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We Are Far More Than Our Diagnosis

Esmeralda, standing at the front of a warm and inviting classroom, gestures proudly to the image on the projector display that reads "Welcome to our class!". Esmeralda is smiling, wearing large-framed, stylish and transparent glasses, with smooth styled warm-brown hair that frames her face with soft waves. She is wearing a modest white t-shirt under a long, muted light-blue denim dress with tall clog-heels with wide brown straps.

My name is Esmeralda Benitez Del Real and at 25, I was living the life I had always dreamed of being a first-year teacher and a mom to two beautiful little girls. Each day was a whirlwind of teaching in my classroom and then completing my mother duties. Life was busy, but it was everything I had worked for.

Then, in late November 2024, things changed. It started with a sharp, aching pain behind my eyes. At first, I thought it was just a sinus infection, but within a week, my vision blurred, and I lost central vision in my left eye. I then knew it was more serious than a sinus infection.

I went to the ER but they sent me home with no answers.

I saw my optometrist, then an ophthalmologist, and they both told me my optic nerves were swollen. The ophthalmologist sent me to the hospital for an MRI because they suspected idiopathic intracranial hypertension (IIH). After two MRIs and a spinal tap, the results were negative, so they admitted me to the hospital for a five-day steroid treatment on suspicion of an autoimmune disorder. The next day they brought in a neuro-ophthalmologist and she decided to test my spinal fluid for MOGAD, NMO, and MS.

Esmeralda is laying in a hospital bed wearing a hospital gown and her stylish large-framed transparent glasses. She is cheerfully and encouragingly holding a thumbs-up while softly smiling at the camera as she takes a self-portrait.

Two weeks after being discharged, I was told I tested positive for MOGAD. I had never heard of it before, but it’s now my reality. It’s an autoimmune disease where my body attacks the myelin in my nervous system. There’s no cure, just treatment to prevent another attack. Since then, I’ve been tapering off steroids, dealing with side effects, and recently began a low-dose immunosuppressant to keep it from happening again.

Every day is a balancing act. Teaching, being a mom, being a homemaker and managing my health – it never stops. Some days, I feel strong. Other days, the exhaustion and uncertainty get to me.

Esmeralda is holding her two daughters as they all smile while posing for a candid Christmas-themed family photo. Esmeralda is wearing a long black long-sleeve gown while her daughters are wearing lovely felted white sweaters and skirts with tights and pink bows in their hair, securing their ponytails. White fabric snow sprawls across the floor, underneath wrapped gifts and lighted Christmas trees and Christmas decorations in the background.

But through it all, I remind myself - I am still a mother, still a teacher, still me. MOGAD is just a part of my story, but it will never be the whole thing.

By Esmeralda Benitez Del Real