Returning to Chile After 19 Years

By the time Jack was eight years old he had been to Chile three times. It’s where I was born, where we have family and where my folks have a beautiful property. Chile was a huge part of my childhood, and it was going to be a huge part of my children’s lives.

Then ALD changed so many of our plans.

For nineteen years, Chile lived in the category of someday.
Not because we didn’t want to go—but because of the what ifs.

What if Jack had trouble on the flight (11 hours overnight)?
What if he couldn’t tolerate the change in routine?
What if he had an accident mid-flight?
What if something went wrong and we were far from home, far from familiarity, far from safety?

If you live with ALD, you know these what ifs well. They multiply quietly over time, stacking themselves into reasons not to go, not to risk, not to try. And so, for nineteen years, we didn’t return to Chile—the place we once loved, the place tied to memories from before diagnosis, before life split into “before” and “after.”

But this year, we went anyway.

It started as what felt like a dare. Anna announced that she and her boyfriend, Asher, had spoken to my folks about going to Chile. She was only six years old the last time we were there and has always felt cheated from Chilean memories. She announced that my parents were not only encouraging the trip, but wanted to join them. Anna reminded us that this may be the only window of time she has for such a trip as graduation approaches and residency looms. She said that going as a family would mean the world to her. 

Then my folks started their campaign. 

Conversations that ended with maybes were followed with links to airline tickets and hotel information. My parents are beyond generous and know how to make things happen.

So, Christmas Eve we put the what ifs in a box and went to Chile.

It wasn’t a small undertaking. It was ten days away, involved four flights, unfamiliar beds, new foods, long days, and the emotional weight of returning to a place we hadn’t seen since Jack was diagnosed.

And many of the what ifs came true.

  • Jack did not sleep one single wink on any of our four flights. Not one. 
  • As we boarded our flight to Puerto Montt, Jack pooped. We were told that we couldn’t return to the terminal bathroom so we sat for 90 minutes with poop and unhappy glares from our fellow passengers.
  • At the end of a beautiful six-course, wine-paired meal at a vineyard, Jack suddenly vomited all over the table. It was embarrassing, yes—but more than that, it was scary. That split second where your heart drops, your mind races, and you wonder if this is the beginning of something bigger.
  • There were also an assortment of large uber tips following pee stains and the need to find bathrooms in the most unlikely places – yes toileting for both Jack and I is always an adventure.

But here’s the part that matters most — We survived.

Not just survived—we adapted, adjusted, laughed when we could, cried when we needed to, and kept going. We leaned on each other. We problem-solved. We reminded ourselves that discomfort is not the same as danger, and fear does not get to make all the decisions.

And in between the hard moments, there was so much good. There was beauty. There was connection. There were delicious empanadas and more pisco sours than I should have enjoyed. There was joy in being together, in watching Jack, Anna and Asher experience something new, watching my parents share stories and experiences, and in reclaiming a place that once felt stolen from us for nearly two decades.

ALD has taken enough. It has taken certainty, ease, and spontaneity. But it does not get to take our lives.

This trip to Chile wasn’t about perfection. It wasn’t smooth, or restful. It was real. It was messy. It was brave. AND it was Instagram worthy – enjoy the photos!

It was also proof that we will not let the what ifs win.

Because here’s what we learned, nineteen years later:
We can be scared—and still go.
Things can go wrong—and still be okay.
We can live with ALD—and still thrive.

Thank you Anna for the push and thank you Nonno and Mymom for the glorious trip!

Love, Jess

Proud and Sad — Mostly PROUD

I got one of those Facebook memories yesterday morning. I almost scrolled by it — there was no picture to capture my attention — but then I glanced at the words.

11 years ago, I was worried (even sad) about Anna. It wasn’t fair that her life had been touched — sometimes torched — by what ALD had done to her brother. BUT I was so proud of her and how she approached her life. 

Although her life was different than most of her peers, she had a pile of extraordinary friends who surrounded her with love and fun and were all amazing to Jack. She was already an exceptional student and athlete. And, even at 12, Anna had an independent streak that presented itself often. If she had a goal, she would make it happen — when she wanted to make some extra money, she found herself babysitting work and even organized (with dear Caroline) a lacrosse camp for some younger kids in town. She was a kid who would paint her own room. I believe middle school were the “Tiffany Blue” years.

But Dan and I DID worry about Anna back them. We would discuss if she was feeling too much pressure to achieve. Was she feeling that she needed to do enough to make up for what Jack couldn’t do? We wondered if her motivation and good attitude would continue.

They did.

I am NOT a believer in “everything happens for a reason” or “Life only gives you what you can handle”. I’ve witnessed too much tragedy to believe that nature is fair or that there is some sort of master plan that makes sense.

What I do believe in is the internal power we all have. The power to make choices. The power to lean into uncomfortable feeling and find hope during dark times. AND – if you’re Anna – you have the power to look a disease that has harmed someone you love and instead of cursing it, work to be a person that helps put an end to it.

Anna is not sure what she will specialize in, and we are NOT pressuring her to work in the ALD space – although we do discuss it . . . often. No matter what she decides to focus on, she will be amazing. We are so proud of our girl. Sometimes we worry (even still get sad), but we are always proud.

Love, Proud. Momo

Full Circle

Yesterday was the anniversary of receiving Jack’s ALD diagnosis. 16 years since we heard the word Adrenoleukodystrophy for the first time. We were in a small room behind the nurse’s station on the 6th floor of Morgan Stanley Children’s Hospital at NewYork-Presbyterian Columbia. The room was filled with people as Dan and I sat on a small sofa trying to take in the news that Jack’s symptoms were a result of Adrenoleukodystrophy. That Jack may die. That he needed a horrible treatment if we wanted any hope of saving him. That our lives had changed forever.

Later that day, I was taking a walk to clear my head and I saw a sign — AMAZING THINGS ARE HAPPENING HERE.  All I could think was – there better F$%^ING be!

AMAZING THINGS ARE HAPPENING HERE is an ad campaign that continues at NewYork-Presbyterian Columbia. Every time I see it, I take a breath and nod my head. Amazing things are happening behind their walls. Lives are being saved, new treatments are being used, and doctors are being trained.

We learned that NewYork-Presbyterian Columbia was a teaching hospital when a month into our stay there, a pile of young faces marched into our room to meet Jack. We’d been asked if it was okay for a few medical students to stop by with their instructor. They wanted to learn more about ALD. We agreed and, later that day during my nightly call with Anna, I shared how cool it was to watch soon-to-be-doctors learn about our disease.

Anna soaked in the story. She was already thinking that being a doctor was in her future.

For 16 years, Anna’s determination to be a doctor has been incredible to witness. Her brain allowed her to excel in many subjects, but she chose to focus on the sciences. She could have gone to any college, but she chose Johns Hopkins University knowing it was the top pre-med program. She could have made some extra money working as a server or a bartender, but she instead spent countless hours working for extraordinary doctors and researchers. She studied hard, graduated in just six semesters, and nailed the MCAT exam with a top score. Although she reminded us often that there was no guarantee (even with her great resume) that she would be admitted to any medical school, she got offers at many top schools.

The last offer she received was the offer she had been dreaming of since 2007.

Anna will be attending Columbia University Vagelos College of Physicians and Surgeons!

Our family has always tried to focus less on her accomplishments and more on who Anna is in her core — a beautiful human who is kind and empathetic and knows how to get us all laughing when we need it — but today we want to focus on this incredible accomplishment!

Anna — We are so proud of who you are as a human and all the beauty add to the world. AND we are super proud of your determination and hard work and brilliant mind. YOU are going to do amazing things!

AMAZING THINGS are indeed HAPPENING!!!!!!

Love, Jess

two kids, incredible accomplishments and piles of pride

Last night our family sat around the kitchen table finishing up Anna’s medical school applications. Anna had already done all the hard work – the essay was written, the recommendations were in, the impressive MCAT scores included, and her transcript (flawless grades, completed in just six semesters from Johns Hopkins) was posted. The only thing missing was the list of schools where the application was headed – and the credit card payment. She will hit send on Tuesday and then the waiting begins. 

Today we will go through Anna’s other project – a six-week journey through Europe. Dan, Jack, and I have heard bits and pieces of the plan, but once again, Anna has taken an idea and run with it. She and her friend are winding their way through Europe wanting to take in as many sites and bites as they can. They want to explore museums and the countryside and the people of as many countries as they can. That’s the thing about Anna, she isn’t one sided. She is brilliant and determined and curious and adventurous and funny and kind. She truly is the most amazing person I know.

Except for MAYBE Jack.

Jack has been Anna’s greatest cheerleader her entire life. Whether it was cheering (silently, but with gusto) from the bleachers at lacrosse games to watching her proudly as she got her diploma last weekend – Jack is always there and always her biggest fan. And, Anna is always there to celebrate Jack’s accomplishments – his graduations, his activities, his strength through medical hell. He is also Anna’s inspiration for all she does. 

The pride I have for these two is profound and I can’t wait to see where life leads them both. BUT today, I just want to sit around the pool, hear about Anna’s trip and watch Jack swim.

Life is good.

Love, Jess

Tomorrow is not just Memorial Day – it is Jack’s 15th Transplant BiRtHdAy!!!! If you have time today – can you send a picture or a video so that I can make Jack a little birthday card/video thing? jctorrey@mac.com

It was time

We did something last night that needed to be done. We’ve discussed it as a family for months but were waiting until we were all on the same page. After enjoying a great holiday, we figured we could handle anything. Everything else we had tried hadn’t been working and it was starting to look really bad. It was time. Besides, we needed Anna to be here. She’s not just our family cheerleader, but she’s our family barber.

We shaved Jack’s head last night. His hair has been thinning for a couple of years and there was no magic shampoo or haircut that could hide it anymore. Anna kept reminding us that “bald is beautiful” and showing us photos of handsome men with a “clean look”. Our hesitation had nothing to do with not liking a bald look, it was that we have seen Jack bald before and those are days that we don’t want to remember.

But Jack is NOT sick. I like to blame ALD for most things, but there are other genes lurking in my family tree that might be at work. It was time.

When I walked into Jack’s room this morning, I did need to make sure that I had plastered a believable smile on my face. It’s going to take me a minute to get used to his new look. Change is tough — but he looks very handsome – just different.

Who knows – this shave might be a reset for his hair follicles, and Jack could return to needing shampoo, but for now he is bald and beautiful!! AND, he is in need of some new winter hats!!!

Love, Jess

HaPpY 14th Transplant Birthday!

14 Years . . . Day + 5113 . . .

It’s Jack’s 14th Transplant BiRtHdAy!!!! 14 years since he received the magic cells from the Little Lady from Detroit that would stop the progression of ALD and allow us to not just continue enjoying life with Jack, but appreciate his wisdom and strength. He’s the greatest teacher I’ve ever had and I know he’s the same impact on everyone lucky enough to cross his path.

Here are some sweet words from his family about our boy. PLEASE add a comment about what Jack means to you.

He’s got moves like Jagger. – Dan

He’s a loud, silent human. I love my Booger – Anna

In an age where we’re all on our devices, Jack is living in the moment and loving it. – Aunt April

Yesterday is history, tomorrow is a mystery, and the present is the gift Jack gives us. – Love Aunt Darcy (with help for Eleanor Roosevelt)

We all so remember this day 14 years ago when Jack stayed so calm and so brave as the the Little Last from Detroit came into him and started to do her magic. He smiled back at all the people standing and applauding in his room. What wonderful advantage we all have been able to take from that gift. Jack has been our leader and hero every moment of the way. —  Nonno and Mymom

A quiet guy with a big personality. – Uncle Phil

We both always feel so good around Jack and feel his presence and happy demeanor. He is a gift that makes us all better people. — Love, PopPop and Nanna Sue

A man of few words who says a lot especially with his laughs and smiles. – Aunt Kate

Jack is just a light soul and a whole lot of laughter and smiles. He is also a great dance partner. – Other Mother Orla

Jack is engaged. People think not speaking would isolate him, but it sure doesn’t. – Mymom

Absolutely famntastic! The best friend anyone could ask for. Empathetic, funny, charming. – Other Father Peter

As my grandson and my inspiration as a valiant and brave guy always ready to replace difficulties and tragedy with a laugh. – Nonno

Jack is the best human being ever, my inspiration in life! – Other Mother Lilly

Jack is pure love! The most beautiful soul I have ever met. He means kindness, friendship, strength and sensitivity with a resilient heart. Jack is an example of how to live life with grace and joy no matter the adversities. – Other Mother Monica

Jack is an amazing young man who loves a good laugh more than anyone I know! – Uncle Matt

Once upon a time there was “a Iittle girl from Detroit” who would forever change a little boy by the name of Jack Torrey’s life!  Her gift to Jack has inspired so many and has given Jack the opportunity to be the awesome dude he is – a smile like no other and an awesome sense of humor to boot! – Love Aunt Kim

Jack’s journey shows that happiness and love can win. Jack still has the same attachment he always did. — Uncle Pablo

Our family can’t describe in words what Jacko means to us. He has completed our family. We love him so much. — Other Mother Maria and Family

Time is always a odd when it comes to remembering defining milestones. We will never forget that day in room 505, but it feels like both yesterday and a million years ago. We remember every detail of the anxiety and energy and hope and smell (stem cells smell terrible — who knew?) in the room when the life-saving cells went into Jacks’s body. It’s the day that we saved our son’s life with the help of countless doctors and nurses AND a family that donated precious cells, never knowing that they were going to give the gift of Jack to so many.

Thank you to the mother of the Little Lady from Detroit! Your gift didn’t just save Jack’s life, it changed the lives of many!!

Love, Jess

Banana is 20!

Today is Anna’s 20th birthday. Like so many people, she isn’t celebrating it the way she had planned. Anna loves her birthday almost as much as I do, and she has been talking about her birthday plans since last June. Piles of her Hopkins crew would fill our house and then her childhood friends would join in and fill the yard and pool. Driving the neighbors crazy was really the only thing we worried about until COVID arrived. 

We modified the plan and then modified it again. Now we are hoping that the weather holds so that a few of her friends can come for some from a distance/Purell-filled fun in the pool. If that doesn’t work ,out at least she can celebrate with her three biggest fans – me, Dan and Jack.

The last four months have been filled with cancelled plans and profoundly adapting everything else. It wasn’t just her birthday, Anna’s entire summer has been altered. She was going to be waitressing here in town and then working in NYC with a doctor who works with children with neurological disorders (specifically Leukodystrophies). The waitressing job disappeared and then Anna got word that the hospital where she was doing her internship was only allowing “essential staff” on premises. Luckily the doctor was willing to adapt his plans and Anna is spending hours a day in her room working on a project that I don’t really understand, but she finds fascinating.

Anna has also found a job with the Department of Developmental Disabilities working with a handsome young man with special needs — Jack. She has hikes planned and has already been working on swimming lessons for our boy. Jack has had a lot of caregivers over the years, but I can say, without a doubt, that he has found his new favorite. And, for Anna, it is incredible to actually be getting paid for something she has always done without complaint. She adores spending time with her brother. She is a truly special — special sibling.

Anna is such a special young woman and I’ve always been proud of her heart and brain and determination, but COVID has shown me another quality she has that I appreciate. Anna is able to adapt. Our family tends to be “glass half full” people, but Anna seems to look at every glass as over-flowing.

Love you Banana and hope that you enjoy your quiet(ish) birthday!!! It may not be the birthday party of the year, but we promise that when the dust settles, we will P-A-R-T-Y!!

Love, Mom

PS As I have been writing this, I’ve been seeing friends sneak through the backyard gate. I need to go out there and start screaming, “Six Feet!!” and “Purell!!!”.

ALD Connect Peer Mentor Program

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Thirteen years ago we were in the hospital living through transplant. We’d only heard the word Adrenoleukodystrophy for the first time four weeks earlier. We didn’t know anyone who had ALD or who had even heard of the disease. Our doctors didn’t even have much information to share.

We were terrified and we were completely isolated.

It took months to connect with any other ALD families — it was a time before social media and Googling ALD simply lead us to horrifying stories and even more horrifying statistics. Once we found a couple of other ALD families, we did find some comfort, but it was often short-lived as their journey’s took turns down dark paths. Fear and guilt weighed heavy in continuing those relationships.

It took years before our family really found our ALD community. Smiles and Duct Tape – the blog, then the book – found it’s way into the hands of a member of the board of ALD Connect and she reached out to encouraged me to go to their next meeting (thanks Kathleen). Attending a panel of ALD patients and caregivers and then my first ALD Connect Annual Meeting was empowering. It was years after Jack’s diagnosis and transplant and it was when I first realized that our family had reached another chapter in our ALD journey. Being surrounded by people who knew our disease – who lived our disease – was inspiring. And, we were no longer weighed down by fear and guilt and were finally strong enough to be able to provide help. Sharing our story with other families and doctors and organizations studying our disease — it’s (I hope) helped other people, but it’s absolutely helped our family find strength and take some power back.

ALD Connect asked me to attend a meeting last year to find out more about peer to peer support programs and how they can help rare diseases like ours. I was honored to be asked to represent ALD Connect and found the conference fascinating and reminded me of how our family felt thirteen years ago. Scared and alone.

The first speaker at the conference talked about the added stress of feeling isolated that families go through when facing a rare disease. They’re not just battling the disease, they are often battling the disease without any support from people who understand the disease the way ONLY PEOPLE WHO HAVE LIVED IT can understand.

ALD is a horrible disease, but the people effected are an incredible group. It took me a while, but most ALD families don’t take years to find the strength to help others. AND, thanks to social media, our community has been able to more easily find each other. Informally, many in our community have been acting as mentors, but ALD Connect is now rolling out a more formal program.

The ALD Connect Peer Mentor Program is now welcoming our ALD community to reach out if they would like to be paired with someone within our community who has experienced a similar path with the disease. A group of incredible mentors have been selected, representing each phenotype of our disease, and they are looking forward to being a resource for support, encouragement and a shoulder when needed. Please contact me or admin@aldconnect.org if you are interested.

A year ago today. Really?

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Thank you Speir Drive. Not that spending 49 days inside your walls with limited company* has been super fun, but you’ve made it bearable. Dan has a proper office that’s removed from distraction. Anna has the second floor to herself. Even JackO has found spaces to attend his Zoom classes. We have all settled into our new routine fairly easily. Each day Dan’s at “work”, the kids are at “school” and I’m the cook/housekeeper/teacher/baker/online shopping ninja/puzzle solver (okay, maybe I’m not completely settled in, but at least I’m busy(ish)).
When we’re not working (and the weather is cooperating), we’re all enjoying the quiet oasis that is our backyard. We’ve cleaned things up and built a lovely garden that we’re going to fill with vegetables and herbs as soon as the fear of a frost is off the table. We’ve even had the pool folks out to start fixing it up for a long — hopefully not lonely — season (Dan thinks I am nuts, but I have a feeling that he will appreciate it once it’s open and has a working heater).
We loved Clinton Avenue, and will forever miss our neighbors, but this is our home now and we are grateful for it’s flat living and ability to provide private space for everyone and a nice open living area when we want to meet up at the end of the day.
We bought this house last year to make life a little easier. We sold our 1905 center hall colonial with it’s three floors and traded it for a modified mid-century ranch. Jack could live without steps and it’s open floor plan seemed better suited for keeping an eye on him. Dan and I were excited about an attached garage that fit our cars and our old doggies appreciated being able to get to the yard without steep steps. The pool wasn’t part of the plan, but all of us thought it was a fun plus.
We never imagined when we moved in last year that our first spring in this house would arrive with a pandemic. We never pictured Anna coming home in mid march and taking college classes online from her new bedroom OR Jack doing his classes and therapies from a computer on the kitchen island OR Dan taking zoom business meetings in his pajama pants OR me looking forward to using the new mop that was just delivered by a UPS driver wearing a mask and gloves OR using our dog sheers to cut Dan and Jack’s hair OR freaking out when we’re running low on Clorox wipes OR realizing we haven’t purchased gas in six weeks OR needing to check the computer to see what day it is . . .
We never imagined any of this when we moved in last May, BUT this is where we are, and this house has helped us while we’ve been adjusting to this new TEMPORARY normal.
COVID-19 has made life complicated for everyone on the planet. As strange as it’s been for our family, I know how lucky we are. We are all healthy, Dan is able to work from home, we have a fridge full of food, our bathrooms have extra toilet paper, we have a beautiful yard to enjoy the fresh air, my parents have been able to visit, Maria (Jack’s caregiver) is still coming to help out with Jack, and our family is (mostly) enjoying each other’s company AND our quirky new house.
Happy Anniversary Speir Drive! Thanks for keeping us warm and safe this year. We look forward to many more years living here and can’t wait to fill you up again with friends and family — Jack’s graduation? Anna’s birthday? July 4th? Labor Day? Thanksgiving? 
Love, Jess
* My parents have joined us several times and Maria (Jack’s caregiver) is still coming. All three of them have been safely quarantining at home when not here.

She Can’t Sing

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She can’t sing.

I mean that seriously. She’s terrible. Like – hurt your ears bad. What makes it worse is that she tries. Sings loud and proud, but she shouldn’t. Because she’s dreadful.

I know it sounds mean, but we point it out whenever we have the opportunity. After all, isn’t that our job as parents? We can’t always just be applauding her.

Anna excels at academics, athletics, and artistic ability. She’s kind and graceful and beautiful. She’s generous and funny. It’s a little obnoxious, so we feel like it’s important to remind her that she will never be on The Voice or on Broadway. And, if she cares about people’s hearing — she should never even sing karaoke.

I wish I could take credit for half of who Anna is, but I think she is who she is because everything just came together and fit — like one of those 1000 piece puzzles with a huge amount of sky. You think there’s no way anyone can make it happen, but it does (at least on Block Island with Nana Sue taking the lead).

Anna was born determined and smart and when life changed for our family, she managed to get what she needed and continued growing and learning. I’m proud of all of her accomplishments, but when she does something that I can actually understand, I’m in awe.

Anna wrote a blog piece for Remember the Girls — an incredible organization founded by Taylor Kane, created to give a voice to women/carriers of x-linked diseases. Anna wrote about being tested for ALD. Her voice shines through in this piece and I couldn’t be prouder. She can’t sing, but she can write.

My Experience Getting Tested for the ALD Gene

Love you Banana.

Love, Momo