Should $3 million be
spent to save the life of a toddler?
That
rhetorical question is difficulty to answer especially if you are not related
to the child.
When Michael Pirovolakis was
born eight days before Christmas in 2017, his green eyes glowed bright like two
snow globes. He had 10 fingers, 10 toes and a full head of hair matted to his
head. Michael was a cooing, crying, healthy baby boy. Terry, 39, and his wife
Georgia, 41, became a family of five, tucked away in a suburb east of Toronto’s
core.
Michael grew like any ordinary
infant, his peanut-coloured hair becoming longer and curlier by the day. But
six months into his life, it became apparent to his parents that something was
terribly wrong with their son.
His Fther, Terry says he and his wife Georgia
looked at photos of Michael’s siblings and began to realize he wasn’t reaching
the same developmental milestones. Michael wasn’t using his hands, didn’t crawl
and hadn’t formed words. That observation led the family down countless
hospital hallways, into waiting rooms and handshakes with many experts in white
lab coats.
At frst, pediatricians noticed Michael’s smaller
head and a “floppiness” arising from missing muscle tone. Physiotherapy was attempted
and should have solved the problem, but there was no sign of improvement two
months later.
Then, specialists at Toronto’s Sick Kids
Hospital suspected Michael may have contracted the Zika virus from his father’s
travels in South America and Puerto Rico for work.
The Zika virus an infectious
disease spread mainly by mosquito bites. The symptoms and signs of a Zika virus infection may
include one or more the following: flat or raised skin rash (may be itchy) Fever, chills, sweating, Joint pains conjunctivitis
(red eyes), muscle aches and pains and headaches.
Back in 2016, the Zika virus
had everyone's attention. In February of that year when the World Health
Organization (WHO), declared the Zika virus and its suspected link to birth
defects after an outbreak that began in Brazil moved to more than 20 countries
in South America and central Amerca.
Since then, the panic has
quieted down—but that doesn't mean the Zika virus has been eradicated and while
no new cases of the Zika virus have been reported in the United States. since
2017. it doesn’t mean that it can’t be in other countries.
Obvously Michael’s father was
bitten by one of those Zika virus carrying mosquitoes. Since he impregnated his wife, their unborn
son was the recipient of the virus.
For the most part, Zika is
transmitted by the bite of an infected mosquito. But, in the past few years, it
was discovered that it can also be transmitted through having sex. “This is the
first mosquito-born illness that we’ve seen transmit sexually,” Dr. Adalja
says. “It’s really only under that circumstance that it’s contagious.”
The irony of this case is that neither of the
boy’s parents suffered from the virus as their immune systems faught the virus
but an unborn baby doesn’t have a full immune system in its body, hence, the
virus did its dirty work on the unborn baby.
Dr. Adalja says. “Unfortunately,
there is no specific treatment for Zika virus—you kind of just have to let it
run its course. “There’s no anti-viral medication and most cases are really
self-limited, even when people have symptoms. Instead, it’s generally
recommended that you treat the symptoms, get lots of rest, take medicine like
acetaminophen to reduce your fever and pain, and drink plenty of fluids.”
s Dr. Adalja also says, “There’s also no vaccine that can protect against
Zika virus, but you can protect yourself if you travel to (or live in) in
areas that are Zika-infected, or have been in the past (the CDC keeps updated
information on this online), which says. “You can do this by being vigilant
against mosquito bites, Dr. Watkins says—that means use lots and lots of
mosquito repellent. One exception: If you're pregnant or looking to get
pregnant in the near future, you should avoid traveling anywhere that's been
infected with the Zika virus.”
So far, there is no
treatment for Zika virus. The Centers for Disease Control and Prevention (CDC)
calls this an epidemic on the same level as that of Ebola. Because of this,
there’s a lot of money being poured into quick research on vaccines and treatment
options. So far, none are commercially available.
The tests for Michael didn’t
stop. A neurologist said although it was nothing to worry about, the white
matter that moves neural signals across Michael’s brain was simply underdeveloped. It was another dead
end, but then came genetic testing — and when the results arrived last spring,
they contained the answer to every question keeping Michael’s parents up at
night.
Terry said. “It was the worst
day of my life. I saw on the doctor’s face that something was wrong, so they
sat us down and told us what it was. It was just an acronym, but then we
started reading words like ‘paralyzed, quadriplegic, limited brain function.’ I
honestly don’t even know how we got home.
We curled up in a ball and cried for a couple of hours.
Michael became one of 61 people
on the planet and the only child in Canada known to have spastic paraplegia 50,
also called SPG50.
It’s a rare disease that will
leave Michael with a progressive cerebral palsy effect in his limbs while his
mind will fail like a Parkinson’s because of a missing protein in the AP4M1
gene, that is starving his son’s brain. “He’s got this double whammy of stuff
happening to him right now.
Michael has suffered seizures
and as he ages, his muscles will morph to
having too much, robbing him of his ability to move. His brain, too, will lose
much of its function.
Terry and Georgia didn’t waste
anytime starting to scour the internet for any bit of information about the
disease. They tracked down a child in Boston living with a similar condition. “For
two weeks, that family took care of us,” Terry said. “We took that information
and started running.”
He started flying around the
world to speak with specialists and pharmaceutical companies, while attending
conferences to learn how they could beat the race against time. “I asked them
all the same question: ‘If this was your kid, what would you do’?”
Many of them pointed to gene therapy and
researchers from the University of Texas. After Terry begged them to look at
Michael, the team of specialists agreed, saying they could create an
experimental therapy to try to cure his son — but it would cost $3 million.
“We’ve liquidated
everything … we’ve reversed our mortgage and have taken everything out to try
to save our kid,” Terry said.
On top of the money needed for the experimental
treatment, Michael also needs daily physical therapy and occupational therapy,
but the government says it cannot cover
all the sessions.
If the therapy wasn’t
experimental, there’s a chance the government would fund it and if the
condition wasn’t as rare as it is, there might be more researchers in Canada
searching for a cure — but the only option is out of the country, creating
another barrier for any kind of financial help.
Terry said he tried contacting
Ontario Premier Doug Ford and Prime Minister Justin Trudeau, but didn’t receive
any support. That shouldn’t have come as a surprise. “Canada as a whole needs to come up with
something to help parents,” he said. “There has to be a mechanism for families
like us that are desperate, spending their life savings.
In my opinion, both the federal
and provincial governments should fund the experiment so that |Canadians who
are victims of the Zika virus can be
cured.
Finding sympathy from
the primeminister of Canada and the premier of Ontario is a futile as finding a gold mine in the city dump.
As people around the world
organize fundraisers, events, yard sales and even lemonade stands to help
Michael, Dr. Steven Miller, the head of neurology
at SickKids, said “Terry is one of the parents leading what could be a
revolution within labs movement now, especially in Canada, where researchers
are working with parents to identify what the next steps are in research. As we
wait for the new therapies to evolve, it’s important not to lose sight for what
we can do to help kids with diseases for which there is no cure.”
Meanwhile, Terry said he spends his mornings talking to the media
before going to work for the day and coming home to his family in the evening
before researching online until 3 a.m. I sincerely hope he isn’t
blaiming hiself for being bitten by the Zika virus carrying mosquito.
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