Sunday, November 7, 2010

Can the satiety mechanism in PWS be controlled?

Kate McAllister and colleagues at the Cambridge University, UK, have been involved in researching the brain's ability to appreciate satiety.  This video clip  http://www.youtube.com/watch?v=ofgjtGra3I8  shows an interesting perspective on looking at how the on-off switch for fullness, particularly in Prader-Willi Syndrome, might be regulated.  Much research has been done on looking at the genetics of obesity, and the genetics of PWS could well hold the key to discovering why the desire to eat over-rides any control mechanism. 
Please have a look at this YouTube clip on research being done by Cambridge University on monitoring the brain's ability to appreciate satiety. If they can implement the conclusion they are suggesting, it is very exciting news.  To contact Kate directly: km511@medschl.cam.ac.uk

Thursday, October 28, 2010

New Video "Parental Stress When Your Child has a Developmental Disorder"

A collaboration of the PWS Association (USA), the Angelman Syndrome Foundation Inc, and the International Rett Syndrome Foundation as a genetic partnership, has developed a videotape of Dr Paige Powell's presentation on "Parental Stress when your Child has a Developmental Disorder: Helpful TIps and Coping Strategies.  The link to this is:


Any family with a child whose behaviour is challenging, will find this video of coping stragegies and helpful tips, extremely useful.  So often we forget how important it is as the primary caregiver to look after ourselves first.

Further information on Rett Syndrome & Angelman Syndrome can be found through these links:

Rett Syndrome:

Angelman Syndrome


Thursday, October 14, 2010

Greetings from Cuba!

Hola, and greetings to everyone from Cuba where we have just held our first family group meeting!


Over the past years we have struggled to get information about Prader-Willi Syndrome, and it wasn't until I was able to attend the PWS International Meeting earlier this year in Taipei, that the idea of starting our own Cuban Family Group  become a reality.  It was so exciting in Taipei to be with other professionals  who all had such a great interest in understanding the syndrome and to meet so many parents who also had children with PWS.  Just knowing you are not alone in the world is heart-warming.  Learning that there is so much research being carried out by scientists, and hearing about the management programs for care-givers and parents, is so important.

So, together with strong support from IPWSO, we started to work on having our very first PWS meeting in Cuba.  We were aiming for September, which was only four months after the Taipei conference.  We did not aim to have a great number of people, just the few parents along with doctors, and psychologists.  On September 22 - 24th, we met for the first time!  It was a great experience, sharing with other families.  We concentrated on the topics of food, behavior and the management of PWS. This was such an important meeting for us because it was our first step.  We called the meeting "Day by Day", so that we can concentrate on the best steps forward for our families in Cuba.

We would like to say thank you to Caritas Ciego de Avila, the PWSA of USA, and the Association Madrilena S. Prader-Willi, for their unconditional help.

Loisel Bello, MD

Thursday, October 7, 2010

Out of the mouths...

There are times when the phrase “out of the mouths of babes and sucklings” comes often to mind when working and living with those with PWS.  They have a disconcerting way of telling you how they see things, and presenting a wisdom that is way beyond their years.  It is so fascinating to hear some of the things they say, and to recognise them as a truth.  More often than not, it is not what we would have said ourselves, and quite often it is not what we particularly wish to hear, but they all seem to have this knack of getting under our skin – no matter what language they talk!
The young girl who sat with her dying grandfather, holding his hand, not wishing to be moved from his bedside, seemed to know what to do without saying it.  Many of us cannot do this.  My own daughter who put her most favourite soft toy into my mother’s coffin, along with a small posy of lavender. 
There is the young boy who at four years old, was overhead by his mother saying to the wide-open fridge, “I’m thirsty.  What can I have?  I can’t have that, and I can’t have this, but I can have iced tea.  I will go and ask Mummy”, and, closing the door, he went to find her.
The young 6 year old who, on coming home one day found that locks had been put on the pantry and cupboards.  Her older sisters had stormed on by with words like “How can you possibly do this to us – how can we ever invite friends home?”, but she simply said “What bright, shiny locks.  Did you put those on, Mum?  You are clever!” Of course, her thinking was that her food was now safe and her sisters wouldn’t be eating it all!
The other day I was told of an engagement card sent by the younger sibling with PWS to her older sister and her fiancĂ©.  Inside were the words, “I hope you will always be happy.  I hope you will respect each other.  I hope you never break each others’ hearts.”
Sometimes you just have to slow down to hear what is important in their world, to take time and listen.

Sunday, September 26, 2010

Greetings from Czechslovakia

Our IPWSO awareness booth has been unexpectedly very busy today; maybe because it was only a half-day.  I had to leave it to Giorgio to manage, plus take down the booth, as I had to get to the Czech Republic meeting where I was speaking.  The parent delegate for Slovakia and her family spent all night on the train to get there!  It was a wonderful day meeting the families and children; they had a good translator, and the parents had a lot of questions after my talk.  The younger children are all very slim and on growth hormone, in sharp contrast to most of the older children/adults who did not have that option.  After all of my medical data, Giorgio balanced it with his wonderful power point on Daniele and ended the day by singing “Ich Auch.”   

Giorgio with an admirer!
I fell in love with one, cute young woman named Natalia.  We became fast friends and she wanted to sit by me at dinner.  When Giorgio sang and played the guitar after the meal, the look on her face was sheer rapture.  During one song, she was so moved she started crying, which made me cry.  What a gift Giorgio has – and is willing to share. 

Tomorrow we go speak again at the conference which ends at 1:30 and then we will drive straight through (9 hours) to Italy.  At last a few days to rest up!

Janalee

Children and adults with PWS in India



Dr. Anjan Bhattacharya


I am a Developmental Paediatrician in India's first Child Development Centre at corporate healthcare set up in Apollo Group of Hospitals (49 Hospitals in 10 countries).  

I believe, we have the resources and quality expertise to help PWS children so much better than what is in store for them with current prevailing situation in India.  I have worked in the field of paediatrics, neonatology and developmental paediatrics in India and the UK for the last 20 years, with 12 of those years being in the UK.  It was there that I developed special interest in Developmental Paediatrics and have developed an interest in the specific diagnosis and management of children with complex disabilities, including PWS. 

Through the creation of The Child Development Centre of Apollo Gleneagles Hospital, we can offer a significant number of children with disabilities and difficulties a unique service development. 

Through my association with IPWSO I recently lectured at the PWS Society of India's Annual Meeting in Kolkata.  I believe that through a better understanding of the syndrome, and by cooperating with organisations such as IPWSO, and by using tools such as this blog, we can develop a much better understanding, cooperation, and management of PWS. 

I can be contacted at
Dr. Anjan Bhattacharya +919830032968
MB BS(Cal); DCH (Lond); MRCP (Lond); MRCPCH (UK)
Senior Consultant Paediatrician (Developmental Paediatrics)
In-charge, Academics, Department of Paediatrics
CHILD DEVELOPMENT CENTRE
Apollo Gleneagles Hospital, Kolkata








Friday, September 24, 2010

Greetings from Prague

Dear IPWSO friends,
 Yesterday we had a very, very busy day at the IPWSO awareness booth and by 6.30pm I was hoarse with talking so much!  We have given away a tremendous amount of materials and the country that has stopped by our booth the most, has been China.  I am always so impressed with Giorgio’s ability to speak so many languages – including Chinese!  The attendees are also impressed and pleased.  I am also incredibly impressed with how he remembers the names of all of the professional delegates – many names that I cannot even pronounce.   On the other hand, I can deal with the medical questions – so we make a good team. 
 Today it was not as frantically busy at the conference, but we had a good, steady flow.  There are over 3,000 endocrinologists at this conference from 91 countries and we now have a doctor from Kenya to agree to be his countries professional delegate today!  A first for Kenya!  Some of the other delegates who have come for information have been from:  South Korea, Bangladesh, Ukraine, Estonia, Iran, Saudi Arabia, Egypt, Palestine, Morocco, Tunisia, Algeria, Liberia, Singapore, Malaysia, and Singapore.  It is a real “high’ for us when someone stops by the booth and is so eager to get our educational materials.  It is wonderful to know how much that simple act can help so many people.  Of course there were also many from European countries and South America.   
We went out to dinner with two really nice parents from the Czech group last night – this is the group to which I have been invited to give three presentations over this weekend. 
We are being most frugal and are staying at a hotel with no windows in our rooms, bars of soap the size of a quarter, and towels that look like dish towels.  J  Actually it is not so bad.  Better than when he housed Pam and me in a convent with no mirrors! 
Janalee