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MOG Project Champions

Resources For The Blind

My Guiding Angel Eyes

A Story About Newcastle, His Extraordinary Abilities, And Our Partnership My name is Andrea, and I have lost most of my sight in both eyes due to a rare orphan disease called MOG Antibody DiseaseOften referred to as MOGAD, Anti-MOG, MOG Ab+, MOG Antibody Disease, MOG Associated Antibody Disease, MOG positive disease  . MOGA type of protein involved in cell adhesion. Present throughout myelin sheaths. stands for Myelin Oligodendrocyte GlycoproteinA type of protein involved in cell adhesion. Present throughout myelin sheaths.. It is a neuro-immune disorder that causes inflammationA process of the immune system that involves chemicals released by immune cells (i.e. white blood cells) inducing localized heat, swelling, redness, and pain to an area that occurs when tissue becomes damaged or infected from a pathogen, and usually results in the desctruction and removal of the pathogen and/or healing to the tissue. In the case of myelin oligodendrocyte glycoprotein antibody disease (MOGAD), inflammation is the result of the incorrect targeting of the myelin oligodendrocyte glycoprotein (MOG) by the immune system, resulting in damage to myelin sheaths. primarily in the optic nervesThe cranial nerves that relay messages from your eyes to your brain to create visual images. These nerves extend from the retina in the back of the eyes to the part of the brain that processes what we see. In myelin oligodendrocyte glycoproten antibody disease (MOGAD), they may be the target of inflammation or lesions, sometimes causing visual disruption or blindness. but can also affect the spinal cord and brain. I have a guide dog named Newcastle. He helps me maintain some of my independence. I am writing this story to shed some light onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement. what Newcastle does for me daily and would like to provide some background about him, and what it took for him to become the amazing guide dog he is today. Newcastle is a beautiful seven-year-old, 73-pound, male, yellow Labrador Retriever.  His fur has red tones and some white in his face from age. I call him Sugar-Face.  He has gorgeous golden eyes that sparkle when the light catches them.  He has a knot onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement. top of his head that feels like a knuckle. It is called an occiput and protects his skull and brain. Newcastle is so intelligent, and he’s the envy to all of us girls, as he has the perfect hourglass figure. I received him from the Guide Dogs for the Blind (GDB) campus in San Rafael, California. Newcastle was born onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement. February 13, 2013, and his parents are Parson and Wanda. All of the puppies in his litter have names beginning with the letter N. A committee named him Newcastle after the beer, which is quite delicious. Nancy and Len Joseph are from a beautiful beach community in Laguna Beach, California. They were his puppy raisers and I have grown quite close to Nancy and Len and consider them both family. We visit them every year and call them Grandma and Grandpa.  They belong to the Laguna Beach puppy club. Puppy raisers attend club meetings to learn GDB development and training techniques, as well as the handling of puppies.  It takes approximately three months of training before a new puppy raiser receives their first guide in training. The puppy clubs meet two to four times a month, so it’s a significant time commitment. The raisers also provide food, training, toys, sometimes crates, and a lot of love. Nancy and Len have had eleven prospective guide dogs under their care. Because of the strict standards of GDB, only three of the eleven graduated and were matched with handlers. Azura, Norway, and Newcastle are the three dogs who succeeded in becoming guide dogs. One prospective GDB, Steven, was nipped by another dog and reacted to a dog during his final evaluation.  He is now a therapy dog. Nancy and Steven passed tests to be able to visit Kaiser hospital and assisted living and memory care residences. Steven has been instrumental in training Newcastle and all future guide dogs in the family home. He is a very handsome yellow Labrador Retriever. Azura is a beautiful yellow Lab and is now back living with Nancy and Len after she retired from her job as a guide. Newcastle was ten weeks and three days old when Nancy and Len received him at the San Diego Fun Day onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement. April 28, 2013. Steven joined the family three days later, so they grew up together. They are brothers. Newcastle learned basic commands like sit, down, stay, come, and to “do his business.” That is a professional way of saying to “go potty”. Guide dogs can’t go to the bathroom while working.  They follow a schedule, must only go by command, and only in designated areas. They learn to go onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement. concrete and grass. Handlers receive specific instructions onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement. how to relieve them. Their harness comes off, so they don’t get into the

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MOG Squad Highlights

A Story of ADEM and a New Illness: MOG Antibody-Associated Disease

At 5 years old, my daughter Isabel was a beautiful, bubbly girl with no health problems.  I took her to the Father-Daughter Dance and she became ill 2 days later.  This was the start of what would amount to 3 hospital visits and 5 doctor visits with multiple misdiagnoses.  One week after the Father-Daughter Dance, Isabel was admitted for what would turn out to be a misdiagnosed disease.  At first, she was having seizuresA sudden, temporary disturbance in brain activity that causes changes in behavior, movement, sensation, or consciousness with active vomiting, extreme behavioral changes and her doctors did not know what was going onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement..  They continued to treat her for unrelated illnesses.  Even while in the hospital, the doctors there attempted to discharge her, stating that it was only an infection and that she was fine.  We told the doctors that it was something neurological and that she was in an altered mental state.  They insisted that this was not the case and that we did not know what it was.  By the next day, she was in the Pediatric ICU fighting for her life, paralyzed and unable to speak with absent seizures as well as other neurological problems and altered consciousness. The doctors treating her were concerned and told us she may not make it through the night as her body was shutting down and they were concerned her respiratory function may go next.  In ICU the doctors said they would have to rule out meningitis and would have to do a lumbar puncture without sedation due to how far gone she was.  They requested that we hold her down since there was no sedation.  After the lumbar puncture, they diagnosed her with acute disseminated encephalomyelitisAn initial and brief autoimmune attack that causes widespread inflammation and damage to the brain, spinal cord, and optic nerve, typically in children. This initial attack establishes the basis for diagnosis. The MOG antibody is detectable in a percentage of Acute Disseminated Encephalomyelitis (ADEM) patients., or ADEMAn initial and brief autoimmune attack that causes widespread inflammation and damage to the brain, spinal cord, and optic nerve, typically in children. This initial attack establishes the basis for diagnosis. The MOG antibody is detectable in a percentage of Acute Disseminated Encephalomyelitis (ADEM) patients., and at the time, it was believed to be a “one-time illness”.  After getting high-dose steroidsA type of medication typically given intraveneously or orally. For myelin oligodendrocyte glycoprotein antibody disease (MOGAD) it is used as an immunosuppressant and anti-inflammatory to reduce disease activity and inflammation. In adults, it is sometimes used in high doses for acute attacks. In some adult patients, it may be used for 1-2 months after an acute attack to avoid a rapid onset of relapse. Higher doses (>10mg/day) are not recommended for an extended period of time but lower doses (<=10mg/day) may be used in some patients longer term. In children, it may be used after treatment of an acute attack, but it is not recommended long-term due to the profound effects of chronic steroids on a child’s health. Use of oral prednisone as a maintenance therapy in relapsing pediatric MOGAD patients is discouraged due to side effects in developing children, and other therapies such as monthly immune globulin are suggested. (To understand relapsing during steroid tapering, see Steroid Dependency) she was able to come home, and it took over a month to get her walking onInflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement. her own and drinking without a straw. The next 18 to 24 months we had her in therapy to help make almost a full recovery with only slight cognitive delay being noted. At the beginning of January and February of 2016, this supposed “one-time illness” attacked again. For 3 weeks we took her to 15 doctor visits with 9 different doctors and 3 hospital visits to be told nothing was wrong and that we were over-reacting.  We continued to fight against these doctors and 3 weeks from the start and almost 2 years to the day of the first attack she had a relapseWhen you present to your doctor or hospital with new or worsening central nervous system symptoms. Generally, if your symptoms gradually worsen over 24-48 hours, there is heightened concern of a relapse. (Also referred to as a flare by the myelin oligodendrocyte glycoproten antibody disease (MOGAD) community). of ADEMAn initial and brief autoimmune attack that causes widespread inflammation and damage to the brain, spinal cord, and optic nerve, typically in children. This initial attack establishes the basis for diagnosis. The MOG antibody is detectable in a percentage of Acute Disseminated Encephalomyelitis (ADEM) patients. with Optic Neuritis (ON)Inflammation of the optic nerve that may be classified as unilateral (affecting one eye) or bilateral (affecting both eyes) that may result in vision changes, vision loss, and/or pain with eye movement..  However this time she was left blind in one eye and for several weeks, continued losing her vision in the other, along with extreme behavioral changes and severe headaches. Doctors then said that we were somewhat right but also wrong in that it was not a relapseWhen you present to your doctor or hospital with new or worsening central nervous system symptoms. Generally, if your symptoms gradually worsen over 24-48 hours, there is heightened concern of a relapse. (Also referred to as a flare by the myelin oligodendrocyte glycoproten antibody disease (MOGAD) community). but what they thought was Multiple Sclerosis (MS)An autoimmune disease that attacks healthy cells in the myelin, the protective sheath that surrounds nerves in the central nervous system (CNS) leading to neurological symptoms originating from the brain, spinal cord, and/or optic nerve., a diagnosis

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