{"id":11794,"date":"2017-06-21T09:00:22","date_gmt":"2017-06-21T09:00:22","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/06\/21\/survivors-of-childhood-diseases-struggle-to-find-care-as-adults\/"},"modified":"2017-06-21T09:00:22","modified_gmt":"2017-06-21T09:00:22","slug":"survivors-of-childhood-diseases-struggle-to-find-care-as-adults","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/survivors-of-childhood-diseases-struggle-to-find-care-as-adults\/","title":{"rendered":"Survivors Of Childhood Diseases Struggle To Find Care As Adults"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/532601431\/survivors-of-childhood-diseases-struggle-to-find-care-as-adults?utm_medium=RSS&amp;utm_campaign=healthcare\">Kerry Klein<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/532601431\/survivors-of-childhood-diseases-struggle-to-find-care-as-adults?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/13\/kklein_ggrayson_chronicdiseases_photo1_custom-bb1e74829a5b9d3422a9021eca957683d538e8a5-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/13\/kklein_ggrayson_chronicdiseases_photo1_enl-1326b56e8f74bf1b82c25fcb669a74105b6b2a9b-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                As a child, Rachael Goldring had multiple open-heart surgeries to treat her congenital heart disease. At 24, she still sees pediatricians because she&#8217;s had difficulty finding the right care in adult medicine.<\/p>\n<p>                <b><\/p>\n<p>                    Kerry Klein\/KVPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Kerry Klein\/KVPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Rachael Goldring was born with congenital heart disease. Had she been born a few decades earlier, she probably would have died as a baby. Goldring is now 24, and among a population of patients who present new challenges to a health care system unaccustomed to dealing with survivors of once-fatal conditions.<\/p>\n<p>Today there are more adults than kids living with some of these diseases, and medical training lags behind. Young adults who can&#8217;t find suitable doctors may drop out of care, and their conditions may worsen.<\/p>\n<p>Goldring&#8217;s condition was <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/ncbddd\/heartdefects\/pulmonaryatresia.html\">pulmonary atresia<\/a> with <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.nhlbi.nih.gov\/health\/health-topics\/topics\/tof\">Tetralogy of Fallot<\/a>. She was born without a pulmonary valve directing blood from her heart to her lungs. It&#8217;s the condition that talk show host <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/05\/02\/526538071\/jimmy-kimmel-opens-up-about-his-newborn-sons-heart-surgery-and-praises-obamacare\">Jimmy Kimmel&#8217;s baby<\/a> was born with this spring.<\/p>\n<p>&#8220;I had my first surgery when I was 9 months,&#8221; Goldring says. &#8220;Now, they do it from birth.&#8221;<\/p>\n<p>Her condition has also meant three more surgeries, a heart valve from a cadaver, complicated secondary diseases, and a lifetime in and out of doctors&#8217; offices.<\/p>\n<p>&#8220;I just celebrated my one-year anniversary of staying out of the hospital for the first time since birth,&#8221; Goldring says. &#8220;So, this year, knock on wood, it&#8217;s been amazing.&#8221;<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>But she fears it might not last. Right now, she&#8217;s in limbo between pediatric and adult medical care. For Goldring, finding a good doctor could be a matter of life and death.<\/p>\n<p>Today, survivors of congenital heart disease can live well past childhood. Dr. <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.valleychildrens.org\/find-a-doctor\/find-a-doctor?id=244\">Patrick Burke<\/a>, a pediatrician at Valley Children&#8217;s Hospital in Madera, Calif., says other once-fatal ailments like sickle cell disease and spina bifida have undergone similar advances.<\/p>\n<p>&#8220;This is the so-called medical miracle promised to our parents and grandparents,&#8221; Burke says, adding that miracle kids like Goldring grow up to be complicated adults. &#8220;The job&#8217;s not done after the surgery or the initial treatment. Many if not most of these conditions require ongoing medical care \u2014 lifelong medical care.&#8221;<\/p>\n<p>Burke is in charge of a new program at his hospital in the new field of &#8220;transitional care.&#8221; He says many conditions worsen around the age of 18, right as children age out of pediatric care. For instance, he says, that&#8217;s when patients with congenital heart disease suffer complications with their blood and organs. The trend is particularly stark for cystic fibrosis.<\/p>\n<p>&#8220;We&#8217;re seeing this spike of deaths that are happening in the early 20s. And it&#8217;s bizarre,&#8221; he says.<\/p>\n<p>Dr. <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/profiles.ucsf.edu\/megie.okumura\">Megumi Okumura<\/a>, a pediatrician with the University of California, San Francisco, became interested in this transition during her residency in the early 2000s. She would see 40- and 50-year-olds in pediatric wards. The reason, she says, partly lies with our fragmented health care system.<\/p>\n<p>&#8220;They are transferring from differing systems of care,&#8221; she says, noting the silos that separate pediatric care from adult care. &#8220;We have different funding streams and programs.&#8221;<\/p>\n<p>Now, Okumura and other researchers are looking for ways to remove what she considers artificial barriers. Clinics around the world are trying out new strategies like giving non-pediatric doctors more training, or bringing in transitional specialists to connect young adults who are chronically ill with new providers.<\/p>\n<p>Goldring is fortunate in that she can remain with her pediatrician until she finds the right adult provider. She&#8217;s working on it, but at the moment, she&#8217;s much more focused on another transition: She&#8217;ll be getting married in October.<\/p>\n<p><em>This story is part of a reporting partnership with NPR, local member stations and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/532601431\/survivors-of-childhood-diseases-struggle-to-find-care-as-adults?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Survivors Of Childhood Diseases Struggle To Find Care As Adults\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/532601431\/survivors-of-childhood-diseases-struggle-to-find-care-as-adults?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/532601431\/survivors-of-childhood-diseases-struggle-to-find-care-as-adults?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/13\/kklein_ggrayson_chronicdiseases_photo1_custom-bb1e74829a5b9d3422a9021eca957683d538e8a5-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/13\/kklein_ggrayson_chronicdiseases_photo1_enl-1326b56e8f74bf1b82c25fcb669a74105b6b2a9b-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                As a child, Rachael Goldring had multiple open-heart surgeries to treat her congenital heart disease. At 24, she still sees pediatricians because she&#8217;s had difficulty finding the right care in adult medicine.<\/p>\n<p>                <b><\/p>\n<p>                    Kerry Klein\/KVPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Kerry Klein\/KVPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Rachael Goldring was born with congenital heart disease. Had she been born a few decades earlier, she probably would have died as a baby. Goldring is now 24, and among a population of patients who present new challenges to a health care system unaccustomed to dealing with survivors of once-fatal conditions.<\/p>\n<p>Today there are more adults than kids living with some of these diseases, and medical training lags behind. Young adults who can&#8217;t find suitable doctors may drop out of care, and their conditions may worsen.<\/p>\n<p>Goldring&#8217;s condition was <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/ncbddd\/heartdefects\/pulmonaryatresia.html\">pulmonary atresia<\/a> with <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.nhlbi.nih.gov\/health\/health-topics\/topics\/tof\">Tetralogy of Fallot<\/a>. She was born without a pulmonary valve directing blood from her heart to her lungs. It&#8217;s the condition that talk show host <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/05\/02\/526538071\/jimmy-kimmel-opens-up-about-his-newborn-sons-heart-surgery-and-praises-obamacare\">Jimmy Kimmel&#8217;s baby<\/a> was born with this spring.<\/p>\n<p>&#8220;I had my first surgery when I was 9 months,&#8221; Goldring says. &#8220;Now, they do it from birth.&#8221;<\/p>\n<p>Her condition has also meant three more surgeries, a heart valve from a cadaver, complicated secondary diseases, and a lifetime in and out of doctors&#8217; offices.<\/p>\n<p>&#8220;I just celebrated my one-year anniversary of staying out of the hospital for the first time since birth,&#8221; Goldring says. &#8220;So, this year, knock on wood, it&#8217;s been amazing.&#8221;<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>But she fears it might not last. Right now, she&#8217;s in limbo between pediatric and adult medical care. For Goldring, finding a good doctor could be a matter of life and death.<\/p>\n<p>Today, survivors of congenital heart disease can live well past childhood. Dr. <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.valleychildrens.org\/find-a-doctor\/find-a-doctor?id=244\">Patrick Burke<\/a>, a pediatrician at Valley Children&#8217;s Hospital in Madera, Calif., says other once-fatal ailments like sickle cell disease and spina bifida have undergone similar advances.<\/p>\n<p>&#8220;This is the so-called medical miracle promised to our parents and grandparents,&#8221; Burke says, adding that miracle kids like Goldring grow up to be complicated adults. &#8220;The job&#8217;s not done after the surgery or the initial treatment. Many if not most of these conditions require ongoing medical care \u2014 lifelong medical care.&#8221;<\/p>\n<p>Burke is in charge of a new program at his hospital in the new field of &#8220;transitional care.&#8221; He says many conditions worsen around the age of 18, right as children age out of pediatric care. For instance, he says, that&#8217;s when patients with congenital heart disease suffer complications with their blood and organs. The trend is particularly stark for cystic fibrosis.<\/p>\n<p>&#8220;We&#8217;re seeing this spike of deaths that are happening in the early 20s. And it&#8217;s bizarre,&#8221; he says.<\/p>\n<p>Dr. <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/profiles.ucsf.edu\/megie.okumura\">Megumi Okumura<\/a>, a pediatrician with the University of California, San Francisco, became interested in this transition during her residency in the early 2000s. She would see 40- and 50-year-olds in pediatric wards. The reason, she says, partly lies with our fragmented health care system.<\/p>\n<p>&#8220;They are transferring from differing systems of care,&#8221; she says, noting the silos that separate pediatric care from adult care. &#8220;We have different funding streams and programs.&#8221;<\/p>\n<p>Now, Okumura and other researchers are looking for ways to remove what she considers artificial barriers. Clinics around the world are trying out new strategies like giving non-pediatric doctors more training, or bringing in transitional specialists to connect young adults who are chronically ill with new providers.<\/p>\n<p>Goldring is fortunate in that she can remain with her pediatrician until she finds the right adult provider. She&#8217;s working on it, but at the moment, she&#8217;s much more focused on another transition: She&#8217;ll be getting married in October.<\/p>\n<p><em>This story is part of a reporting partnership with NPR, local member stations and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-11794","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/11794","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=11794"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/11794\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=11794"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=11794"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=11794"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}