1 00:00:00,920 --> 00:00:04,080 Speaker 1: What if we told you it was possible to prevent, manage, 2 00:00:04,200 --> 00:00:08,000 Speaker 1: or cure all disease by the end of the century. Well, 3 00:00:08,000 --> 00:00:11,880 Speaker 1: the chand Zuckerberg Initiative is on an ambitious mission to 4 00:00:11,960 --> 00:00:15,880 Speaker 1: make that a reality. Go to CZI dot com or 5 00:00:15,920 --> 00:00:18,800 Speaker 1: follow them on social media to learn more about how 6 00:00:18,840 --> 00:00:25,400 Speaker 1: they're building a better future for everyone. 7 00:00:27,360 --> 00:00:27,560 Speaker 2: Hi. 8 00:00:27,600 --> 00:00:35,440 Speaker 1: Everyone, I'm Kitty Kuric, and this is next question. Approximately 9 00:00:35,600 --> 00:00:40,000 Speaker 1: ten thousand rare diseases affect as many as four hundred 10 00:00:40,080 --> 00:00:43,720 Speaker 1: million people around the world, and women leaders have been 11 00:00:43,880 --> 00:00:48,760 Speaker 1: truly at the forefront of bringing awareness and driving change. Today, 12 00:00:48,760 --> 00:00:51,880 Speaker 1: we have a privilege, the privilege to talk with four 13 00:00:51,920 --> 00:00:56,280 Speaker 1: of these women about the unique challenges in rare diseases 14 00:00:56,840 --> 00:01:00,400 Speaker 1: and patient advocacy and research and how they're resilt alliance 15 00:01:00,480 --> 00:01:05,320 Speaker 1: and ingenuity has really moved the needle toward treatments and cures. 16 00:01:05,959 --> 00:01:10,840 Speaker 1: I'm always excited to be here with my friend Tanya Simachelli. Tanya, 17 00:01:11,040 --> 00:01:13,240 Speaker 1: we've been here. This is our third year at the 18 00:01:13,240 --> 00:01:16,200 Speaker 1: She Media Tent, so she may be a film familiar 19 00:01:16,240 --> 00:01:19,800 Speaker 1: face to some of you. Tanya joined CZI the Chan 20 00:01:19,920 --> 00:01:24,240 Speaker 1: Zuckerberg Initiative in twenty seventeen and launched rare as one 21 00:01:24,720 --> 00:01:27,679 Speaker 1: two years later. Prior to that, she has over twenty 22 00:01:27,720 --> 00:01:32,920 Speaker 1: eight years of experience in science, policy and advocacy. Meanwhile, 23 00:01:33,720 --> 00:01:37,120 Speaker 1: I'm not doing this in order necessarily. Tara Zier, who 24 00:01:37,200 --> 00:01:39,760 Speaker 1: is at the end there, is the founder and president 25 00:01:39,840 --> 00:01:45,080 Speaker 1: of the Stiff Person Syndrome Research Foundation. Tara was diagnosed 26 00:01:45,080 --> 00:01:49,400 Speaker 1: with Stiff Person syndrome in twenty seventeen, so she's here 27 00:01:49,440 --> 00:01:52,320 Speaker 1: to talk about her experience as both a patient and 28 00:01:52,360 --> 00:01:56,520 Speaker 1: an advocate. Doctor Christina Miyaki is next to Tara. She's 29 00:01:56,520 --> 00:02:01,360 Speaker 1: the director of the Genetics Arrhythmia Program, an Associate professor 30 00:02:01,440 --> 00:02:04,720 Speaker 1: at the Baylor College of Medicine, and collaborates with patient 31 00:02:04,840 --> 00:02:08,960 Speaker 1: organizations to study these conditions and help search for treatments 32 00:02:08,960 --> 00:02:14,440 Speaker 1: and cures. She knows firsthand the value of patient centered research. 33 00:02:14,800 --> 00:02:18,280 Speaker 1: And finally, Susan Dando, the executive director of the Smith 34 00:02:18,400 --> 00:02:22,720 Speaker 1: Kingsmore Syndrome Foundation. She joined the foundation in twenty twenty two, 35 00:02:22,880 --> 00:02:28,480 Speaker 1: shortly after her daughter was diagnosed with this disease. Nothing 36 00:02:28,960 --> 00:02:34,000 Speaker 1: excites me more than talking to really smart, kick ass women. 37 00:02:34,280 --> 00:02:37,040 Speaker 1: So needlanden to say, I am in hog Heaven right now. 38 00:02:37,560 --> 00:02:39,120 Speaker 2: Give them around of applause. 39 00:02:42,919 --> 00:02:45,160 Speaker 1: It's a real privilege to be here with all of you, 40 00:02:45,240 --> 00:02:47,280 Speaker 1: and Tanya, let me start with you. I am always 41 00:02:47,320 --> 00:02:50,600 Speaker 1: struck by this statistic that there are over ten thousand 42 00:02:50,680 --> 00:02:55,000 Speaker 1: rare diseases impacting four hundred million people across the globe. 43 00:02:55,560 --> 00:02:58,720 Speaker 1: Tell us a little bit about why you created the 44 00:02:58,840 --> 00:03:03,560 Speaker 1: rare as one and how it supports patient communities and 45 00:03:03,680 --> 00:03:06,520 Speaker 1: accelerates why do I feel like I'm kind of looking backwards, 46 00:03:06,560 --> 00:03:10,440 Speaker 1: I don't know or yeah shares no, I'm good, Now 47 00:03:10,440 --> 00:03:14,919 Speaker 1: you're good, and how it supports these communities and accelerates research. 48 00:03:15,720 --> 00:03:18,160 Speaker 3: Thanks so much, Katie, it's so great to be here 49 00:03:18,200 --> 00:03:21,680 Speaker 3: with you again and with this amazing panel. So I 50 00:03:21,720 --> 00:03:24,639 Speaker 3: think really three things that really inspired the rare As 51 00:03:24,639 --> 00:03:29,919 Speaker 3: one project. The first is just the extraordinary unmet need 52 00:03:29,960 --> 00:03:32,040 Speaker 3: in the space, as you mentioned the four hundred million 53 00:03:32,040 --> 00:03:34,040 Speaker 3: people who are impacted around the globe, but also the 54 00:03:34,080 --> 00:03:37,440 Speaker 3: fact that there are fewer than fewer than five percent 55 00:03:37,480 --> 00:03:41,320 Speaker 3: of these diseases have any FDA approved therapies, so there's 56 00:03:41,520 --> 00:03:48,440 Speaker 3: just an unbelievable gap there. Secondly, while these diseases are 57 00:03:49,320 --> 00:03:55,760 Speaker 3: really understudied, they're incredibly important scientifically, so you know, the 58 00:03:55,880 --> 00:03:59,200 Speaker 3: vast majority of these diseases are actually caused by genetic 59 00:03:59,280 --> 00:04:04,520 Speaker 3: changes in single genes and as opposed to common conditions 60 00:04:04,520 --> 00:04:07,480 Speaker 3: that are often caused by tens, if not hundreds, of 61 00:04:07,480 --> 00:04:09,400 Speaker 3: different genes interacting with one another. 62 00:04:09,920 --> 00:04:11,920 Speaker 2: So when you study these rare. 63 00:04:11,760 --> 00:04:15,400 Speaker 3: Monogenetic diseases, you have this incredible window into human biology, 64 00:04:15,520 --> 00:04:18,080 Speaker 3: and if we can understand the function of these genes 65 00:04:18,120 --> 00:04:21,159 Speaker 3: and what's actually happening in people with these diseases, it 66 00:04:21,160 --> 00:04:24,359 Speaker 3: can often leads to insights into how we can also 67 00:04:24,440 --> 00:04:27,640 Speaker 3: treat common diseases, so they're really really important. And then 68 00:04:27,680 --> 00:04:31,520 Speaker 3: the third reason is actually really about sort of the 69 00:04:31,560 --> 00:04:34,400 Speaker 3: evolution of patient advocacy. So in the last twenty years, 70 00:04:34,560 --> 00:04:40,520 Speaker 3: we've seen this incredible proliferation of patient led rare disease 71 00:04:40,600 --> 00:04:42,680 Speaker 3: organizations like some of the ones that you just saw 72 00:04:42,800 --> 00:04:47,240 Speaker 3: in the film, who are really going beyond sort of 73 00:04:47,240 --> 00:04:51,640 Speaker 3: the more traditional advocacy work of disease awareness and just 74 00:04:51,800 --> 00:04:55,560 Speaker 3: raising general funds for their disease and actually driving the 75 00:04:55,640 --> 00:04:59,240 Speaker 3: research forward, like NASA Fitter says in the video. And 76 00:04:59,279 --> 00:05:02,200 Speaker 3: they're doing this by building really strong communities but then 77 00:05:02,279 --> 00:05:07,440 Speaker 3: really actively engaging researchers and clinicians in their disease areas 78 00:05:07,960 --> 00:05:11,040 Speaker 3: and actually going about the work of building you know, 79 00:05:11,360 --> 00:05:15,120 Speaker 3: clinical registries and biobanks and all these assets that are 80 00:05:15,160 --> 00:05:18,279 Speaker 3: needed to study their diseases. They're recognizing that no one 81 00:05:18,320 --> 00:05:21,360 Speaker 3: is going to do that for them. The incentives aren't there, right, 82 00:05:21,640 --> 00:05:24,920 Speaker 3: And so so that's really the third reason that there's 83 00:05:24,920 --> 00:05:28,479 Speaker 3: been this like extraordinary growth of these organizations. Some of 84 00:05:28,520 --> 00:05:32,520 Speaker 3: them are kicking ass, yeah, and doing this incredible work, 85 00:05:32,839 --> 00:05:36,599 Speaker 3: but there are no there were no major funders in 86 00:05:36,640 --> 00:05:40,240 Speaker 3: this space that were providing consistent sources and resources to 87 00:05:40,320 --> 00:05:43,520 Speaker 3: these organizations. And so I really said, you know, we 88 00:05:43,600 --> 00:05:46,440 Speaker 3: need to build a program that really supports these organizations 89 00:05:46,480 --> 00:05:50,080 Speaker 3: in this work if we're serious about, you know, our mission, 90 00:05:50,080 --> 00:05:52,280 Speaker 3: which is to cure, prevenor manage all diseases. 91 00:05:52,400 --> 00:05:56,080 Speaker 1: Yeah, and I feel like nobody is more passionate and 92 00:05:56,160 --> 00:06:01,880 Speaker 1: committed and driven than someone who has firsthand experience with 93 00:06:01,960 --> 00:06:04,159 Speaker 1: the disease. I know I felt that way when my 94 00:06:04,279 --> 00:06:06,960 Speaker 1: husband died of colon cancer. I felt like I have 95 00:06:07,120 --> 00:06:09,760 Speaker 1: got to do something about it. And then people with 96 00:06:09,920 --> 00:06:13,640 Speaker 1: living disease, living with disease, you know, they are so 97 00:06:13,800 --> 00:06:17,000 Speaker 1: highly motivated and Tara, and you know, I wanted to 98 00:06:17,040 --> 00:06:20,200 Speaker 1: ask you about stiff person syndrome because it's a rare 99 00:06:20,279 --> 00:06:24,279 Speaker 1: autoimmune neurological disorder that affects only four to five people 100 00:06:24,360 --> 00:06:27,599 Speaker 1: in a million. And now you run the Stiff Person 101 00:06:27,720 --> 00:06:31,920 Speaker 1: Syndrome Research Foundation. Tell us a little bit about your story, 102 00:06:31,960 --> 00:06:35,160 Speaker 1: because when I read it Tara, I thought, oh my god, 103 00:06:35,200 --> 00:06:40,080 Speaker 1: this woman has been through hell and she's still standing 104 00:06:40,160 --> 00:06:42,560 Speaker 1: and she's still fighting and doing something about it. 105 00:06:43,360 --> 00:06:48,200 Speaker 4: Sure, Katie, First, thanks for having me. I'm so excited 106 00:06:48,240 --> 00:06:51,360 Speaker 4: to be here. I really appreciate the opportunity, and I'm 107 00:06:51,400 --> 00:06:54,800 Speaker 4: happy to share about stiff person syndrome. I want to 108 00:06:54,839 --> 00:06:57,840 Speaker 4: speak to the name. The name does not do this 109 00:06:57,960 --> 00:07:02,320 Speaker 4: disease justice. It's disabled. People can have muscle spasms so 110 00:07:02,440 --> 00:07:06,880 Speaker 4: severe they break bones, dislocate joints, and result in life 111 00:07:06,920 --> 00:07:08,440 Speaker 4: threatening breathing problems. 112 00:07:09,560 --> 00:07:10,720 Speaker 2: People are just stiff. 113 00:07:10,880 --> 00:07:14,480 Speaker 4: So it's a little bit tough to people understand. 114 00:07:15,240 --> 00:07:16,720 Speaker 2: Well, we thought about that in the beginning. 115 00:07:16,760 --> 00:07:18,320 Speaker 4: Do we try to change the name or do we 116 00:07:18,400 --> 00:07:21,080 Speaker 4: just go after your better treatments? And I thought it 117 00:07:21,120 --> 00:07:23,520 Speaker 4: would be best to just go after better treatments. 118 00:07:24,680 --> 00:07:25,000 Speaker 2: Yeah. 119 00:07:25,040 --> 00:07:30,520 Speaker 4: So, my gosh, I had a very agonizing diagnostic odyssey, 120 00:07:30,720 --> 00:07:35,560 Speaker 4: which is not uncommon with rare diseases. Unfortunately, it took 121 00:07:35,560 --> 00:07:40,560 Speaker 4: me almost three years to get diagnosed. In twenty fourteen, 122 00:07:40,680 --> 00:07:42,880 Speaker 4: my former husband died by suicide. 123 00:07:43,520 --> 00:07:46,080 Speaker 2: My kids were eleven and thirteen. 124 00:07:45,880 --> 00:07:50,160 Speaker 4: At the time, and the stress and pressure I felt 125 00:07:50,200 --> 00:07:52,560 Speaker 4: to stay alive was unimaginable. 126 00:07:54,000 --> 00:07:55,240 Speaker 2: Two months later. 127 00:07:55,200 --> 00:08:00,120 Speaker 4: I was hospitalized with pneumonia, and then my health spiraled down, 128 00:08:00,280 --> 00:08:06,480 Speaker 4: and over three years I was experiencing really oddball frightening symptoms. 129 00:08:06,720 --> 00:08:09,960 Speaker 4: I was going from doctor to doctor in crisis mode, 130 00:08:10,520 --> 00:08:14,080 Speaker 4: knowing something was seriously wrong and trying to find answers. 131 00:08:14,720 --> 00:08:18,679 Speaker 4: I was mismanaged, mislabeled, told it was all in my head. 132 00:08:19,640 --> 00:08:23,760 Speaker 4: At one appointment with my primary care doctor, he told 133 00:08:23,800 --> 00:08:27,840 Speaker 4: me kind of leaned into me and he said, I 134 00:08:27,880 --> 00:08:31,480 Speaker 4: don't know why you're going from doctor to doctor. Take 135 00:08:31,520 --> 00:08:34,800 Speaker 4: this medication for anxiety and see me back in three months. 136 00:08:35,440 --> 00:08:36,679 Speaker 2: And like, I'm. 137 00:08:36,600 --> 00:08:39,120 Speaker 4: Professional, but I'm also not going to put up with that. 138 00:08:39,880 --> 00:08:42,600 Speaker 4: And I said, you know, I appreciate that, but if 139 00:08:42,600 --> 00:08:44,600 Speaker 4: you were in my shoes, you would be doing the 140 00:08:44,640 --> 00:08:45,120 Speaker 4: same thing. 141 00:08:45,280 --> 00:08:49,680 Speaker 1: And another doctor said, this is stress, and you said, yes, 142 00:08:49,720 --> 00:08:52,040 Speaker 1: I'm stressed, but I'm also sick. 143 00:08:52,240 --> 00:08:53,960 Speaker 2: Absolutely absolutely. 144 00:08:55,559 --> 00:08:59,040 Speaker 4: It got to the point in twenty seventeen, in March 145 00:08:59,080 --> 00:09:02,160 Speaker 4: I lost thirty in a month. Every day I was 146 00:09:02,160 --> 00:09:04,720 Speaker 4: standing on the scale and I was dropping. I was dropping. 147 00:09:04,760 --> 00:09:07,240 Speaker 4: I was dropping. I thought I was going to die. 148 00:09:07,559 --> 00:09:11,120 Speaker 4: I couldn't work. I was a dentist. I couldn't work anymore. 149 00:09:11,720 --> 00:09:15,120 Speaker 4: I couldn't drive, I couldn't take care of myself. I 150 00:09:15,160 --> 00:09:16,920 Speaker 4: couldn't take care of my kids. I had to hire 151 00:09:16,960 --> 00:09:17,920 Speaker 4: someone to live with us. 152 00:09:18,200 --> 00:09:20,640 Speaker 1: And so hard for your kids, I know, because they 153 00:09:20,679 --> 00:09:22,199 Speaker 1: had just lost their dad. 154 00:09:22,559 --> 00:09:27,000 Speaker 4: And I couldn't control it, and that seeing them so 155 00:09:27,280 --> 00:09:32,200 Speaker 4: stressed and not having control over that was horrible. And 156 00:09:32,840 --> 00:09:36,040 Speaker 4: I finally connected to the right doctors. I found a 157 00:09:36,360 --> 00:09:40,920 Speaker 4: wonderful primary care doctor who listened to me, who dismissed 158 00:09:40,960 --> 00:09:44,480 Speaker 4: the labels and referred me to a local neurologist where 159 00:09:44,520 --> 00:09:48,000 Speaker 4: I was diagnosed. He read the right tests, and I 160 00:09:48,120 --> 00:09:51,760 Speaker 4: landed at Johns Hopkins for my treatment. And it was 161 00:09:51,840 --> 00:09:56,760 Speaker 4: probably my third visit at Hopkins when my neurologists told 162 00:09:56,760 --> 00:09:59,880 Speaker 4: me that they had recently applied for a grant for 163 00:10:00,040 --> 00:10:04,080 Speaker 4: research at NIH and they were denied the grant because 164 00:10:04,080 --> 00:10:06,280 Speaker 4: there wasn't enough research to support. 165 00:10:05,880 --> 00:10:09,440 Speaker 2: Getting the grant right and you know, chicken her egg 166 00:10:09,559 --> 00:10:12,480 Speaker 2: right like, and that just blew my mind. 167 00:10:12,960 --> 00:10:15,200 Speaker 4: I'm like, if Hopkins can't get a grant, that's a 168 00:10:15,240 --> 00:10:16,080 Speaker 4: big problem. 169 00:10:16,600 --> 00:10:18,040 Speaker 2: And you know, here I was. 170 00:10:18,679 --> 00:10:21,920 Speaker 4: I remember just sitting there like sideways, you know, looking 171 00:10:21,960 --> 00:10:25,000 Speaker 4: at him, and I was, you know, in debilitating pain, 172 00:10:25,679 --> 00:10:30,360 Speaker 4: no good treatments, no cure, single mother. And it was 173 00:10:30,440 --> 00:10:33,600 Speaker 4: that moment where I knew I needed to do something. 174 00:10:34,200 --> 00:10:36,520 Speaker 2: And two weeks later we were on. 175 00:10:36,559 --> 00:10:39,439 Speaker 4: The news raising awareness, and then I knew we needed 176 00:10:39,440 --> 00:10:42,559 Speaker 4: to raise funds for research. So I started the Stiff 177 00:10:42,600 --> 00:10:46,319 Speaker 4: Person Syndrome Research Foundation and the latter part of twenty 178 00:10:46,440 --> 00:10:51,080 Speaker 4: nineteen with two main drivers, one to support research for 179 00:10:51,200 --> 00:10:54,320 Speaker 4: better treatments and a cure, and two to show my 180 00:10:54,400 --> 00:10:57,200 Speaker 4: children that no matter what hand your dealt in life, 181 00:10:57,360 --> 00:11:00,320 Speaker 4: you can still make a difference for people. That's what 182 00:11:00,400 --> 00:11:02,400 Speaker 4: gets me out in Dada. 183 00:11:05,200 --> 00:11:08,160 Speaker 1: And of course Seline Dion, when I think that was 184 00:11:08,200 --> 00:11:11,920 Speaker 1: well publicized, got the disease a lot of attention, which 185 00:11:12,000 --> 00:11:13,240 Speaker 1: was probably helpful. 186 00:11:13,559 --> 00:11:17,199 Speaker 4: Absolutely so grateful for her. That was like worldwide awareness 187 00:11:17,200 --> 00:11:17,480 Speaker 4: in a. 188 00:11:17,480 --> 00:11:22,360 Speaker 1: Day, rightly educated so many people very quickly. And Susan, 189 00:11:23,040 --> 00:11:27,359 Speaker 1: your daughter Carmen was diagnosed with something called Smith Kingsmore 190 00:11:27,440 --> 00:11:31,920 Speaker 1: syndrome or SKS when she was nine years old. Can 191 00:11:31,960 --> 00:11:35,480 Speaker 1: you tell me how she about this disease and how 192 00:11:35,520 --> 00:11:37,320 Speaker 1: she was ultimately diagnosed. 193 00:11:37,559 --> 00:11:41,880 Speaker 5: Yes, so we also had a diagnostic odyssey. Carmen was 194 00:11:41,960 --> 00:11:45,560 Speaker 5: diagnosed as autistic at four and had a lot of 195 00:11:45,559 --> 00:11:48,760 Speaker 5: the things that are relatively common in autism. She doesn't 196 00:11:48,760 --> 00:11:51,320 Speaker 5: speak very much. Most you to say, go away, mummy, 197 00:11:51,640 --> 00:11:57,080 Speaker 5: no thanks mummy. She has a sort of motown's struggles 198 00:11:57,120 --> 00:11:59,880 Speaker 5: to learn. But the big thing for us is that 199 00:12:00,080 --> 00:12:03,280 Speaker 5: she doesn't sleep, and by not sleeping, it's like she 200 00:12:03,360 --> 00:12:05,600 Speaker 5: really doesn't sleep. We would put her to bed at 201 00:12:05,920 --> 00:12:08,640 Speaker 5: seven thirty, she'd get to sleep at ten thirty. She 202 00:12:08,679 --> 00:12:11,880 Speaker 5: would wake up at one am and be awake, wake 203 00:12:11,960 --> 00:12:14,680 Speaker 5: up the whole house, destroy things. The more we tried 204 00:12:14,679 --> 00:12:16,880 Speaker 5: to get her to bed, the more violent she became. 205 00:12:17,160 --> 00:12:19,920 Speaker 5: She would hurt herself and hurt us. She would pass 206 00:12:19,920 --> 00:12:21,800 Speaker 5: out again at three am, wake up again at four 207 00:12:21,840 --> 00:12:24,280 Speaker 5: thirty am, and it would start again. 208 00:12:24,600 --> 00:12:26,439 Speaker 2: So this happened. 209 00:12:26,480 --> 00:12:28,880 Speaker 5: We would talk to the doctors and say, this is 210 00:12:28,920 --> 00:12:31,959 Speaker 5: what's happening in our house, and they would say, well, 211 00:12:32,600 --> 00:12:35,120 Speaker 5: you know, it's fairly common for artistic kids to not 212 00:12:35,320 --> 00:12:36,200 Speaker 5: sleep very much. 213 00:12:36,880 --> 00:12:39,480 Speaker 2: Is she napping during the day? And I would say no, 214 00:12:40,480 --> 00:12:40,880 Speaker 2: and they. 215 00:12:40,800 --> 00:12:43,720 Speaker 5: Said, well, you know, if she's not napping, she's probably 216 00:12:43,760 --> 00:12:46,000 Speaker 5: getting enough sleep. It's just part of who she is, 217 00:12:47,080 --> 00:12:50,560 Speaker 5: and she'll be okay. And I'm like, we're not okay. 218 00:12:50,840 --> 00:12:54,080 Speaker 5: I'm living with a living with a newborn, barely able 219 00:12:54,120 --> 00:12:57,320 Speaker 5: to function. My two other daughters are going to school 220 00:12:57,440 --> 00:13:02,040 Speaker 5: sleep deprived. But we really struggled to push back on 221 00:13:02,360 --> 00:13:05,680 Speaker 5: doctors with that. We almost became so tired it wasn't 222 00:13:05,720 --> 00:13:10,120 Speaker 5: worth the fight, but you know, we'd start reading. I 223 00:13:10,240 --> 00:13:13,200 Speaker 5: finally pushed for full genetic testing and we were sitting 224 00:13:13,440 --> 00:13:15,800 Speaker 5: with a genetic counselor and they said, well, she's actually 225 00:13:15,800 --> 00:13:19,360 Speaker 5: got this rare genetic syndrome was by a mutation to 226 00:13:19,400 --> 00:13:23,840 Speaker 5: the m tour gene called Smith Kingsmore syndrome. There's no treatments, 227 00:13:24,120 --> 00:13:26,560 Speaker 5: no cure, there's really not nothing you can do. 228 00:13:26,760 --> 00:13:30,240 Speaker 2: There is people, there's around three hundred and. 229 00:13:30,240 --> 00:13:33,840 Speaker 5: Fifty people worldwide that we know of, but they're like, 230 00:13:33,880 --> 00:13:37,079 Speaker 5: there is this foundation, the SKS Foundation. You probably should 231 00:13:37,080 --> 00:13:40,520 Speaker 5: look them up and so and we'll see you in 232 00:13:40,520 --> 00:13:42,680 Speaker 5: a year. So we went and looked them up, and 233 00:13:42,679 --> 00:13:45,480 Speaker 5: then everything made sense. There are these people all over 234 00:13:45,520 --> 00:13:50,520 Speaker 5: the world with sleep disorders, intellectual disability, limited communication and 235 00:13:51,080 --> 00:13:54,520 Speaker 5: we found our people and we found some hope. 236 00:13:54,600 --> 00:13:58,440 Speaker 1: When you hear these stories, Tanya, and how do you 237 00:13:58,600 --> 00:14:04,520 Speaker 1: connect the rarest One Initiative with people like this who 238 00:14:04,600 --> 00:14:08,439 Speaker 1: are desperate to try to find answers? And Christine, I'm 239 00:14:08,440 --> 00:14:11,080 Speaker 1: going to talk about your side of this as a 240 00:14:11,120 --> 00:14:15,320 Speaker 1: researcher and scientists, But what kind of infrastructure do you 241 00:14:15,400 --> 00:14:21,800 Speaker 1: provide that gives people some hope, connection and then they 242 00:14:21,840 --> 00:14:24,800 Speaker 1: can actually dream about the future? Yees. 243 00:14:24,840 --> 00:14:27,400 Speaker 3: So the heart of our program is actually our rare 244 00:14:27,480 --> 00:14:32,200 Speaker 3: is One network and to date we've actually funded nearly 245 00:14:32,240 --> 00:14:37,440 Speaker 3: one hundred patient led organizations advising like Susan's in Paris, 246 00:14:37,960 --> 00:14:44,000 Speaker 3: including Susan's and Terras, across multiple cycles, and we're not 247 00:14:44,200 --> 00:14:47,280 Speaker 3: just providing them with funding, but we're also building out 248 00:14:48,000 --> 00:14:50,640 Speaker 3: a whole capacity building program and helping them to build 249 00:14:50,680 --> 00:14:54,760 Speaker 3: their organizational capacity as you just heard, like neither Tara 250 00:14:54,960 --> 00:14:59,920 Speaker 3: nor Susan came to this by training right or on 251 00:15:00,040 --> 00:15:04,360 Speaker 3: purpose right and also scientific capacity building really helping them 252 00:15:04,440 --> 00:15:06,520 Speaker 3: do things like how do you build a scientific advisory 253 00:15:06,520 --> 00:15:09,080 Speaker 3: board for your organization, how do you work with researchers, 254 00:15:09,080 --> 00:15:11,400 Speaker 3: how do you work with industry to develop treatments like 255 00:15:12,280 --> 00:15:16,000 Speaker 3: so all of that we've packaged, and actually I should 256 00:15:16,000 --> 00:15:18,160 Speaker 3: point out Heidi and Andrew in the front row who 257 00:15:18,240 --> 00:15:20,760 Speaker 3: actually run the Rares one network and all the capacity 258 00:15:20,760 --> 00:15:25,280 Speaker 3: building for the program. And importantly we give them opportunities 259 00:15:25,320 --> 00:15:27,760 Speaker 3: to collaborate with one another, and I. 260 00:15:27,720 --> 00:15:32,160 Speaker 1: Mean it despite like maybe different diseases, but trying to 261 00:15:32,240 --> 00:15:36,560 Speaker 1: strategize and navigate the system. So I imagine that that's 262 00:15:36,600 --> 00:15:39,320 Speaker 1: been very helpful to you too, Susan and Terat, to 263 00:15:39,760 --> 00:15:43,920 Speaker 1: just know each other and try to navigate things. And 264 00:15:44,400 --> 00:15:47,040 Speaker 1: I imagine that rare is one for both of you 265 00:15:47,160 --> 00:15:50,160 Speaker 1: and for so many of these people who are struggling. 266 00:15:50,760 --> 00:15:52,240 Speaker 1: It's a godsend, isn't it. 267 00:15:52,920 --> 00:15:55,040 Speaker 2: Absolutely it is a game changer. 268 00:15:56,120 --> 00:15:59,520 Speaker 1: I wanted to ask Christina about her role because doctor Miaki, 269 00:16:00,040 --> 00:16:03,440 Speaker 1: you're coming at this from a clinical research perspective, and 270 00:16:03,520 --> 00:16:05,840 Speaker 1: doctor Miaki told me I could call her Christine. I'm 271 00:16:05,840 --> 00:16:10,160 Speaker 1: not being disrespectful. Tell us about the research you're doing 272 00:16:10,240 --> 00:16:15,360 Speaker 1: with something called Tango to deficiency disorder and what that is. 273 00:16:16,200 --> 00:16:18,960 Speaker 6: Thanks so much, Katie. It's really an honor to be 274 00:16:19,080 --> 00:16:22,240 Speaker 6: up here today with all of you. So I came 275 00:16:22,280 --> 00:16:27,320 Speaker 6: to work with Tango too because I'm a pediatric genetic electrophysiologist, 276 00:16:27,320 --> 00:16:29,320 Speaker 6: And that's just a fancy way of saying I'm a 277 00:16:29,360 --> 00:16:32,920 Speaker 6: heart doctor and I work with families who have conditions 278 00:16:32,920 --> 00:16:35,760 Speaker 6: that run in families that can lead to a cardiac 279 00:16:35,840 --> 00:16:39,440 Speaker 6: arrest or set in death. And as a background, every year, 280 00:16:39,480 --> 00:16:43,320 Speaker 6: approximately twenty three thousand children have a cardiac arrest and 281 00:16:43,440 --> 00:16:47,280 Speaker 6: of those over ninety percent don't survive, and of those 282 00:16:47,320 --> 00:16:50,800 Speaker 6: that survive, fifty percent don't get an answer. And so 283 00:16:51,080 --> 00:16:54,800 Speaker 6: that's what I do. I've dedicated my career and my 284 00:16:54,880 --> 00:16:58,360 Speaker 6: research to finding answers for these families and giving them 285 00:16:58,400 --> 00:17:04,000 Speaker 6: that diagnosis. One of them is tango tooths and so 286 00:17:04,680 --> 00:17:08,520 Speaker 6: working with these families, I've been able and through support 287 00:17:08,640 --> 00:17:12,480 Speaker 6: with the CZI, it's allowed me to identify a treatment 288 00:17:12,560 --> 00:17:14,000 Speaker 6: and you'll see some of the symptoms. 289 00:17:14,080 --> 00:17:17,840 Speaker 1: Yeah, we have a video actually about tango iiO that 290 00:17:17,920 --> 00:17:20,840 Speaker 1: we can watch and you can talk about at the 291 00:17:20,920 --> 00:17:21,680 Speaker 1: same time. 292 00:17:22,359 --> 00:17:25,080 Speaker 6: It's a rare disease that affects eight thousand and these 293 00:17:25,119 --> 00:17:29,159 Speaker 6: are some of the symptoms. Balance falling over, severe with 294 00:17:29,359 --> 00:17:34,280 Speaker 6: weakness and inability to get up, speech difficulties and cognitive delays, 295 00:17:34,600 --> 00:17:37,840 Speaker 6: difficulty walking to the point it progresses till you're in 296 00:17:37,840 --> 00:17:41,480 Speaker 6: a wheelchair and you can't speak. Two parents, Mike and 297 00:17:41,560 --> 00:17:44,840 Speaker 6: Kasha More started the foundation and in twenty nineteen I 298 00:17:44,920 --> 00:17:48,959 Speaker 6: began interviewing patients around the world and through this natural 299 00:17:49,000 --> 00:17:53,359 Speaker 6: history study, I identified that B vitamins prevent cardiac arrest 300 00:17:53,880 --> 00:17:57,280 Speaker 6: and some of the symptoms. So this is Phoebe. You 301 00:17:57,280 --> 00:17:59,840 Speaker 6: can see some of the symptoms, but children were dying 302 00:18:00,119 --> 00:18:03,879 Speaker 6: cardiac arrest and it had a high mortality rate. In 303 00:18:03,960 --> 00:18:07,520 Speaker 6: twenty twenty three, Phoebe was finally diagnosed and started on 304 00:18:07,600 --> 00:18:11,520 Speaker 6: B vitamins and you can see the difference within two weeks. 305 00:18:12,040 --> 00:18:15,800 Speaker 6: So she is now walking, she's got she can talk better, 306 00:18:15,920 --> 00:18:19,359 Speaker 6: she's got more energy, and she's a normal kid. And 307 00:18:19,440 --> 00:18:22,600 Speaker 6: it is through the B vitamins. 308 00:18:22,240 --> 00:18:24,480 Speaker 2: No child since has died. 309 00:18:25,440 --> 00:18:28,719 Speaker 6: And it's through funding through foundations like CZI that allow 310 00:18:28,920 --> 00:18:32,679 Speaker 6: us as physicians to work with organizations to find the 311 00:18:32,760 --> 00:18:36,240 Speaker 6: answers that ultimately are going to help the patient. 312 00:18:40,000 --> 00:18:42,639 Speaker 1: What if we told you it was possible to prevent, manage, 313 00:18:42,680 --> 00:18:45,359 Speaker 1: your cure all disease by the end of the century. 314 00:18:45,840 --> 00:18:50,840 Speaker 1: The Chans Zuckerberg Initiative is advancing biomedical research and leveraging 315 00:18:50,920 --> 00:18:55,399 Speaker 1: AI to change medicine for decades to come. By bringing 316 00:18:55,400 --> 00:18:59,640 Speaker 1: together science, tech, researchers, and engineers, they're building a better 317 00:18:59,680 --> 00:19:04,480 Speaker 1: future for everyone. Learn more at CZI dot com that's 318 00:19:04,560 --> 00:19:17,240 Speaker 1: CZI dot com or follow them on social media. How 319 00:19:17,280 --> 00:19:21,800 Speaker 1: critical is it for you as a scientist to actually 320 00:19:21,880 --> 00:19:25,080 Speaker 1: interface with the patient population, because I would think that 321 00:19:25,119 --> 00:19:28,040 Speaker 1: would be a no brainer. I don't know how scientists 322 00:19:28,080 --> 00:19:32,040 Speaker 1: did it without having that kind of exposure before. 323 00:19:32,520 --> 00:19:34,359 Speaker 6: I think that's what we need to change, and I 324 00:19:34,400 --> 00:19:38,120 Speaker 6: think that's what CZI is promoting and doing and funding. 325 00:19:38,600 --> 00:19:41,959 Speaker 6: We can't do what we do without the patients, without 326 00:19:42,000 --> 00:19:46,600 Speaker 6: these amazing mothers. They're so motivated to find answers. It's 327 00:19:46,640 --> 00:19:50,520 Speaker 6: only through collaborative and partnerships that we're going to push 328 00:19:50,720 --> 00:19:51,919 Speaker 6: rare disease discovery. 329 00:19:52,119 --> 00:19:55,000 Speaker 1: It seems crazy to me, it's just be vitamins. Did 330 00:19:55,040 --> 00:19:59,280 Speaker 1: you discover that, Christina? Yeah, I would say that's amazing 331 00:19:59,320 --> 00:20:05,280 Speaker 1: by the way. I mean, it's something something so simple 332 00:20:05,320 --> 00:20:09,320 Speaker 1: and accessible can be so life changing for those kids. 333 00:20:09,720 --> 00:20:12,919 Speaker 6: And I think it's as simple as paying attention to 334 00:20:13,040 --> 00:20:17,719 Speaker 6: the parents, listening to them, and then really taking that 335 00:20:18,359 --> 00:20:21,040 Speaker 6: into the science to find those answers that it really 336 00:20:21,040 --> 00:20:22,000 Speaker 6: starts at the patient. 337 00:20:22,920 --> 00:20:28,040 Speaker 1: I'm just curious as women who are impacted by these diseases, 338 00:20:28,080 --> 00:20:32,480 Speaker 1: both as patients and as caregivers, Can you describe the 339 00:20:32,600 --> 00:20:38,400 Speaker 1: impact of these diagnoses on your lives and the disproportionate 340 00:20:38,520 --> 00:20:41,840 Speaker 1: impact they have on mothers? 341 00:20:45,040 --> 00:20:45,399 Speaker 2: Sure? 342 00:20:45,720 --> 00:20:49,600 Speaker 6: I gosh. 343 00:20:49,960 --> 00:20:56,040 Speaker 4: For me personally, I think, at least to now, the 344 00:20:56,080 --> 00:21:04,119 Speaker 4: greatest impact was daring that diagnosse stick odyssey phase. I 345 00:21:04,200 --> 00:21:04,920 Speaker 4: was in the er. 346 00:21:05,000 --> 00:21:08,040 Speaker 2: I went to the er thirteen times, and. 347 00:21:09,320 --> 00:21:14,040 Speaker 4: My kids were witnessing that, and that was brutal, Like 348 00:21:14,119 --> 00:21:17,520 Speaker 4: I had to make a decision when I felt something 349 00:21:17,600 --> 00:21:21,679 Speaker 4: life threatening, I felt those symptoms, Do I risk dying 350 00:21:22,680 --> 00:21:27,160 Speaker 4: or do I traumatize my kids and call nine one wine? 351 00:21:27,280 --> 00:21:30,520 Speaker 4: And it was to the point where after the seventh 352 00:21:30,520 --> 00:21:33,480 Speaker 4: eighth time, I would call nine one Wine and I 353 00:21:33,520 --> 00:21:36,800 Speaker 4: would say, listen, I know this sounds crazy, but can 354 00:21:36,840 --> 00:21:38,639 Speaker 4: you not turn the sirens on when you come up 355 00:21:38,680 --> 00:21:42,399 Speaker 4: to the house Because my son told me later, Mommy, 356 00:21:42,480 --> 00:21:46,120 Speaker 4: every time I hear sirens, I feel really upset because 357 00:21:46,160 --> 00:21:48,439 Speaker 4: I think they're coming for you. 358 00:21:47,080 --> 00:21:53,080 Speaker 1: You also fit faced. I think TIRA the quintessential problem 359 00:21:53,600 --> 00:21:57,919 Speaker 1: that so many women face in the medical system, which 360 00:21:58,000 --> 00:22:01,920 Speaker 1: is relaxed or you know you're stress. Here's a pill 361 00:22:01,960 --> 00:22:05,120 Speaker 1: for anxiety. It's all in your head. Don't be hysterical. 362 00:22:05,760 --> 00:22:10,520 Speaker 1: And I think for many women, they're intimidated and embarrassed, 363 00:22:10,800 --> 00:22:16,200 Speaker 1: and they're made to feel shame for fighting their doctors 364 00:22:16,359 --> 00:22:19,919 Speaker 1: or being aggressive or going to another doctor. And so 365 00:22:20,880 --> 00:22:25,200 Speaker 1: I think as a mother, obviously your kids were worried 366 00:22:25,240 --> 00:22:29,720 Speaker 1: about you, but as just a woman, you faced a 367 00:22:29,760 --> 00:22:32,080 Speaker 1: lot of discrimination in the healthcare system. 368 00:22:32,520 --> 00:22:35,320 Speaker 4: Yeah, it's real, and people will tell you it's real. 369 00:22:35,520 --> 00:22:38,000 Speaker 4: I sat on a plane beside a cardiologist and we 370 00:22:38,040 --> 00:22:40,879 Speaker 4: happened to start talking and he's like, Tara, you know 371 00:22:40,960 --> 00:22:41,680 Speaker 4: it's real. 372 00:22:41,600 --> 00:22:43,240 Speaker 2: And I'm like, I know it's real. 373 00:22:44,680 --> 00:22:47,320 Speaker 4: So you know, it's one of those things too, where 374 00:22:47,600 --> 00:22:51,199 Speaker 4: I was on a call with an eer physician. It's like, well, 375 00:22:51,200 --> 00:22:53,800 Speaker 4: how do you show up, you know, as a woman, 376 00:22:54,040 --> 00:22:58,280 Speaker 4: and there's some you know, some bias there, and it's like, okay, 377 00:22:58,359 --> 00:23:01,640 Speaker 4: well don't be super emotional, Okay, well be professional. 378 00:23:02,440 --> 00:23:03,960 Speaker 2: It's like it's. 379 00:23:03,720 --> 00:23:07,360 Speaker 4: Difficult, right because I show up and I could tell you, Katie, 380 00:23:07,400 --> 00:23:08,720 Speaker 4: like I have a pain. 381 00:23:08,640 --> 00:23:11,600 Speaker 2: Level of nine and I'm not crying, and. 382 00:23:11,640 --> 00:23:14,680 Speaker 4: You know, it's really difficult to navigate. And I think 383 00:23:14,720 --> 00:23:18,959 Speaker 4: the key is you just have to push, You have 384 00:23:19,040 --> 00:23:21,600 Speaker 4: to do whatever it requires. I was showing up in 385 00:23:21,720 --> 00:23:25,960 Speaker 4: doctor's appointments, without appointments, just showing up saying I need 386 00:23:26,000 --> 00:23:28,640 Speaker 4: help because everything was on the line. 387 00:23:28,760 --> 00:23:30,000 Speaker 2: They had just lost their dad. 388 00:23:30,040 --> 00:23:32,639 Speaker 4: I'm like, I have to do and anything it requires, 389 00:23:32,720 --> 00:23:34,880 Speaker 4: And so all that noise went out the window. 390 00:23:35,200 --> 00:23:37,879 Speaker 1: Susan, what about you as a mom of and you 391 00:23:38,000 --> 00:23:40,719 Speaker 1: said you have two other children. I do, and so 392 00:23:41,240 --> 00:23:45,320 Speaker 1: I can only imagine how much pressure that is on 393 00:23:45,480 --> 00:23:48,000 Speaker 1: you and your whole family, right. 394 00:23:48,640 --> 00:23:53,160 Speaker 5: Yes, And I actually struggle a lot with the right 395 00:23:53,200 --> 00:23:56,960 Speaker 5: thing to do personally because my first reaction to common 396 00:23:57,080 --> 00:24:00,080 Speaker 5: being diagnosed I had just left a corporate job. I 397 00:24:00,160 --> 00:24:02,560 Speaker 5: wish I could say that my revelation was I need 398 00:24:02,600 --> 00:24:06,080 Speaker 5: to go and cure SKS, but it was actually, there's 399 00:24:06,119 --> 00:24:09,199 Speaker 5: no treatment or cure. My baby's going to need care forever, 400 00:24:09,520 --> 00:24:11,040 Speaker 5: and I don't know how long she's going to live. 401 00:24:11,119 --> 00:24:11,879 Speaker 2: No one can tell me. 402 00:24:12,480 --> 00:24:14,640 Speaker 5: So my first reaction was, actually, I need to get 403 00:24:14,680 --> 00:24:16,760 Speaker 5: back to corporate and be as much money as I 404 00:24:16,800 --> 00:24:20,000 Speaker 5: can so that so that there's money to take care 405 00:24:20,000 --> 00:24:22,359 Speaker 5: of my baby after I die. And that sits on 406 00:24:22,400 --> 00:24:25,320 Speaker 5: your chest all of the time through all of your work. 407 00:24:26,119 --> 00:24:28,200 Speaker 5: But it was I met the founders of the foundation 408 00:24:28,280 --> 00:24:32,240 Speaker 5: of the SKS Foundation, Kristen and Mike so Laser, focused 409 00:24:32,280 --> 00:24:34,439 Speaker 5: on science, so full of hope. They've just got the 410 00:24:34,480 --> 00:24:38,040 Speaker 5: CZI grant. They're like, we can do this, we can 411 00:24:38,240 --> 00:24:42,159 Speaker 5: drive towards treatments and a cure, and so I jumped 412 00:24:42,160 --> 00:24:45,760 Speaker 5: on board. But it is it's a struggle constantly because 413 00:24:45,880 --> 00:24:48,000 Speaker 5: you're thinking about taking care of your baby for the 414 00:24:48,040 --> 00:24:52,200 Speaker 5: next forty to fifty years, but also at the same time, 415 00:24:52,240 --> 00:24:54,600 Speaker 5: how do we take care of all of the SKS 416 00:24:54,640 --> 00:24:55,360 Speaker 5: and REP patients. 417 00:24:55,600 --> 00:24:58,920 Speaker 1: We're talking about funding of rare diseases, and Christine, I'm 418 00:24:58,920 --> 00:25:02,040 Speaker 1: wondering about you know, obviously there have been a lot 419 00:25:02,040 --> 00:25:06,280 Speaker 1: of changes in Washington. I'll leave it at that. Follow 420 00:25:06,320 --> 00:25:09,240 Speaker 1: me on Instagram, you'll hear a lot about it. But 421 00:25:10,000 --> 00:25:14,720 Speaker 1: I'm curious, Christina, about these cuts in NIH funding. How 422 00:25:14,880 --> 00:25:20,600 Speaker 1: you think they're going to impact rare diseases and help 423 00:25:20,720 --> 00:25:25,159 Speaker 1: people solve the mystery of so many of these things. 424 00:25:25,240 --> 00:25:28,600 Speaker 6: I mean, to be honest, the NAH has never put 425 00:25:28,960 --> 00:25:34,560 Speaker 6: rare disease, unfortunately, as a priority, and so for those 426 00:25:34,600 --> 00:25:39,520 Speaker 6: of us doing rare disease research, it's truly foundations like 427 00:25:39,560 --> 00:25:42,439 Speaker 6: CZI that have really helped US, and I think we 428 00:25:42,560 --> 00:25:48,000 Speaker 6: need to think about getting funding through other sources to 429 00:25:48,119 --> 00:25:51,240 Speaker 6: help us and think out of the box. I think 430 00:25:51,280 --> 00:25:55,359 Speaker 6: we need to work together and collaborate a partner, but 431 00:25:55,480 --> 00:25:58,600 Speaker 6: we do need to find other sources. We can't just 432 00:25:58,640 --> 00:25:59,920 Speaker 6: rely on the CCI. 433 00:26:00,080 --> 00:26:01,200 Speaker 2: So it is. 434 00:26:01,400 --> 00:26:04,520 Speaker 6: It is an unfortunate situation right now. But I'm hoping 435 00:26:04,560 --> 00:26:06,879 Speaker 6: that we can think positively and spread the word just 436 00:26:06,920 --> 00:26:09,560 Speaker 6: like you are doing about rear disease, so people can 437 00:26:09,600 --> 00:26:13,080 Speaker 6: see how important it is to partner together in the 438 00:26:13,119 --> 00:26:15,520 Speaker 6: future and not just rely on the NIH. 439 00:26:16,119 --> 00:26:18,919 Speaker 1: Sometimes, Susan, though, you can come up with a grant 440 00:26:19,240 --> 00:26:22,240 Speaker 1: and then it's such a laborious process. To you, all 441 00:26:22,320 --> 00:26:25,080 Speaker 1: of people in the scientific community who might be in 442 00:26:25,119 --> 00:26:28,320 Speaker 1: this audience knows how difficult it is to get funding 443 00:26:28,720 --> 00:26:31,520 Speaker 1: and how it can take months even years, right. 444 00:26:31,640 --> 00:26:34,600 Speaker 5: I mean, we had a game changing grant for the NIH, 445 00:26:34,800 --> 00:26:39,040 Speaker 5: which took us years of developing relationships with researchers, convincing 446 00:26:39,040 --> 00:26:44,040 Speaker 5: them to study SKS, funding through cake stalls, and asking 447 00:26:44,359 --> 00:26:48,080 Speaker 5: for five ten twenty dollars donations to fund research in 448 00:26:48,119 --> 00:26:52,200 Speaker 5: those labs, and we produced enough good data that they 449 00:26:52,240 --> 00:26:55,199 Speaker 5: put together a great grant proposal for the NIH for 450 00:26:55,240 --> 00:26:57,600 Speaker 5: two and a half million dollars, which is really small 451 00:26:57,720 --> 00:27:01,160 Speaker 5: change for some diseases, but for us, with three hundred 452 00:27:01,160 --> 00:27:04,680 Speaker 5: and fifty patients worldwide, that's a really big deal. 453 00:27:04,720 --> 00:27:07,840 Speaker 1: And so I think, what is the most status of 454 00:27:07,880 --> 00:27:08,520 Speaker 1: that funding. 455 00:27:09,880 --> 00:27:11,440 Speaker 2: We don't know. It's in process. 456 00:27:11,560 --> 00:27:13,960 Speaker 5: We hope that they will keep getting the remainder of 457 00:27:14,000 --> 00:27:18,120 Speaker 5: their funding. They're halfway through, but it's very uncertain, which 458 00:27:18,160 --> 00:27:21,600 Speaker 5: is really difficult for organizations. Now there are clinical trials 459 00:27:21,640 --> 00:27:22,480 Speaker 5: on hold. 460 00:27:22,520 --> 00:27:23,600 Speaker 2: There's research on hold. 461 00:27:23,640 --> 00:27:25,520 Speaker 5: It makes us, it makes it harder for us to 462 00:27:25,560 --> 00:27:29,959 Speaker 5: attract researchers in where the futures arenown and you know, 463 00:27:30,000 --> 00:27:32,960 Speaker 5: we get help from NIH scientists just giving us advice, 464 00:27:33,080 --> 00:27:36,119 Speaker 5: the best animal models to use, who else to collaborate with. 465 00:27:36,240 --> 00:27:40,320 Speaker 5: So so it is we might be small, but we've 466 00:27:40,320 --> 00:27:44,840 Speaker 5: had game changing support from them, and it's a difficult 467 00:27:44,880 --> 00:27:45,719 Speaker 5: time for all of us now. 468 00:27:45,760 --> 00:27:50,640 Speaker 1: The lack of respect for science is catastrophic in my opinion. 469 00:27:50,720 --> 00:27:54,639 Speaker 1: That's just my little editorial comment. Tanya, I wanted to 470 00:27:54,840 --> 00:27:58,960 Speaker 1: ask you, we're almost out of time about AI and Christina, 471 00:27:59,080 --> 00:28:04,040 Speaker 1: please chime in. You know, AI is such an exciting development. 472 00:28:04,080 --> 00:28:07,160 Speaker 1: I mean, I know there are perils to the technology, 473 00:28:07,200 --> 00:28:10,640 Speaker 1: but when it comes to health and wellness and medicine. 474 00:28:10,720 --> 00:28:13,400 Speaker 1: It is going to be such a game changer. How 475 00:28:13,400 --> 00:28:17,720 Speaker 1: do you see AI playing into the rare disease arena. 476 00:28:18,119 --> 00:28:21,800 Speaker 3: Yeah, it's actually a super exciting moment right now. I 477 00:28:21,800 --> 00:28:26,920 Speaker 3: think AI has the potential to actually transform every aspect 478 00:28:26,920 --> 00:28:30,840 Speaker 3: of rare disease, starting with diagnosis and that diagnognostic odyssey 479 00:28:30,880 --> 00:28:36,399 Speaker 3: that you just heard about, through drug development, through and 480 00:28:36,480 --> 00:28:39,400 Speaker 3: drug repurposing. That's something I'm super excited about. 481 00:28:39,440 --> 00:28:42,600 Speaker 1: I get so excited about that too. Where what give 482 00:28:42,640 --> 00:28:44,480 Speaker 1: an example of a drug repurposing. 483 00:28:45,080 --> 00:28:46,800 Speaker 2: So you just. 484 00:28:46,840 --> 00:28:51,400 Speaker 3: Saw David Fagenbaum on that video who talked about a 485 00:28:51,440 --> 00:28:53,360 Speaker 3: drug that was sitting in his pharmacy all along that 486 00:28:53,480 --> 00:28:58,440 Speaker 3: cured him, and David is now has now led the 487 00:28:58,480 --> 00:29:02,720 Speaker 3: development of a nonprofit organization that's dedicated to finding every 488 00:29:02,880 --> 00:29:06,760 Speaker 3: possible drug repurposing opportunity for every existing drugs. So there 489 00:29:06,800 --> 00:29:11,320 Speaker 3: are three thousand about FDA approved drugs. Most of those 490 00:29:11,320 --> 00:29:13,560 Speaker 3: have been approved for just one thing, and we know 491 00:29:13,800 --> 00:29:16,720 Speaker 3: they can most likely be used for other things because 492 00:29:16,720 --> 00:29:20,240 Speaker 3: biology is connected, right, Diseases are connected to one another. 493 00:29:20,800 --> 00:29:23,760 Speaker 3: So that's just an example of something that we're actually 494 00:29:23,800 --> 00:29:26,959 Speaker 3: investing in. We're actually funding this initiative, and so as 495 00:29:27,000 --> 00:29:29,200 Speaker 3: an example of how it's actually you know, we're actually 496 00:29:29,240 --> 00:29:32,360 Speaker 3: building a portfolio now of grants that really are about 497 00:29:32,920 --> 00:29:37,200 Speaker 3: helping to bring about, you know, apply generative AI to 498 00:29:37,640 --> 00:29:38,160 Speaker 3: rare disease. 499 00:29:38,240 --> 00:29:40,440 Speaker 1: Yeah. And I know when my sister was sick with 500 00:29:40,520 --> 00:29:45,640 Speaker 1: pancreatic cancer, part of her cocktail of medications included, weirdly, 501 00:29:45,800 --> 00:29:49,840 Speaker 1: the lidamide, which caused so many deformities if you recall 502 00:29:49,920 --> 00:29:53,160 Speaker 1: in the fifties. But there was a thought, I don't 503 00:29:53,200 --> 00:29:55,440 Speaker 1: even know if it's still being used, that it would 504 00:29:55,480 --> 00:29:59,080 Speaker 1: cut off the tumor's blood supply, just like in utero, 505 00:29:59,640 --> 00:30:02,680 Speaker 1: some of these limbs weren't growing because the blood supply 506 00:30:02,840 --> 00:30:04,840 Speaker 1: was cut off. So I think this is such a 507 00:30:04,880 --> 00:30:09,120 Speaker 1: fascinating area of research. Christine, are you jazzed about AI? 508 00:30:10,000 --> 00:30:11,800 Speaker 6: I can't even tell you. I think it is I 509 00:30:11,840 --> 00:30:13,760 Speaker 6: absolute grade. It's going to be a game changer. 510 00:30:13,840 --> 00:30:14,320 Speaker 2: We need to. 511 00:30:15,920 --> 00:30:19,920 Speaker 6: Figure out how we're going to utilize this. The massive 512 00:30:20,040 --> 00:30:24,640 Speaker 6: ability of AI to process enormous quantities of data and 513 00:30:24,800 --> 00:30:29,080 Speaker 6: take that data and then provide information back to us. 514 00:30:29,440 --> 00:30:32,040 Speaker 6: But we as humans will need to interpret it, right, 515 00:30:32,120 --> 00:30:35,680 Speaker 6: So we can't just give the information. I think, and 516 00:30:35,760 --> 00:30:38,400 Speaker 6: I agree with Tanya. Number one, I'll give you real 517 00:30:38,440 --> 00:30:42,440 Speaker 6: life examples tango to or SKS. It's going to take 518 00:30:42,480 --> 00:30:46,040 Speaker 6: that data from these patients, be able to process it 519 00:30:46,200 --> 00:30:49,160 Speaker 6: and then go into the medical records and identify others 520 00:30:49,160 --> 00:30:52,920 Speaker 6: so that people don't have this odyssey. Number two is 521 00:30:52,960 --> 00:30:55,440 Speaker 6: once we make that diagnosis and we know the genetic 522 00:30:55,480 --> 00:30:59,560 Speaker 6: defect SKS or tango too or stiff person syndrome, we 523 00:30:59,600 --> 00:31:02,000 Speaker 6: don't know, oh how it does that in the body. 524 00:31:02,320 --> 00:31:07,440 Speaker 6: This virtual cell AI has so much potential for AI 525 00:31:07,600 --> 00:31:10,680 Speaker 6: to start looking for answers rather than us in the 526 00:31:10,720 --> 00:31:15,600 Speaker 6: basic science lad boiling for years. And then third, I 527 00:31:15,640 --> 00:31:17,000 Speaker 6: think it's going to be able to help us find 528 00:31:17,040 --> 00:31:21,760 Speaker 6: treatments rather than me spending hours interviewing everybody. AI could 529 00:31:21,800 --> 00:31:24,720 Speaker 6: potentially do that and identify B vitamins faster than me 530 00:31:25,120 --> 00:31:28,440 Speaker 6: and find those cures and those repurposing of drugs. So 531 00:31:28,480 --> 00:31:29,440 Speaker 6: it's an exciting time. 532 00:31:29,640 --> 00:31:33,160 Speaker 1: I'm very excited about AI, at least in the medical space. 533 00:31:33,240 --> 00:31:37,280 Speaker 1: I know, like AI guided colonoscopies, it's all about colon's 534 00:31:37,360 --> 00:31:40,640 Speaker 1: You guys, I'm sorry, but it is calling Cancer Awareness 535 00:31:40,720 --> 00:31:43,040 Speaker 1: Month and I just wanted to give a shout out 536 00:31:43,200 --> 00:31:45,960 Speaker 1: if you're forty five or over, you need to get 537 00:31:45,960 --> 00:31:50,440 Speaker 1: a screening. Ladies and gentlemen. Women are as diagnosed as 538 00:31:50,480 --> 00:31:53,840 Speaker 1: often as men, and we're seeing a disturbing number of 539 00:31:53,920 --> 00:31:56,320 Speaker 1: young people. I'll be talking about this tomorrow with the 540 00:31:56,360 --> 00:32:00,160 Speaker 1: microbiome and gut health of young people being diagnosed with 541 00:32:00,240 --> 00:32:03,400 Speaker 1: colorectal cancer. So if you're forty five or over or 542 00:32:03,440 --> 00:32:05,800 Speaker 1: you know someone who is, please help them get screen 543 00:32:06,080 --> 00:32:06,440 Speaker 1: Thank you. 544 00:32:06,680 --> 00:32:07,520 Speaker 2: Okay, Lmura. 545 00:32:07,960 --> 00:32:10,400 Speaker 1: Before we go, where do you think is the most 546 00:32:11,640 --> 00:32:17,160 Speaker 1: exciting opportunity to advance rare diseases right now? Obviously there's 547 00:32:17,200 --> 00:32:21,960 Speaker 1: some headwinds with government funding, headwinds with this lack of 548 00:32:22,040 --> 00:32:26,840 Speaker 1: respect and appreciation for the credibility of science, which is 549 00:32:26,920 --> 00:32:29,720 Speaker 1: so bizarre to me. But tell me what are you 550 00:32:29,800 --> 00:32:33,040 Speaker 1: most excited about, Tara when you think about the future. 551 00:32:34,520 --> 00:32:39,440 Speaker 4: Exactly what she said, So the AI, the potential there, 552 00:32:39,600 --> 00:32:43,320 Speaker 4: the drug repurposing as well. I mean thinking that there's 553 00:32:43,400 --> 00:32:45,480 Speaker 4: a drug sitting on a shelf right in front of 554 00:32:45,520 --> 00:32:48,520 Speaker 4: you when you go and CBS that could give you 555 00:32:48,640 --> 00:32:51,600 Speaker 4: quality of life. I think that's that's super exciting to 556 00:32:51,680 --> 00:32:55,520 Speaker 4: be exploring that. So I applaud David Fagenbaum for doing 557 00:32:55,560 --> 00:32:59,560 Speaker 4: what he's doing. And also, I'm going to state the 558 00:32:59,600 --> 00:33:03,280 Speaker 4: obvious at least I think it's obvious investing like CZI 559 00:33:03,480 --> 00:33:08,800 Speaker 4: has in patient advisory groups and understanding the value in 560 00:33:08,920 --> 00:33:13,960 Speaker 4: these groups. And you know, people who are here are 561 00:33:14,400 --> 00:33:18,440 Speaker 4: personally impacted by the disease. There's a level of commitment 562 00:33:19,320 --> 00:33:25,240 Speaker 4: that's so incredibly high, and we're able to break down silos, 563 00:33:25,560 --> 00:33:27,880 Speaker 4: We're able to bring together the best of the best 564 00:33:27,920 --> 00:33:33,280 Speaker 4: to accelerate research, and we won't stop until we get 565 00:33:33,320 --> 00:33:34,440 Speaker 4: a cure and are better. 566 00:33:34,640 --> 00:33:35,600 Speaker 2: Yeah, better treatment. 567 00:33:35,680 --> 00:33:37,719 Speaker 1: And Christina, do you think women are better at that 568 00:33:37,800 --> 00:33:45,160 Speaker 1: than men? Hashtag just saying absolutely, Well, it seems like 569 00:33:45,240 --> 00:33:47,600 Speaker 1: women are the people who are really stepping up in 570 00:33:47,640 --> 00:33:49,360 Speaker 1: our current climate in general. 571 00:33:49,440 --> 00:33:50,840 Speaker 2: Right, absolutely. 572 00:33:50,920 --> 00:33:54,280 Speaker 6: I mean I think that as women, as mothers, we 573 00:33:54,480 --> 00:33:59,720 Speaker 6: have compassion, the ability to listen when it's important, and 574 00:34:00,320 --> 00:34:06,520 Speaker 6: the as females, your girlfriends, your friendships, the collaboration that's key. 575 00:34:07,160 --> 00:34:12,000 Speaker 6: We put collaboration first before self promotion for the long 576 00:34:12,120 --> 00:34:14,920 Speaker 6: term the gain, which is the patient outcomes. And I 577 00:34:14,920 --> 00:34:17,840 Speaker 6: think for me, the most exciting thing about the future 578 00:34:18,160 --> 00:34:21,440 Speaker 6: is you know, for me, I've found it a foundation 579 00:34:21,840 --> 00:34:24,400 Speaker 6: and it's called I hop kids and it's going to 580 00:34:24,440 --> 00:34:26,600 Speaker 6: help find answers. But this is the way it's going 581 00:34:26,680 --> 00:34:29,120 Speaker 6: to do it, is to find more diseases that are 582 00:34:29,120 --> 00:34:31,120 Speaker 6: causing sudden death and doing it together. 583 00:34:31,600 --> 00:34:33,839 Speaker 1: When my husband was six, Susan I used to say, 584 00:34:33,880 --> 00:34:39,319 Speaker 1: nothing is more motivating than fear and desperation when you 585 00:34:39,600 --> 00:34:44,200 Speaker 1: see someone you love suffering, and my heart goes out 586 00:34:44,239 --> 00:34:48,720 Speaker 1: to you because it must be so challenging every day 587 00:34:48,920 --> 00:34:51,680 Speaker 1: to see your child suffering. 588 00:34:51,719 --> 00:34:55,520 Speaker 5: You join this community, though, and there's a puff and 589 00:34:55,560 --> 00:34:59,839 Speaker 5: it's not just hope. It's really strategic science, so drag 590 00:35:00,120 --> 00:35:02,720 Speaker 5: purposing to just put numbers on it. I can't afford 591 00:35:02,719 --> 00:35:05,600 Speaker 5: a clinical trial. It costs tens of millions of dollars 592 00:35:05,640 --> 00:35:07,960 Speaker 5: to do clinical trials for a brand new drug. But 593 00:35:08,040 --> 00:35:11,200 Speaker 5: I can raise one hundred thousand dollars a year to 594 00:35:11,320 --> 00:35:14,440 Speaker 5: test drugs in fruit flies, the humble fruit fly. 595 00:35:14,560 --> 00:35:16,080 Speaker 2: I can do that, and if. 596 00:35:15,920 --> 00:35:19,160 Speaker 5: We see results in sleep, or in seizures or in 597 00:35:19,239 --> 00:35:24,600 Speaker 5: violent behavior, we can transfer that to Gusto syndrome, to 598 00:35:24,960 --> 00:35:28,239 Speaker 5: other disorders of sleep issues that have size issues. Because 599 00:35:28,280 --> 00:35:31,560 Speaker 5: these are FDA approved drugs. So if we see some 600 00:35:31,640 --> 00:35:36,440 Speaker 5: positive results and we have willing and active pediatricians and parents, 601 00:35:37,280 --> 00:35:41,600 Speaker 5: there's no harm in trying vitamin B, right, So there's 602 00:35:41,719 --> 00:35:44,600 Speaker 5: just so much strategic stuff we can do to Frankly, 603 00:35:44,840 --> 00:35:48,120 Speaker 5: I spend all my life thinking about Carmen's disease, but 604 00:35:48,400 --> 00:35:50,719 Speaker 5: I spend my time with these people thinking about like, 605 00:35:51,000 --> 00:35:53,480 Speaker 5: how are we going to get these treatments done? 606 00:35:53,640 --> 00:35:57,200 Speaker 1: And there's so much overlap I think in rare diseases 607 00:35:57,360 --> 00:36:03,320 Speaker 1: because anyway, Tanya, But you know, if people want to 608 00:36:03,400 --> 00:36:08,440 Speaker 1: learn more and you know, and and support what CZI 609 00:36:08,600 --> 00:36:11,839 Speaker 1: is doing, support these communities, how can they do that? 610 00:36:13,360 --> 00:36:15,359 Speaker 3: Well, you can go to rareswe dot org and learn 611 00:36:15,360 --> 00:36:17,920 Speaker 3: more about our program and all the groups within our 612 00:36:18,000 --> 00:36:23,160 Speaker 3: rares one network. You can, you know, I think part 613 00:36:23,200 --> 00:36:25,680 Speaker 3: of this is just awareness understanding that rare diseases are 614 00:36:25,719 --> 00:36:29,000 Speaker 3: not rare collectively, they're incredibly common. Probably everyone in this 615 00:36:29,120 --> 00:36:31,239 Speaker 3: room knows somebody. You may not know that they have 616 00:36:31,280 --> 00:36:33,400 Speaker 3: a rare disease, but they have a disease that probably 617 00:36:33,440 --> 00:36:37,440 Speaker 3: is rare. I just want to say in terms of 618 00:36:38,239 --> 00:36:41,080 Speaker 3: what I'm hopeful about, I mean, my BET's on the patients. 619 00:36:41,239 --> 00:36:44,279 Speaker 3: Maybe that's obvious, but I just you know, we have 620 00:36:44,440 --> 00:36:48,480 Speaker 3: seen extraordinary progress, and we've been running this program for 621 00:36:48,520 --> 00:36:50,479 Speaker 3: five years like I said, we now have one hundred 622 00:36:50,480 --> 00:36:51,520 Speaker 3: groups within our network. 623 00:36:51,719 --> 00:36:53,960 Speaker 2: Our first cohort of thirty groups. 624 00:36:54,480 --> 00:36:56,239 Speaker 3: There's a if you go to our website, you can 625 00:36:56,280 --> 00:36:58,040 Speaker 3: find a report about those groups. 626 00:36:58,440 --> 00:36:59,920 Speaker 2: Collectively, those thirty. 627 00:36:59,719 --> 00:37:05,000 Speaker 3: Organizations engaged more than three thousand researchers and clinicians in 628 00:37:05,040 --> 00:37:09,839 Speaker 3: their diseases, and they have actually supported more than three hundred. 629 00:37:09,520 --> 00:37:10,920 Speaker 2: And fifty research studies. 630 00:37:11,400 --> 00:37:15,000 Speaker 3: These studies would not be happening if these groups did 631 00:37:15,040 --> 00:37:19,720 Speaker 3: not exist. The power is in these organizations to actually 632 00:37:19,840 --> 00:37:22,919 Speaker 3: drive the research forward, and it won't happen without them, 633 00:37:23,440 --> 00:37:27,040 Speaker 3: and so it is what gives me absolute hope and motivation. 634 00:37:27,640 --> 00:37:31,160 Speaker 3: And the patient groups are important, not just because no 635 00:37:31,160 --> 00:37:33,600 Speaker 3: one's more motivated. They're going to run through walls to 636 00:37:33,640 --> 00:37:36,680 Speaker 3: find treatments for these diseases, there's no question, and that's 637 00:37:36,760 --> 00:37:41,239 Speaker 3: incredibly motivating for researchers working with these organizations. But we 638 00:37:41,440 --> 00:37:44,200 Speaker 3: have to also recognize they have you've just heard it 639 00:37:44,239 --> 00:37:47,680 Speaker 3: on this panel. They have deep expertise and experience in 640 00:37:47,719 --> 00:37:51,360 Speaker 3: their diseases and that is fueling the research. It's helping 641 00:37:51,400 --> 00:37:55,719 Speaker 3: the researchers solve these diseases. And we have countless examples 642 00:37:55,719 --> 00:37:58,719 Speaker 3: now researchers coming to us and sharing with us how 643 00:37:58,760 --> 00:38:02,360 Speaker 3: working with these communities has actually transformed their research. In Christina, 644 00:38:02,880 --> 00:38:04,800 Speaker 3: the case with Tengo Too is an example that it 645 00:38:04,880 --> 00:38:08,960 Speaker 3: was patients observed that when their kids were on vitamins, 646 00:38:09,000 --> 00:38:11,600 Speaker 3: they didn't seem to have these the worst effects of 647 00:38:11,600 --> 00:38:13,880 Speaker 3: that disease, which got her to do the natural history 648 00:38:13,880 --> 00:38:16,000 Speaker 3: study and try to sort of figure this out. So 649 00:38:16,080 --> 00:38:20,879 Speaker 3: it's really about these partnerships between patients and researchers and clinicians. 650 00:38:21,080 --> 00:38:24,319 Speaker 1: That is what gives me hope so well, and their 651 00:38:24,440 --> 00:38:29,080 Speaker 1: joint expertise well and these are obviously smart cookies up here, 652 00:38:29,120 --> 00:38:32,040 Speaker 1: by the way, Susan's a rhodeschalar. I'm always so impressed 653 00:38:32,080 --> 00:38:39,760 Speaker 1: by that. Not that long ago anyway, Tara, Christina, Susan, Tanya, 654 00:38:40,280 --> 00:38:42,920 Speaker 1: thank you so much for the work you're doing and 655 00:38:43,640 --> 00:38:47,080 Speaker 1: we're holding you in our hearts as you continue to 656 00:38:47,200 --> 00:38:50,839 Speaker 1: work and make progress towards better treatments and hopefully one 657 00:38:50,920 --> 00:39:04,719 Speaker 1: day God willing a cure. Thank you, Thanks for listening everyone. 658 00:39:04,960 --> 00:39:07,560 Speaker 1: If you have a question for me, a subject you 659 00:39:07,600 --> 00:39:09,839 Speaker 1: want us to cover, or you want to share your 660 00:39:09,880 --> 00:39:13,600 Speaker 1: thoughts about how you navigate this crazy world, reach out 661 00:39:14,000 --> 00:39:16,640 Speaker 1: send me a DM on Instagram. I would love to 662 00:39:16,680 --> 00:39:20,560 Speaker 1: hear from you. Next Question is a production of iHeartMedia 663 00:39:20,600 --> 00:39:24,960 Speaker 1: and Katie Couric Media. The executive producers are Me, Katie Kuric, 664 00:39:25,080 --> 00:39:29,560 Speaker 1: and Courtney Ltz. Our supervising producer is Ryan Martz, and 665 00:39:29,600 --> 00:39:34,720 Speaker 1: our producers are Adriana Fazzio and Meredith Barnes. Julian Weller 666 00:39:34,840 --> 00:39:39,480 Speaker 1: composed our theme music. For more information about today's episode, 667 00:39:39,640 --> 00:39:42,040 Speaker 1: or to sign up for my newsletter wake Up Call, 668 00:39:42,480 --> 00:39:45,400 Speaker 1: go to the description in the podcast app, or visit 669 00:39:45,480 --> 00:39:48,680 Speaker 1: us at Katiecuric dot com. You can also find me 670 00:39:48,719 --> 00:39:52,479 Speaker 1: on Instagram and all my social media channels. For more 671 00:39:52,520 --> 00:39:57,840 Speaker 1: podcasts from iHeartRadio, visit the iHeartRadio app, Apple Podcasts, or 672 00:39:57,880 --> 00:40:02,080 Speaker 1: wherever you listen to your favorite shows. What if we 673 00:40:02,160 --> 00:40:04,840 Speaker 1: told you it was possible to prevent, manage, your cure 674 00:40:04,920 --> 00:40:07,919 Speaker 1: all disease by the end of the century. The Chans 675 00:40:08,000 --> 00:40:13,480 Speaker 1: Zuckerberg Initiative is advancing biomedical research and leveraging AI to 676 00:40:13,600 --> 00:40:18,000 Speaker 1: change medicine for decades to come. By bringing together science, 677 00:40:18,080 --> 00:40:22,799 Speaker 1: tech researchers, and engineers, they're building a better future for everyone. 678 00:40:23,280 --> 00:40:28,200 Speaker 1: Learn more at CZI dot com, That's CZI dot com, 679 00:40:28,480 --> 00:40:30,320 Speaker 1: or follow them on social media,