Faith Journey, Medical, Opsoclonus Myoclonus Syndrome

Speaking the Language of Rare – Part 1

Speaking the Language of Rare – Part 1

In Speaking the Language of Rare – Part 1, when you live with a rare diagnosis, medical terms start to feel like household words. In our world, terms like IVIG, ACTH, and Plasmapheresis are as common as “shower” or “cheese” or “cat.” Even the littlest kids around here know what they mean.

But I still remember when I first heard these words.
I felt like I’d landed in a foreign country with no idea how to speak the language.

So today, I’m slowing down and translating some of the words you’ve seen throughout our story—for the mamas who are just now hearing them for the first time, and for the friends and family who want to understand.


🩸 IVIG (Intravenous Immunoglobulin)

A blood product made from donated plasma. It’s infused into the body to boost the immune system or help calm an overactive one.
In our case: Monthly IVIG is to regulate H’s immune system and try to decrease the inflammation in his brain.


💉 ACTH (Adrenocorticotropic Hormone)

This is a hormone that helps your body respond to stress and inflammation. When given as a shot, it acts like a powerful steroid.
For us: ACTH came in the form of daily injections and brought some of the hardest side effects—rage, insomnia, and OCD symptoms.


🩺 Plasmapheresis (PLEX)

This is like a “blood wash.” The blood is removed, the plasma is separated out, and then new plasma or a substitute is put back in. It’s used to remove harmful antibodies.
Why it mattered: It was one of the most intense parts of H’s treatment and helped remove autoimmune activity from his system.


💊 Chemotherapy

Often associated with cancer, but also used to suppress the immune system in autoimmune disorders.
In our case: H received a chemo drug (Rituximab) to help stop the immune system from attacking his brain.


🧲 MRI (Magnetic Resonance Imaging)

A non-invasive imaging tool that uses magnets to take detailed pictures of the inside of the body, especially the brain and spine.
We’ve had: More MRIs than I can count. It’s one of the first tools used when trying to figure out what’s going on neurologically.


🔬 MiBG Scan (Metaiodobenzylguanidine Scan)

A special type of scan used to look for neuroblastoma, a cancer often associated with OMS. It involves a radioactive dye and a scanner to detect tumors.
For H: Every time they mentioned this scan, my heart would sink. Thankfully, it was always clear.


🧠 Neuroblastoma

A rare cancer that often begins in the adrenal glands but can spread anywhere in the body. It is commonly linked to OMS.
H does not have this, but it was a huge fear in the beginning.


❓ Idiopathic

This simply means “we don’t know why it happened.”
For us: H’s OMS is idiopathic—no known trigger, no cancer, no infection. Just… one day, it showed up.


⚖️ Ataxia

A neurological sign consisting of lack of muscle control or coordination of voluntary movements, such as walking.
H’s walking was one of the first signs that something was wrong.


🧬 Ataxia Telangiectasia Like Disorder 1 (ATLD1)

A rare genetic condition involving movement issues, immune deficiency, and sometimes increased cancer risk.
At one point, this was suggested as a possible diagnosis for H. It was later ruled out.


“Therefore, encourage one another and build each other up…”
— 1 Thessalonians 5:11


💛 Heartbeat Moment

These words may sound big and scary. They once felt that way to me, too. But now, they’re part of the rhythm of our lives. My hope in sharing them is simple: to bring understanding, compassion, and a little bit of light to others walking this same unfamiliar road.

Part 2 coming soon, where we’ll break down more terms we’ve faced along the way.

💛 If you’re navigating life’s hard places and need a safe space to heal, grow, or just breathe—Circle of Hope Counseling Services is here for you.

We offer trauma-informed, faith-filled therapy for individuals, couples, and families.

📞 Reach out today to schedule your first session (KY residents only) or learn more: Circle of Hope Counseling Services.

You don’t have to walk this journey alone. Hope starts here.

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Faith Journey, Medical, Opsoclonus Myoclonus Syndrome

When the Protocol Doesn’t Work

When the Protocol Doesn’t Work – Living Outside the Lines in the OMS World

When the Protocol Doesn’t Work – Living Outside the Lines in the OMS World. In the world of Opsoclonus Myoclonus Syndrome (OMS), few names are as respected and recognized as Dr. Michael R. Pranzatelli. His work changed the trajectory of care for children like my son, H.

He devoted his life to researching OMS and founded the National Pediatric Myoclonus Center, where he developed what is now referred to as the Pranzatelli Protocol—a standard in OMS treatment. His contributions shaped how physicians approach this rare and life-altering disorder.

“When you hear hoofbeats, think horses, not zebras.”
But what if… your child is not a zebra either? What if they’re something even rarer—something doctors haven’t seen before?


👨‍⚕️ Dr. Pranzatelli’s Legacy in the OMS World

Dr. Pranzatelli’s approach was both groundbreaking and aggressive—because OMS is a disease that demands swift, bold treatment. His typical protocol included:

  • High-dose corticosteroids (IV methylprednisolone or oral dexamethasone)

  • ACTH (Adrenocorticotropic Hormone) shots

  • IVIG (Intravenous Immunoglobulin) infusions

  • Rituximab, a chemotherapy drug used to suppress the immune response

You can read more about his contributions and legacy on the Child Neurology Society’s memoriam.

A more detailed explanation of OMS treatment protocols is also available in this Rare Disease Network guide.


📊 OMS and the Numbers

While OMS is often linked with neuroblastoma (a rare form of childhood cancer), not every case fits that mold.

H falls into that second group—idiopathic. No tumor, no infection, and no clear trigger. And that made things complicated from the very beginning.


💊 When the Protocol Doesn’t Work

Dr. Pranzatelli’s protocol works well for many children. But not for every child.
And definitely not for my child.

H’s case has always been atypical. He has OMS, but he never followed the textbook pattern. We tried everything:

  • Steroids

  • ACTH shots

  • Monthly IVIG

  • Rituximab

  • Natural supports

  • Nutrition changes

  • Even Plasmapheresis (PLEX)

And still, many of the symptoms persisted—or even worsened.

We weren’t just battling tremors or regressions—we were dealing with rage, insomnia, emotional dysregulation, and a child whose nervous system was constantly on edge.
When standard protocols didn’t work, we were left with a terrifying question:
What now?


🔥 Living in Flare Mode

One of the hardest parts of life with OMS is how easily symptoms can return.
We call them flare-ups, and they are no joke.

A simple cold, a stomach bug, a sleepless night, or even being too hot outside can send H into a full-on neurological flare.

  • Tremors return.

  • He can’t balance.

  • Speech slurs.

  • His behavior shifts.

  • His eyes dart uncontrollably.

  • He can’t process or regulate.

  • He goes from stable to spiraling in a blink.

We live in constant vigilance. We avoid large crowds, prep obsessively for weather changes, and treat every sniffle like it could lead to a storm.

There is no “just a virus” in our house.


🧠 H Is Not the Protocol

I used to believe if we just followed the treatment plan hard enough, long enough, it would all go away.
But H is not a protocol.
He’s a person.
A living, breathing, beautiful mystery.

He may not respond the way “typical” OMS kids do, but he’s still here. Still fighting. Still rewriting what healing can look like.

He’s not a horse.
>He’s not even a zebra.
>He’s an okapi. Rare. Remarkable. Unmistakably his own kind of miracle.


“Before they call I will answer; while they are still speaking I will hear.”
— Isaiah 65:24


💛 Heartbeat Moment

For the families just starting this journey: If the meds don’t work, if your child doesn’t fit the mold, you are not alone.

H’s story is not one-size-fits-all—and neither is yours.

There is no shame in being the exception.
>There is no weakness in needing to try something different.
>There is only strength in staying in the fight.

And as for me?

I will keep fighting for the okapi.

💛 If you’re navigating life’s hard places and need a safe space to heal, grow, or just breathe—Circle of Hope Counseling Services is here for you.

We offer trauma-informed, faith-filled therapy for individuals, couples, and families.

📞 Reach out today to schedule your first session (KY residents only) or learn more: Circle of Hope Counseling Services.

You don’t have to walk this journey alone. Hope starts here.

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