the moment: He just

loves to build with LEGOS. Every evening I sit

with him, and we construct houses and cars to-

gether. He also like to play computer-games

(Playstation3 and Nintendo DSi) - and he shows

excellent skills.

He also picked up many words from playing computer-games. He likes to

watch movies, and has no problems watching the same movies over and

over again. When indoor he also likes to draw. Outside he just loves to

walk for long trips in the forest, or at the beach. Finding "treasures" like

insects and other small creatures. He also likes to play with his RC-cars

(remote controlled vehicles), and with UFO (a flying disc launched by hand

power). He is unstoppable when he does an activity he really likes. He

loves to watch animals, or to feed animals. Mads Andreas has excellent

motoric skills, and did never received any treatment.

Cont… When it comes to language, we have seen a huge improvement

the past years. His speech therapy paid off very well. He is verbal almost

like a "normal" kid, but still a little behind his peers. We train on writing

letters, he is doing well. His anxiety is almost completely gone, and he

doesn't need the routines like in the past. His social interaction with other

children are an area of improvement, but still a way to go. He is

growing, but not fast. His growth is monitored by our hospital, and

so far we didn't put him on growth-hormones. He is a little short

for his age.

Page 4

Page 5: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

Our boy is now potty-trained. He uses a diaper only at night. There are some accidents from time to time, but no

big deal. He eats almost normal, even he is a very selective boy about food. He pretty much likes to stay on the same "diet",

and doesn't show a lot of interest trying other kinds of food (or drinks).

The Way Ahead: We still struggle to put him to bed in the late evenings. He is "never tired", like with a normal child. He

sleeps very well during the night, when first fallen asleep. He doesn't tolerate being yelled at (when bad behavior). It's a bit

hard to explain. It's not "meltdowns", but more about anger-control. Our major worry for the future is school. We have no

idea how he will respond put in this new situation, and we expect that there might be "set-backs". We will work on that, so

that his positive progress is not going in reverse. That would really be a disaster! He is now in kindergarten Monday-Friday,

and will start at school in august of this year.

One last thing. Mads Andreas doesn't receive any medicines. There are no reasons for medication at the moment. We have

reasons to believe that he is "mildly affected" by the duplication, but it's still too early to say. We will continue to "fight" for

our boy, and encourage everybody to do the same!

- Best regards. Kjetil Andre Fredriksen, father of Mads Andreas

Page 5

Mikey, Gabi, & Kathi

New Jersey, USA

Mikey, age 8 and Gabi, age 10, along

with their mother, Kathi, have 7q11.23

duplication. In addition to 7q11.23 du-

plication, Mikey also has Mitochondrial

Disorder.

Mitochondria are the part of your cells that produces energy for your body to do the things it needs to do. You could compare them

to batteries. Most people's “batteries” charge every night when they go to sleep, and are fresh in the morning to work all day. The

difference is, Mikey's batteries don't really ever fully fill up, and they don't hold their charge very well. All of Mikey's organs are com-

peting for energy they need, but there's not enough to go around. Not having enough energy results in some systems not working

how they're supposed to.

This disease has caused Mikey’s body to experience poor growth, gastrointestinal issues, chronic intestinal pseudo obstruction, sleep

apnea, asthma, immunodeficiency, chronic infections, dysautonomia, dysphagia, aspiration, reflux, hypotonic, developmental delays,

apraxia, and autism spectrum disorder, among other things. He has a g-tube for supplemental nutrition and a colostomy which has

pretty much saved his life. Although doctors still do not know the exact complex he has, we still continue to travel monthly to The

Children's Hospital in Philadelphia. Mikey has at least 10 different specialists, and is on many medicines to treat all the issues he has.

Despite his many challenges, Mikey has the greatest smile that doesn’t stop him for keeping up with kids of all ages. He loves hockey

(Devils & Flyers), cars, fire trucks, squinkies, hexbugs, legos, and his notebooks and pens. Mikey is a trooper and one tough little boy.

He fights so hard to keep up with others. He pushes himself all the time. He just wants everyone to know that if he has the energy

and the strength to do something, he will.

Page 6: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

Page 6

Some days are harder than others, but he just wants to be a kid and “try” to play with other kids. He definitely doesn’t want to be left out

of the fun. It’s a daily struggle feeling sick on the inside while you look fine on the outside. Every day when I come into my kitchen I see

his medicine syringes next to all the prescription drugs he needs to take. I see his colostomy supplies and formula that he needs to help

him thrive. I open up the refrigerator and see his growth hormone shot. When I get him dressed for school each morning I see extra

extensions attached to his skinny little body. At bedtime I see the two machines that sit by his bedside. All these things are hard to see

but what I do love to see is when he wraps his tiny arms around me and says, “I love you mommy, even when I marry my girlfriend”. His

dreams are no different than any other little boys, except he's living with a disease where there is NO CURE. I hope his dreams will al-

ways come true.

Gabi, Age 10

Thankfully Gabi is healthy. She is shy, but once she gets to know people she opens up and becomes the “Social Butterfly.” She might be

very social, but when it comes to expressing her feelings she has extreme anxiety. Two years ago she was diagnosed with the same

genetic disorder Mikey has, however it is very mild. Gabi does not like to talk about anything that makes her sad or angry. For example

when we have to tend to Mikey more, she gets extremely upset and begin to act out. She was only doing this at home, but now she will

show these behaviors out in public. When we reprimand her she gets very upset, and begins to argue with us. Gabi is also very com-

petitive with Mikey which then sets him off. This has brought us to the conclusion that we needed some professional help to help ease

some of her anxiety. We are trying to get Gabi some outside counseling when needed.

Every day we are so proud of Gabi. She is an amazing big sister and loves her brother very much. She is so close to him. Before I con-

clude, I thought I would share with you a few things Gabi likes to do. She really enjoys spending time with her family. She loves watch-

ing TV, especially I Carly, Victorious, Shake it Up, Good Luck Charlie, and Jesse. She loves to read, write, and draw. Gabi also loves her

American Dolls, dancing, acting, and using her imagination. She likes to take pictures from books and magazines and use them to create

stories. Gabi is just so much fun to be around and the best big sister ever.

Cont...

Mom ~ Kathi Living With The 7q Duplication Disorder The last few years have been difficult, but as I learn more about the duplication I think

back to the way I was taught in school. Learning that my children and I are affected with the duplication it has really impacted our family.

We have to learn how to manage all our special needs and accommodate so we all understand each other. As I was growing up I didn’t

know I had 7q. I just knew I was in Special Education from Kindergarten to 12th grade because of my learning difficulties. I see many

similarities with my kids. I definitely had anxiety growing up. Thankfully I had wonderful parents and teacher who assisted me. I do

recall having a routine which helped me learn how to manage my time better.

I didn’t speak until I was three years old and I was very lazy. My parents blamed it on my sister who was very motherly and would do

everything for me. However as I entered Elementary School, I was definitely delayed. I had speech difficulties and learning difficulties. I

was placed in the Resource Room in 1st grade. I didn’t mind being sent to another classroom. For me it was excitement as I got to

leave class and go to a room where it was fun. What I didn't realize I was actually learning, but in a different way. I recall myself being

silly and hyper when I couldn’t do something. In fact, I still am. Mikey on the other hand shuts down when he cannot do work, and

Gabi, which is hardly ever, as she is very intelligent, tends to get frustrated. I guess that is where she is a lot like me and wants every-

thing to be perfect.

In Middle School it was pretty much the same, but I was more aware of being sent to the "Retard Room". I apologize for that term, but

the kids who didn't go to special classes called it that. It embarrassed me but I knew I had to go to make my parents proud of me. I

remember getting angry and refused to do my assignments, but I knew I had to complete the work if I wanted to go back to the regular

class. I worked hard, and got use to going especially because I learned that my best also had learning difficulties and we both knew we

were not going to give up. We even made an agreement that when we grew up we were going to be Nursery School Teachers, which

we are today.

As I got into High School this is where it became tougher. I knew this was the year when grades matter and it reflected to where you

could go to college. Math was my most difficult subject. I had to pass the High School Proficiency test and it took me forever. When I

was a Senior I was in a Freshman Math class. It didn’t bother me much because I knew I was one of the oldest and these students

looked up to me, but I did feel awkward as other students my age were taking higher math classes, and here I was taking “easy math”.

In 12th grade I asked my parents if I could be taken out of Resource Room. We had a Team Meeting, and we all agreed with a Study

Hall and a Tutor for Math and Reading afterschool I could.

Page 7: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

It was a great experience going to The Lab School. I got to meet many friends who were taking classes to pass their G.E.D. They

actually looked up to me and were impressed I was in college already. We all helped each other and made sure everyone did well to

succeed and get into college as well. There was one friend in particular who has become my best friend. We both have been there

for each other, and today his wife and I are best friends as well. She is very supportive, and our kids are so close that they have be-

come great friends as well.

In all honesty I was glad I had the extra assistance. It was just what I needed in order to succeed. As I got older I knew my brain did-

n't work like other people my age. I had to organize my time. And, being the perfectionist I was, was very helpful It might have tak-

en me almost six years, but I graduated from college with a 3.4 GPA. I even got special recognition as having a learning disability and

not giving up even when my College Writing Professor told me I shouldn't be in college. She would tell me my writing was unor-

ganized and written as if I was in Middle School. It hurt as I worked so hard on assignments from the day it was assigned. I am really

proud of myself as I have become independent. All my hard work paid off. I even stayed down in the DC area and got a job as Child-

care Teacher. I lived in Maryland for almost ten years until I moved back to NJ to start a family with my husband. It shocked me as I

didn't think I had it in me that I would ever find someone to date.

Growing up with a learning disability or the duplication disorder has been rough. I am still learning how to manage my time, and now

that I have two kids with it, I have to manage our time based on our needs. We do have a routine, but it can become stressful when

something doesn’t go our way. My children are so much like me when I was growing up, despite the aggressive behavior that Mikey

has. At time we are faced with issues and I tend to get frustrated or anxious. I have to remember I need to stop and slow down as

my brain gets so overwhelmed too, and I tend to worry what others think when my kids are out of control when I know it is not

their fault. It is just the way his brain is functioning.

I am learning something every day. I know for a fact that routine is very important for us and we need to stick to it to succeed in

getting what we want. It is extremely tough, but if we are consistent our lives will be much calmer and we wouldn’t have to feel so

anxious. I am thankful I found this group. The support we can give each other is what we need to help us get through the difficult

days. If I am overwhelmed I will come to the group and ask for suggestions or advice, and from there I can get my thoughts together

to help me deal with the challenging issue. I know for one thing I am not giving up on my children. I will get them the assistance they

need to help them with whatever they are have trouble with. I know you as parents are also not giving up on your children and your

children shouldn’t give up on themselves. You can do it and grow up to be whatever you want.

~ Kathi

I worked my butt off knowing that I had to

prove to my parents I could do it so I could

go to College. After I graduated from High

School Graduation I went off to American

University in Washington, DC. My S.A.T.

scores were low, but because I had some

strings attached, the school (my dad, brother,

and sister all went there) had me enroll as a

Non-Degree Student. The Learning Services

Coordinator requested for me to attend clas-

ses at The Lab School of Washington to get

as much needed assistance as I took college

classes so I could become a Degree Student

the next semester. I was overwhelmed that I

would have to be working my butt off. It

meant I was not going to get “the college

experience”, but I learned how to manage my

time. There were plenty of times I would

goof off when I could not do the work, but I

was able to come back into reality and prove

to my family that I could remain in college.

Page 8: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

Page 7

Lucas

Lucas was diagnosed with Dup 7 at 3.5 yrs old. He is now 5 years

old and attends an integrated preschool in our public school. He

has been in this program since age 3 and has made progress with

speech/language and gross motor skills. He receives 1:1 speech

therapy 4x per week and physical therapy 2x per week. We just

had an IEP meeting and speech will be adding another day, group

session. In addition to therapy at school, we send him to a private

speech therapist 1x per week.

Massachusetts, USA

Lucas has made most of his progress with speech in the last year. He went from 100 words a year ago to 100's of words and 2 to 3

word utterances now. Each day he surprises us with a new word or phrase. He does not say many words correctly or clearly but he

is able to verbalize his needs and wants. He uses gestures, a few signs and language to communicate. He needs time to respond to

questions and he does well when talking to him at eye level/face to face. We get a lot of verbalization and imitation through play and

reading books. He likes to play cars or dollhouse and role play a character with a car or doll/little people figurine etc.. He has a com-

munication book that he brings to/from school that is filled with pictures with words to aid in communication, however he has quickly

outgrown need for it as he can say most of what is in book at this point. The book was made after he had an AAC (augmentative

assistive communication) evaluation done at school. He attends an integrated preschool where half the kids have a disability (mostly

speech related) and the other half are peer models. We think being surrounded by his peers each day in a structured environment has

made a significant difference in language and communication. We are thankful for our private speech therapist, who has been a valua-

ble team player and has provided guidance/support at the IEP meetings. Her knowledge and expertise has been well received by the

school team and they have worked together to formulate goals and interventions. We are excited and hopeful about the progress he

has made over the last year but he still has a long way to go.

Lucas presents as a very shy and quiet boy. He is socially appropriate with adults and peers. He tends to be quiet in large group activi-

ties and, at times, does not participate due to his decreased ability to communicate. We are concerned that as Lucas becomes more

aware of his speech/language delay, he will consequently become at risk for ODD, selective mutism and anxiety due to frustration and

social anxiety/isolation. These concerns were addressed in the IEP. His frustration level is relatively low considering his significant

delay and he has not exhibited angry outbursts at school. However, he has shown some behaviors at home (which are typical for his

age) as evidenced by yelling, hitting and pushing when he does not get his way or cannot articulate his needs/wants. He is easily redi-

rected and consoled. He also self soothes by sucking on his favorite blanket (he does this at home only and not often) and he has developed a new habit of grabbing a little piece of hair on his head and rubbing it against the palm of the other hand. We do not see a

behavioral therapist at this point in time.

He will be starting kindergarten in September and we remain concerned about his speech/language and motor skills and how the syn-

drome will affect reading, writing, math and social skills etc.... These concerns have been verbalized at the IEP meeting and document-

ed on the IEP. We are hopeful the school will make the necessary provisions to aid in his success.

We have been in touch with Dr. Mervis and are planning to participate in the research study in August.

Thank you Duplication Cares for all the support and information on Dup7.

Gayle and Craig Johnson

Parents to Lucas

Massachusetts, USA

Page 9: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

Page 8

I would like to introduce our son Drew, who is 3.5 yrs old and recently

diagnosed with the duplication in February 2013. We are from Edmonton,

Alberta (Canada) and we are excited to have found such a wonderful network

of families to chat and share with.

Drew is a very sweet and happy little boy, who loves to play with his older

brother Cole (5.5 yrs old) and is most comfortable when we are at home as a

family. He is currently in his first year of preschool and his language skills re-

main to be his biggest obstacle (severe expressive language delay). He is also

very anxious in social settings, most noticeably when he is on his own (social

anxiety).

But Drew has made progress over the months and we are determined to sup-

port him every step of the way. The diagnosis is rare - but from what we have

learned so far, it is what makes our son unique.

Keeping everybody in our thoughts,

Jane, Jason, Cole and Drew Shenkarek

Drew Alberta, Canada

Jackson Layton, Utah

USA

Jackson just finished 6th grade (12 yrs old) in

a regular classroom. He gets Resource help

for reading comprehension, math, and writ-

ing. He is about a year behind in core sub-

jects. Expressive writing is a struggle for him.

Outside of school, Jackson goes to Aquatic

Swim Therapy twice a week for one hour.

This has been a great resource for him to

build core strength, strengthen muscles, and

to work on coordination.

Jackson struggles socially and does not have

close friends. However, he has good rela-

tionships and playmates with cousins his age

and neighbors.

Jackson currently takes 5 mgs of Abilify and

30 mgs of Celexa. The Abilify helps with his

Negative Behavior and the Celexa helps him

with anxiety. We also have a zero tolerance

in the home for negative outbursts. By

working with Behavior therapists, we’ve

created a tool to help us keep negative be-

havior in check. Jackson functions best when

he has rules, guidelines, and routine. This

behavior is modeled after those parameters.

Page 10: Duplication Cares · newsletter. If you were anything like our family, it was SO nice to finally “meet” other families who were navigating similar challenges and issues. Your

Page 8

Money is important to Jackson. He receives a small allowance each week for completing jobs around the house ($3.20 week). Every

time Jackson screams at us, is negative towards a family member, etc, he loses 5 cents. Because the program was explained to him, we

don’t have to say anything when an incident occurs. We just say “5 cents”. Jackson hates to lose money and so he tends to get more

upset. I just say, “that 5 more cents”. This keeps happening until he make himself calm. He also uses his room to have quiet time and to

try and refocus so he doesn’t lose control. It can be a challenge at first, but we have seen marked improvement with his ability to regain

control and move on past the disturbance.

Jackson is still active in Boy Scouts and has earned his First Class rank. He will be attending a week long sleep away Scout Camp this

summer without mom or dad. Dad went with him last year. This will be his first solo experience. We are excited for him and for the

progress he has made and continues to make each year.

Life with the duplication can be challenging. We always have a goal and are working towards Jackson’s increased independence. Howev-

er, even though there are tough moments, Jackson meets each challenge and has come so far in the past 12—almost 13 years. Jackson

will begin 7th grade in the fall of 2013 (Junior High!). He will have core classes in a Resource environment mixed with general education

elective classes. It is going to be a big transition for all of us. However, we are excited for this new chapter in our lives.

Best Wishes to all of you. We enjoy our interaction with you!

Jennie and Ryan Dopp

Layton, Utah USA

Cont...

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of the Duplication Cares Family Support News-

letter, and for use within our group, will be

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acteristics of 7q11.23 Duplication can be dis-

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order to better advocate for needs and ser-

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