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The Joy of Giving

“Fundraising is a systematic, coordinated effort inviting people to experience the joy of giving.” Aly Sterling

Last weekend, June 1, I was in New Orleans at the Hope for Hemophilia spring leadership weekend and gala, at the invitation of its president, Jonathan James, who has hemophilia. Hope for Hemophilia is a nonprofit that does in the US what we at Save One Life do overseas: provide direct financial aid for families with bleeding disorders who need assistance. While we have never worked together formally, I sometimes get requests for help here in the US: a plea for rent to be paid for the month, or a heating bill, car payment, co-pay. Even college tuition. I typically will forward the request to Hope first, or maybe HFA’s Helping Hands program, but if the person has already tapped out there, we will try to help them.

There is such joy in giving. Not so much like Christmas gifts or graduation gifts, but a gift that helps a person get ahead in life. A gift with no strings attached, often to a stranger.

Save One Life does this; Hope for Hemophilia does this. And this time, Hope did it to me. Gave me a gift, no strings attached.

Jonathan had not prepared me for the gala, though I had heard it was the most elegant event in hemophilia in the country. Black tie and gowns, everyone was dressed for a ball, and the theme was masquerade. Many people bought charming masquerade masks to cover just their faces, á la Phantom of the Opera.

Doug and I walked arm in arm up a huge flight of stairs to the ballroom, which had such a high ceiling, it felt like a canopy of stars at night. Each of the many tables had huge candelabras; everything was donned in purple, giving it a mysterious, Houdini feel. We sat with Jonathan’s parents, who were charming, and another family, who were founding members of Hope.

The gift Hope for Hemophilia gave to me that night was not just their Legacy Award, lovely in itself, but a beautiful video, narrated and sincere, which chronicled my story from the birth of my son, to my books, to my work overseas. I was stunned. No one had ever paid this type of tribute to me before. I don’t even have time to organize my own photos; how did they do this? How did they have the time, when they had an entire gala, with over one hundred guests, dancers, music, silent auction…

(See the video here)

It made me realize two things: 1) We truly honor whatever we spend time on. Hope for Hemophilia recognized the time and energy I’ve sent the past 30 years in the community, and I was honored with this amazing video. 2) Giving without any expectation of return. I’ve never donated to Hope for Hemophilia, as I have my own nonprofit to fund. And I give away funding to those in need directly. Jonathan James gave me an award and a video as a gift, pure and simple. And it was so profound. I was very humbled by this gesture.

In my acceptance speech, I touched upon this theme. We are put on this earth, I believe, to give without expectation of return on investment. We give because it’s the right thing to do. Because another human being is in need. And what we get in return whether it is immediate or somewhere down the road, or maybe even in the next life, is worth so much more than the gift!

That very week, on Tuesday, a handsome, fit young man of 20 showed up in the Save One Life office. Owen is from Kenya and he wanted to meet Save One Life, since we operate in Kenya. In speaking with him, I found out he also wanted to thank me; 18 years before, he was a two-year-old, in the public hospital, bleeding. There was no factor in Kenya. His doctor, who I know, made a request to us, and we shipped the factor . He was infused, healed and was sent home. Now he is in my home state, studying to be a physical therapist so he can one day work with hemophilia patients.

He came to thank me; I was the one who had sent him that factor, 18 years ago. Amazing!

And his gift to me? He will join our board of directors to represent Africa.

Thanks to Jonathan James, Porter Snow and everyone at Hope for Hemophilia for their generous programs, their sincerity in wanting to make the world a better place, and their goodwill and positivity. Thank you for an amazing weekend. I’m pleased to know we share the same values and outlook, and desire to help, and I would love to work with them in the future.

Please be sure to give, without expectations, and experience the pure joy of it!

See the video here.

When Donating Factor

“I only want to help…”

It’s disturbing when we see the photo of an impoverished African child with hemophilia who is in pain or has chronic joint damage.

And we feel helpless when we get a Facebook request for factor from a desperate young man with hemophilia in Asia. As patients, we can feel their pain. As parents of children with bleeding disorders, we want to alleviate their suffering. Yet in our desire to do good, we may end up doing something not so good. We may send factor, on our own, to a place we’ve never visited, to people we don’t know. But won’t our generosity help them? What could be wrong with that?

 Plenty.

In our efforts to help, we may make several serious mistakes.

Here’s what to look for if you receive an international request for help.

Laurie Kelley with family in
Pondicherry, India

Is the request for real?

This is your first question. Just because someone says he has hemophilia and needs factor, this doesn’t mean he actually does. At Project SHARE, we do extensive background checks with the local physicians and hemophilia organization (if there is one) to verify the need. And even if the request is valid, don’t forget that English is not the first language in most developing countries; it’s easy to get request mix-ups, dosage errors, even incorrect diagnoses.

SHARE keeps reference files on every one of the hundreds we have helped. We must be sure we have valid and accurate information. If you are approached, always realize that there may be missing information, so ask questions. We always ask for diagnosis, physician’s name and contact info, whether the patient knows how to self-infuse, and how far he lives from an HTC, for starters.

Should a private citizen ship factor?

Factor is a biological drug that requires careful shipping and handling. It’s expensive to ship and must travel via international carrier, such as FedEx. Factor can’t be left on trucks, on planes, or in warehouses. And addresses can be tricky overseas!

In India, for example, one of my favorite addresses is “Next to Camel Lot, behind Cinema.”

Are you familiar with the country’s customs laws? Who will pay the duties, or the tax on the shipment? It may even be illegal for you to ship these products; do you know the penalties for shipping a prescription drug over international borders? If you are employed by a hemophilia organization or HTC, are you putting that entity at risk? Whether you’re a private citizen or employed by a healthcare agency, if you are unsure about duties, penalties, and costs, don’t take the risk—don’t ship.

Getting an infusion of Project SHARE factor in
Vijayawda, India

What if the person is asking to come to the States for treatment?

Just say no. Most medical problems related to bleeding disorders can be handled locally, in the country’s capital. India and Pakistan, for example, have some of the best hematologists on earth. The biggest obstacle to care is often not the lack of doctors or expertise, but the lack of factor. At Project SHARE, we’ve found that many requests to come to the States are not for treatment but for job opportunities, college, or the chance to join relatives, either legally or illegally. Hemophilia is a ticket to get in. Be careful!

“It’s an emergency!”

Emergencies are hard to fix. Often, by the time Project SHARE ships factor, the emergency has passed—for better or worse. Declaring an emergency is sometimes a way for a patient, HTC, or hemophilia organization to acquire donated factor; whether it will be used for the emergency remains to be seen. We must assess the nature of the emergency to see whether a shipment will even help.  If it’s surgery that can wait five days, then we can ship. Once, we saw a devastating photo of a baby in ICU with a head bleed…and we knew no factor shipment was going to help. We declined.

Check locally first.

All requests should first be vetted through the local and/or national hemophilia organization in a country. India has more than 65 chapters, so local is best. By contrast, the Dominican Republic has only one national organization. You can hop online and check the World Federation of Hemophilia’s website (www.wfh.org) to get the name and email of a national organization. But with over 100 member countries, this can be time-consuming and may not produce all the info you need.

Not speaking the patient’s local language may make it hard to communicate! At Project SHARE, we’ve found that we can resolve a lot of questions by informing the local organizations, whose staff often speak English, about requests that are coming from their members directly to the United States. Our goal is never primarily to “rescue” a patient, but to turn the request back to the national organization, to allow it a chance to help, and to strengthen its ability to solve problems.

Social media like Facebook creates connections between the developed and developing world. At SHARE we’ve seen many requests for factor and medical help come through Facebook to nice—but often inexperienced—hemophilia families and organizations who want to help. Americans are generous but aren’t always familiar with the international world. Be careful. Don’t risk losing a shipment of factor. Don’t weaken the local or national groups by training patients to come to you first instead of to the national organizations. Don’t be duped by people who end up getting the lion’s share of donated factor because they know how to use Facebook and email—people who pump out simultaneous requests to many developed countries and organizations.

What can you do that will really help?

Contact Project SHARE. We have been working with more than 65 countries for 17 years, and we’ve shipped over 144 million IU of factor. We’ve seen and heard just about every scenario, and we can make decisions about factor that will give help where it’s most needed, strengthen the national or local hemophilia organizations, and ensure that factor goes to patients with bleeding disorders. Consider us your US experts on hemophilia international aid. Like you, we want to help. Let us help you give help, effectively and efficiently.

© The Parent Empowerment Newsletter (PEN) 02.13  Subscribe for free at www.kelleycom.com .

Bayer Teams Up with WFH to Provide Aid

Anyone who knows me, knows I care deeply for patients with bleeding disorders in developing countries. I’ve been trying since 1996 to create ways to get factor concentrates to them, from simply shipping it through Project SHARE, to helping start patient nonprofits in other countries in order to ship more factor.

So whenever I hear of stories like the one I’m about to share, I get very excited, and deeply grateful. I know so many children whose lives have been forever changed by simply getting factor. It’s a miracle drug, and needed by so many.

Bayer announced last week that it is entering into a five-year partnership with the World Federation of Hemophilia (WFH) to bring education, training, and Bayer’s full portfolio of recombinant factor VIII (rFVIII) treatments to healthcare professionals in more than 60 countries where access to care is limited. Yes!

As part of the agreement, Bayer will provide financial assistance to support the training and education of healthcare professionals on the accurate and safe administration of treatments. WFH has local partner organizations through which they distribute the donation and manage logistics.  

The expanded WFH Humanitarian Aid Program seeks to improve the lack of access to care and treatment by providing much needed support for people with inherited bleeding disorders in developing countries. As we all know all too well, providing patients with a more predictable and sustainable flow of humanitarian aid donations is critical, and the WFH Humanitarian Aid Program makes it possible for patients to receive consistent and reliable access to treatment and care.

In particular, Bayer will donate 50 million IU of factor VIII treatment in 2019. Factor VIII treatment donation will support up to 5,000 people living with hemophilia A in countries with insufficient access to care.

I’ve been to over 30 developing countries, some of them up to four times, and know many patients. I am thrilled to hear this news; it’s bold, it’s needed and it’s time. People with hemophilia continue to die. We can prevent that, and give them a chance at life, which they so deserve.  Kudos, Bayer!

Footnote: In 1996, a rep from Bayer approached me to create and run a leadership program in developing countries to encourage parents and patients to start their own nonprofits and advocate for change. Project SHARE grew out of this program, and we continue today independently to provide leadership training, financial assistance and product.

Basil Rathbone Hemophilia Celebrity Spokesperson

By Richard J. Atwood

originally published in PEN, February 2019

Who would you pick as a celebrity spokesperson for our bleeding disorder community?

Celebrity status automatically captures the public’s attention. And our community wants to be noticed—for public awareness, for outreach, and just for the pleasure of being recognized. Soon after its founding in 1948, National Hemophilia Foundation (NHF) chose actor Basil Rathbone as its celebrity spokesperson. From the beginning, NHF wanted to be recognized. But why Rathbone?

Basil Rathbone (1892–1967) may be familiar to you, especially if you enjoy older movies. At one time, Rathbone was very well known, most famously as Sherlock Holmes. He appeared in 83 films from 1921 to 1967. Plus, he performed in the theater, on the radio, and for live television. Born in South Africa and raised in England, Rathbone began his career in 1913 as a classically trained Shakespearean stage actor. He saw combat in Europe during World War I.

In 1921, Rathbone debuted in his first silent film. He then moved to America. Rathbone kept his English citizenship, and he took frequent trips to London. Eventually, Rathbone wanted to return to his first love—acting onstage. In 1947 he left Hollywood for New York City, where NHF had its offices. So it made sense for NHF to ask Rathbone to be a celebrity spokesperson.

In the early 1950s, Rathbone was at the height of his acting career on stage, screen, and radio. He could sing and dance, and was a skilled swordsman. He did paid advertising for cigarettes, liquor, insurance, and diet food. Amazingly, he played 52 roles in 23 plays by Shakespeare. Over seven years starting in 1939, Rathbone starred in the role of detective Sherlock Holmes in 16 films and 275 radio episodes. Rathbone was rewarded with two Academy Award nominations. His popularity would peak again later in the 1960s, when his Sherlock Holmes films were broadcast on television.

Despite his wide range of roles on stage and screen, Rathbone is mostly remembered, regrettably, as a type-cast villain. His villainous roles include Mr. Murdstone in David Copperfield; the Marquis St. Evrémonde in A Tale of Two Cities; Captain Esteban Pasquale in The Mark of Zorro; and probably his most famous role, Sir Guy of Gisbourne in The Adventures of Robin Hood.

By coincidence, Rathbone performed in two movies that included hemophilia. He portrayed Prime Minister Disraeli in the 1961 television production of Laurence Housman’s Victoria Regina on NBC’s Hallmark Hall of Fame program. Julie Harris portrayed Queen Victoria, a known hemophilia carrier. Unfortunately, Housman’s play, originally staged in 1936, includes some inaccuracies about hemophilia genetics.

In 1966, Roger Corman, a producer at American International, hired Rathbone for the film Queen of Blood (Planet of Blood). Rathbone played Dr. Farraday, who, in 1990, sends a team of astronauts to Mars to rescue a crashed spacecraft. The astronauts return with a survivor—a green woman named Velana. The astronauts quickly learn that Velana is a vampire who kills her captors, and that she also has hemophilia.

Velana bleeds to death from a scratch, leaving behind her eggs. I admit, this is one of my all-time favorite science fiction/horror flicks, originally shown at drive-in theaters. NHF chose Basil Rathbone as a celebrity spokesperson for only a short time. We don’t know whether he had a family connection with hemophilia. Although he performed in two movies that include hemophilia,

Rathbone was probably more concerned with earning a salary than promoting a cause. Yet we can always be grateful for any celebrity spokesperson.

Who would you choose to speak for our community today?

For more info, read Rathbone’s autobiography, In and Out of Character (1962); and Michael B. Druxman’s biography/filmography, Basil Rathbone: His Life and His Films (1975). 

For more articles like this check out Richard’s Review, published in every issue of PEN!

Famous Mothers in Hemophilia on Mother’s Day

As I drove out to visit my mother today on Mother’s Day, I thought of all the mothers in hemophilia who made history or made their mark. Some were famous, some not so much. Many made differences that impact all of us today. I realized, too, an important distinction: mothers were so prominent and made such a difference due to the HIV crises in the 1980s. And afterwards, when we lost almost half our community, mothers stepped forward to make changes. They had to; many of the men, especially the activists, were gone. And their children were too young to take action.

Queen Victoria

But let’s start with one famous woman from history: Queen Victoria. She is perhaps the most notorious carrier of hemophilia, as well as being the longest serving monarch in history, that is, until Queen Elizabeth just usurped that title! Queen Victoria had nine children; only Leopold had hemophilia B. But two of her daughters, Princess Alice and Princess Beatrice, inherited the gene, which they passed on to the Russian royal family and the Spanish royal family. Prince Leopold died on March 29, 1884 in Cannes, France. Princess Alice married Tsar Nicholas II and later gave birth to Alexis, who had hemophilia. And that changed world history.

In the US? I think of Jeanne White-Ginder, whose son Ryan White challenged not only the Indiana school system to allow him to stay in school despite having HIV, but challenged the nation’s mindset and fears. To a nation that feared homosexuals and heroin users as HIV contaminants, Ryan was just a little boy, who gave the dreaded virus a face and name. He died on April 8, 1990, and his mother continues his cause to educate everyone about HIV, health and advocacy. (I am honored beyond words to be friends with her on Facebook)

Jeanne White and Ryan

I also think of Louise Ray, mother of the three brothers: Ricky, Robert and Randy. The Ray family made headlines in August 1987 (a week before my own son with hemophilia was born) when their trailer home in Arcadia, Florida was fire-bombed a week after the boys were granted permission to attend school despite having HIV. The Ray family had sued the school district and won re-admittance to school, as well as a $1.1 million settlement. They were ostracized from the community and even their own church. The faced death threats. Louise was only 29 years old. Ricky Ray died in 1992 at age 15. Robert died in 2000 at age 22. Eventually, Congress would pass the Ricky Ray Act which provided compensation to everyone with hemophilia infected with HIV, as part of the government settlement for not safeguarding the nation’s blood supply.

Louise Ray and Robert

And I bet you don’t remember that we once had a female president of NHF! Kate Muir, the one and only female president. That was a daring role to take on, and maybe it’s time we think about another woman to lead us?

There’s Michelle Rice, mother of two adults with hemophilia, former executive director of the Indiana Hemophilia Foundation and now senior vice president, External Affairs, National Hemophilia Foundation–and recognized insurance guru! And Dawn Rotellini, senior vice president, Program Development, mother of a child with hemophilia. Two powerhouse women who continue to influence chapters and leaders in the US and beyond.

Dawn Rotellini, NHF
MIchelle Rice, NHF

Lastly, Kimberly Haugstad, executive director of Hemophilia Federation of America, a national nonprofit that advocates and educates and offers programs to directly impact individual families with chronic disorders. Kimberly works tirelessly to reach families in need through financial assistance, education and policy-making. She’s the mother of a child with hemophilia.

To these mothers, and so many more, Happy Mother’s Day and thank you!

Kimberly Haugstad, HFA
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