Latest / Tom's Hirschsprung's Podcast / Episode 4 - Interview with Louisa and Andrew Shapton
Transcript
- 0:05You are listening to Tom's Hirshbrung's Podcast, where I provide a look into the
- 0:09remarkable experiences of the most inspiring people around Hirshprung's disease and sports. Welcome to
- 0:40episode four of Tom's Hirshprung's Podcast, where I am joined by one of the
- 0:45founding members of the podcast, Louisa Shapton and her dad Andrew Shapton. Welcome
- 0:50to the podcast. Thank you very much, Thank you Tom. Now,
- 0:57thank you. Now. Nobody apart from from us three will know this,
- 1:03but between between us and another personal Carla, so four of us we discussed
- 1:11the podcast regularly. We discussed various ideas about how we can grow this,
- 1:18get it out to more people to know about Hirshbrung's disease, and you,
- 1:23Louis, have been instrumental in pushing this forward, and hopefully in the not
- 1:29too distant future, we will have some more exciting news about what we're doing
- 1:33outside the podcast as well and various social media aspects Facebook groups, et cetera,
- 1:40et cetera. But for today, I have Andrew and Luiz Shapton and
- 1:46we're going we are going to talk about Louisa your story with Hirshbrung's disease,
- 1:53and then and your dad as well, to fill in the bits that are
- 1:57very relevant to him, and the bits of you don't remember because you were
- 2:00too young. So if we go straight from the beginning, and I'll start
- 2:07with you Andrew, the the first diagnosis of Hirshprong's disease. Did you know
- 2:17about the disease? Had you heard of Hirshprong's disease at all before Louis who
- 2:22was diagnosed. So no, we'd not heard of it at all. And
- 2:29to me, it was a I describe it as some people as just it's
- 2:32like a boat from the blue. You know. You you have this beautiful
- 2:37little daughter, bunks and baby, she's arrived. In our case, we
- 2:42were shipped from one hospital fifty miles away to her to another hospital in the
- 2:49capital of Wheels and she was undergoing a bunch of tests and we were told
- 2:53at one o'clock in the morning that she had hirsbruns and again what's that?
- 3:00Yeah? And and we we were lucky enough to be to be seen by
- 3:06one of the one of the leading consultants in the UK for hersh bruns arm
- 3:10and he he very kindly sat down and explained what it was in quite some
- 3:17detail. Uh And and to be fair, you know, we we've got
- 3:22a very good understanding of what it was, not why it was, not
- 3:25what it caused it, because at that that point, I think we were
- 3:29still still quite shell shocked, both Mum and I. You were very very
- 3:32tired, We were very bewildered. And you know, we we kind of
- 3:42a one and two o'clock in the morning because he sat down and spoke with
- 3:45us a hapless thing we've never heard of before, what it caused. But
- 3:53beyond that, we hadn't We had no further information at all, no idea
- 3:59it's and from the just through doing the research with hirshprngs disease just for the
- 4:04podcast, there have been plenty of studies on it. And one of the
- 4:14things I found out which I thought was quite interesting, was that the so
- 4:19the two people that the parents of the child that make that have the chromosomes
- 4:23that make up hirshprungs disease. If I've explained that correctly, you have a
- 4:30one in four chance of having a child with hirshprngs disease if you have the
- 4:34mother and the father both have those those chromosomes, which makes absolute sense in
- 4:41my case because I'm one of four and I was the unlucky one. So
- 4:46do you have any brothers or sisters, Louisa, No, So I'm the
- 4:53only child. So from what I understand, it was kind of obviously because
- 5:00of the risk of me having it, that it was oh, because I
- 5:06had it, that it was not in my parents' best in dress have another
- 5:12child, which is understandable, I guess, but yeah, no, I'm
- 5:19still an only child and forever will be fantastic. So you were you were
- 5:27triply unlucky then to get hirsh Bruns very much. So, yeah, I
- 5:32think from from our perspective as a as a dad, and speaking from mum
- 5:36as well, we wanted to give the reason all our loving attention and care
- 5:44because we knew she was going to need it. And also we spoke quite
- 5:47some length to the medical staff, and we undertook something called genetic counseling,
- 5:54which is explaining the kind of things that you've explained Tom, in terms of
- 5:59the risks and the probabilities or possibilities, and we felt that it knowing what
- 6:05we knew, then it was just not right to bring another child into the
- 6:10world and with that risk, with that sort of damn please hanging over us.
- 6:16I think I think we were right to do so. Other people may
- 6:20not, but you know, I think you do what you need to do
- 6:25within the best in your family. Yeah, very much. So each to
- 6:29their own on that most definitely what I have two younger brothers and one older,
- 6:36so I'm stuck right in the middle. It was the child with Hirshprings
- 6:42disease. And I guess I haven't spoken to my parents about this. Actually,
- 6:46it's probably something a podcast for them, but I guess they must have
- 6:51had the fear of having having one child with Hirshprings disease, that you know,
- 7:01potentially having another child with hirshprungs. But then there is that that twenty
- 7:06five and but no, I totally totally totally understand where you're coming from with
- 7:17that. And obviously having child with Hirshprungs disease takes takes a lot, a
- 7:25lot out of you, I would imagine as well, so it does,
- 7:31you know it. But beyond the endless visits back and forth hospitals, beyond
- 7:38the additional work that comes with handling a cost to the bag, which you
- 7:43know, we were under no illusions. It's something we were going to do.
- 7:47You know, it's just an additional thing you have to care for to
- 7:51bring up your your child. I think I think sometimes there's you there's a
- 7:58sort of social aspect where you've got kind of explain to people, well,
- 8:01you know this, this is our bouncing baby dater, isn't she lovely?
- 8:07Oh, she's got this thing that you need to need to consider and don't
- 8:11cuddle her too tight because she's got a coostomy bag on. Oh and why
- 8:16is that so? I think if you're if your your child has got something
- 8:22like diabetes or any other visible condition for example, it's easy to explain.
- 8:31And there's a lot of I think stigma around coostomy bags and the internal plumbing.
- 8:39The people are still a little bit wary, are still a little bit
- 8:43afraid of and as as I'm sure the reason will allude to. You know,
- 8:48we have no such fears in our family, you know, we we're
- 8:52quite open about it. Yeah. No, that's fantastic. And I think
- 8:58as well, something that's done in the very first episode is that science has
- 9:01very much moved on in terms of things like sealth belts for for stonas and
- 9:13colostomy bags and things like that have really have really come to the fore a
- 9:18lot more, and people a lot more, maybe not so much open about
- 9:24it, but definitely are aware a lot more. And I think, as
- 9:31we alluded before had when where a child is diagnosed with hirshprungs, many many
- 9:39people have no idea what Hirshprungs is. But again, in doing the research
- 9:45for this, I've found that one in about one in five thousands, to
- 9:48give or take, or one one per probably small town here in England have
- 9:54Hirschbrng's disease, which is quite common I would think, not in a diabetes
- 10:03or an asthma or whatever, but in terms of rare diseases, it's probably
- 10:07one of the more common ones. I would say, It's odd, isn't
- 10:09it? And yet you you know you do. You do a survey across
- 10:16the whole of the UK, and probably apart from those in one in five
- 10:20and they are immediate families and friends, there's probably zero knowledge. I think
- 10:26it's one of those things that you only know about if you know someone or
- 10:31are related to someone that has it, rather than you know asthma, diabetes,
- 10:37epilepsy. You know, everyone knows what they are. Maybe they don't
- 10:41understand them, but they know what they are. Definitely heard of them,
- 10:45Yeah, definitely. I think the other thing as well, I was going
- 10:50to ask, was you said you had to explain her sprungs and to very
- 10:56different people, and my parents will know that experience. I've had that experience,
- 11:01And Louise, I'm sure you've had that experience where you've had to explain
- 11:03this that the other two people? Did you ever before? She's getting involved
- 11:11with a lot of the Facebook groups And Louisa, did you know of anybody
- 11:16growing up that had hirshbrungs or was it something that you thought you only had?
- 11:22I think I knew that I wasn't the only one with it. I
- 11:31my parents had said about how on the ward I was on in Cardiff Heath
- 11:37Hospital, there was another little boy there and he had hirshbruns and I think
- 11:46my parents spent time talking to his parents as well, And yeah, so
- 11:52I knew that it wasn't just me kind of situation. It wasn't you know.
- 12:01You hear of these cases of illnesses and there's like three people in the
- 12:07world with it. I completely understood. It wasn't that kind of situation.
- 12:11But it also wasn't a situation where if I said hoshbruns, then someone would
- 12:18say, oh, I know someone with that, or they knew what it
- 12:22was. It was very like I think the first time we spoke, I
- 12:26started welding up because it was I'm twenty two now, and this is the
- 12:31first time that I have actually knowingly had a conversation with someone who has hoshe
- 12:39or who has had or has hosh runs. And it's taken me twenty two
- 12:46years to find someone else. Yeah, I think it took you a shorter
- 12:52time than it took me. It took us twenty five I until I was
- 12:58teaching somebody actually in my career as a teacher, actually teaching somebody who has
- 13:07hirshbrums. But my mom's good friends with his mom, and yeah, so
- 13:13yeah, it took me until about twenty five. So you did that a
- 13:16lot earlier than I have. Yeah, but yeah, it is quite unique
- 13:22in that sense, and it can, you know, in honesty, it
- 13:28can be quite isolating in a bit confusing I found growing up. You know,
- 13:33it can feel a bit like I don't want to put a dampener on
- 13:37things, but it is very you know, how do you explain this?
- 13:41And as we said, it's you know, I was born in two thousand
- 13:45and one, so it's growing up when science maybe wasn't as developed as it
- 13:52was now. It was very much a taboo around. Can I talk about
- 13:56it? Will people understand it wasn't just a known thing? I guess,
- 14:05yeah, but yeah, very much so. I mean, I think over
- 14:11the years, I don't know how it's been for the review, but over
- 14:15the years I've sort of got more succinct with my answers. If anybody ever
- 14:18looks at my records and goes, you have hirshbrungs and what's that? I
- 14:24tend to beforehand I would go into detail that I got this and that,
- 14:30and this happens and this intestine gets chopped and that and just whatever and blah
- 14:33blah blah. But now it's more just yeah, my stomach cuts sometimes and
- 14:39just move on. So, yeah, I tend to find did you find
- 14:46that, Andrew throw if you had to explain hirshprungs to whether it's schools or
- 14:52teachers or whoever, did you find that? Was it? Long winded answers
- 15:01that you gave and tried to get loads of information or was it sort of
- 15:03like, right, this is it, I've got it, I've got it
- 15:05down and think and go. I it was. It was very much a
- 15:13long winded answer because and to be honest, it still is. You know,
- 15:18if someone says not not that they do anymore because Louise is kind of
- 15:22taking them out. But I think if someone were to ask you, now,
- 15:26you know what is hirsh bones, irrespective of if it's in the context
- 15:33of Louisa or not, I probably still give the same answer. And I'm
- 15:37like that because I'm a team that people understand as much as possible about it.
- 15:43And in these it was very in school so they you know, she
- 15:52should be able to be given at other of the waal slack if she did
- 15:56need the lou or she didn't need the lou or whatever, so that the
- 16:00teachers would understand. Now I'm more in an educational sense, right, people
- 16:07want to know what it is, Okay, I'll tell you. I will
- 16:10keep talking about it until you tell me to stop. Yeah. Yeah,
- 16:14so you get more than the last graphic minutia detail about this. Yeah,
- 16:21No, that's good. It's good. And I think it's been touched on
- 16:23before. Yeah, time and science has moved on. So the explanation that
- 16:30I mean, the condition of itself hasn't changed. It's still you have your
- 16:34short segment and your long segment, so that hasn't changed in a sense.
- 16:41But I certainly felt in sort of the thirty two as I am now thirty
- 16:47two years i've had it, my explanation has changed from you know, going
- 16:55very much into sort of I've got this scar and that scar and blah blah
- 16:57blah blah blah. Has Yeah, your explanation changed, and you said you
- 17:04go into and go into detail. But has it changed over the years or
- 17:08is it still very much the same explanation. I think it's very much the
- 17:14same, simply because I think what I'm explaining is the causes of the condition
- 17:27rather than the science behind it. And let me try and put that in
- 17:32a different way. Then the causes of it are clearly genetic, Okay,
- 17:37So you know that I think is whether science has moved on in terms of
- 17:40finding more information about that angle. But the the impact that then has on
- 17:48a person who's about to be born, and they will they will pop into
- 17:55the world with this condition that that to me is still the same. Yeah,
- 17:59the act of its still the same. You know, there's there's a
- 18:00long segment, of the short segment, there's the pothos is the reversals,
- 18:06there's the scars. Well, that's all the same, I think, because
- 18:10science won't change that until science comes up with a bunch of procedures that change.
- 18:15It's it's, as you say, Tom, the research that's changed and
- 18:18the knowledge has changed, but until the procedures changed, the impact is still
- 18:25the same. And that's what I am. That's what I tried to impart
- 18:27in people. Yeah, for sure, for sure. Another part that I
- 18:33wanted to talk about is loser. Obviously we talked we've talked before, and
- 18:37we talked through the WHATSEP group and what have you. And you talked about
- 18:41dancing being very very important to you. When did you start dancing? Yeah,
- 18:48So I started dance. I think I was about three or four,
- 18:55and I started with ballet, and then I went on to tap down ants,
- 19:00and then maybe ten I went on to jazz, and I did a
- 19:04few other things. And yeah, I think for up until maybe my mid
- 19:12teens, I was doing dance. Yeah, yeah, and that and how
- 19:22did because it was Hirshbruns never stopped you from dancing as far as as far
- 19:29as I'm aware with what you told me. And one of the key parts
- 19:36from what I wanted to start this podcast is to give people that not hope,
- 19:44not hope as such, but tell to tell people, actually, you
- 19:47can go and do what you want to do, whether it be sports,
- 19:53or whether it be arts, whether it be whatever, construction, whatever it
- 19:57might be. But obviously it does come with, you know, the occasional
- 20:03challenges. But from what you told me in the past, you know,
- 20:07dancing, never you never stopped stopped dancing. It never hers proms, never
- 20:12ever stopped you doing doing whatever you wanted to do. Is that right?
- 20:18Yeah? Absolutely, I think from that perspective it was. Yes. I
- 20:26faced additional challenges because my stomach vessels weren't as strong as everyone else's. And
- 20:34it wasn't until after I left dance that I realized, well, it's because
- 20:41I've had multiple surgeries on my stomach. But apart from that, I I
- 20:48would turn up to dance three four times a week. I did exams,
- 20:52I passed, I made so many friends. You know, it didn't stop
- 20:57me, and I don't I almost don't consider myself to have had hushbruns,
- 21:07like even now unless when I go into hospital, unless it's you know,
- 21:11stomach related and they say, like any other medical conditions I should know about.
- 21:18I read you're wrongly. I don't say hushbruns because I often forget.
- 21:26And I say that in a positive sense that it's it hasn't held me back,
- 21:34you know, it doesn't. I'm fortunate enough that it doesn't impact my
- 21:40day to day life and if it does that I've navigated around it. I've
- 21:45embraced it, and it's not detrimental toe my lifestyle at all. And I
- 21:53am very grateful for that and for you know, the the medical staff and
- 22:03everyone who supported me to that point. And mister Simon had that in Cardiff,
- 22:10who I think he's retired now, but you know it was well if
- 22:17it wasn't for him, I wouldn't be here, so you know, but
- 22:22yeah, absolutely, like I completely appreciate that in the at the time,
- 22:30you know, it must have been so frightening for my family, but there
- 22:36is you know, to all the parents out there, there is no reason
- 22:41that your child can't go on to succeed and be on a podcast about hersh
- 22:47friends. You know, it's it's not a be all, end all situation.
- 22:56That's really interesting that you mentioned an absolutely you absolutely right with that as
- 23:00well. You can achieve. You can achieve what you want to achieve,
- 23:04and it sounds a bit cliche, but you definitely can. It shouldn't ever
- 23:11ever hold you back. It's interesting you said about almost forgetting that you have
- 23:18hirs bronx when when they say if you have any other medical conditions, again,
- 23:23if you're anything like me and my condition, you have a folder that's
- 23:27about three hundred pages long and it has everything in the world in it,
- 23:33and it's just a quick because when I went to hospital, I went to
- 23:38Great Elementary Hospital in London, and I could always tell when I was next
- 23:42because they would wheel the trolleys through with all of the folders and mine was
- 23:45always the biggest, so I always knew when I was next. But I
- 23:52imagine Andrew as well, you probably had to you touched on before you had
- 24:00that to sort of explain various conditions. But it never never stopped Louisa doing
- 24:07anything growing up at all. No, I think quite the reverse. I
- 24:14think what struck me as how Louisa was I think again to use a cliche.
- 24:22You know, you always think your child is the best in the world,
- 24:26and yeah, Louisa is. But I think we were in hospital for
- 24:36one of the checkups and she was she was asked to sort of she must
- 24:41have been about seven six or seven, and she was asked to sort of
- 24:48hoist herself up onto the hospital bed, and she did so, and there
- 24:52was a big clunk on the bed and mister Huddart, the surgeon who saved
- 25:00their life, look at her and said, do you mind if I get
- 25:03one of my colleagues to come and look at her. No, not at
- 25:07all. Apparently, if if you have hirshbruns, you know you have a
- 25:12really slimm chance of becoming quite beefy and you know, meat deep. And
- 25:17what he said was a lot a lot of for a young kids with hirsh
- 25:19bruns tend to be somewhat because they've got issues obviously with it, know,
- 25:25with ingesting and digesting proteins and goodness from food because of the short length of
- 25:30the bowel, et cetera. That they have the potential for not to be
- 25:36as beef and meaty as other kids. And yet us bucking the trend so
- 25:44you know that struck me as well. If she's bucking the trend, then
- 25:51she can cheeve whatever she wants. You know, she can be whatever she
- 25:53wants, she can go wherever she wants. So it's never stopped her.
- 25:59And I think it's me. It's me subconsciously more of a fighter. Yeah,
- 26:07held it back for sure. Yeah, No, I mean I pick
- 26:11up on that point of being a fighter as well. And I've noticed this
- 26:17with myself and with others that I've spoken to. That because partially because of
- 26:23the amount of surgeries that you do have with Herschbrungs, because it's not for
- 26:27anybody who's I'm sure it's not just one and done. You do have quite
- 26:33a few surgeries. I mean I'm in double figures now, so I have
- 26:38quite a few. And there are many people who've had a lot more than
- 26:41me, and they are a lot younger than me. But you do build
- 26:45this resiliency and sort of have a a very high pain threshold. I mean,
- 26:56it takes an awful lot for anything to it really caused me any pain.
- 27:00But I attribute that to my Hushbrungs. Is that similar to you,
- 27:04Louisa? Sorry? I think in terms of a high pain threshold. I'm
- 27:14I don't know anything different, so I couldn't necessarily say yes or no.
- 27:23But I know from a mentality perspective, I definitely when I do need to
- 27:29call on that, I need to be mentally strong, I kind of do
- 27:34remember that from birth, I've gone, I've gone through these surgeries, I've
- 27:40gone, I've thought hirshbruns. You know, it's I don't want to say
- 27:47invincible, but it does keep me going, you know. So I think
- 27:51for me it's more a mental standpoint rather than a physical standpoint. But that's
- 27:56only because I don't know any anything different. Yeah, So, yeah,
- 28:03that's that's interesting because there will be because hirschbrngs is from birth, isn't it,
- 28:08So it will be Anybody with hirshprungs won't know any different. They won't.
- 28:15You know, I don't know a life without hirshprungs, and I don't
- 28:19know anybody else who who has hirshbrongs who does know a life about hirschbrunks.
- 28:25I mean I was diagnosed three weeks after birth something like that. Most are
- 28:30diagnosed within a few hours of birth or a few days after. When when
- 28:37were you diagnosed? So I was. I mean, this is probably a
- 28:44question for my dad. Yeah, I was thinking that one. Yeah,
- 28:48So the reason was two days. So Loison was born on a Monday,
- 28:59by Wednesday evening, so she was born run Stone on a Monday. By
- 29:03Wednesday evening we were in in Cardiff and one o'clock Thursday morning, so two
- 29:14and a half days we were told shot hirshburns. So it wasn't an immediate
- 29:18diagnosis, it was it was, you know, within the sort of standard
- 29:25couple of days that people would normally say, yeah, you know, if
- 29:30you've got hirshbrons, a couple of days you exhibit the sort of possibly distended
- 29:37tammy or whatever and and then they start to give your tests. So yeah,
- 29:41that's that's Louisa's time for him. Yeah. Yeah, it sounds like
- 29:45a fairly not the hirshbrongs is normal, but a fairly normal way of being
- 29:52diagnosed with hirshbruns. That is usually usually within the first few days to a
- 29:57week. They you tend to be people tend to spot the signs and then
- 30:03you diagnosed fairly shortly after that. But I wanted to move on to sort
- 30:11of now and what you're doing now and how hirsh Bruns has potentially helped you
- 30:22in your studies or whether it has helped you at all. Yeah. Absolutely
- 30:29so. I'm currently on a gap year from Cardiff Metropolitan University, but I
- 30:36am studying sport Conditioning Rehabilitation massage, which is a fancy name for sports therapy,
- 30:45and I do really enjoy the course. It's wonderful and I think I'm
- 30:55not one hundred percent you were on my own goal at the moment. But
- 31:00since a young age, I've said I want to go into Hirshbuns in some
- 31:04way or another. At one point I wanted to be a Hirshbung's researcher.
- 31:10Another point I said I wanted to be a pediatrician specializing in Hushbruns, and
- 31:18whilst that hasn't quite materialized yet, I think I'm at a point that I
- 31:25definitely want to go into Hirshbung's research, and that may not be in a
- 31:33lab. It might be looking to work with children, adults, Hushbungs patients
- 31:42who have some sort of colostomy aster me and helping them through the rehabilitation process
- 31:52of that. That's something that I do feel quite strongly about that I didn't
- 31:57have as far as I'm aware, and so as I said earlier in dance,
- 32:04my stomach muscles were awful. And so just kind of working with the
- 32:10Hirschbuns community, whether it be on a professional level or in like a voluntary
- 32:19sense on the site type thing, but just to help in any way I
- 32:27can and use the skills and knowledge I'm learning in university to kind of give
- 32:34back to the community, because I think in this day and age with social
- 32:43media, we can reach out to each other and realize we're not on our
- 32:46own, you know, and that there is stuff that can be done that
- 32:55isn't necessarily surgical. And I'm not such us in that you don't need to
- 33:01have surgery, but as well as but as well as the surgery, you
- 33:08know, there's pain management, there's aftercare, there's things that we can do
- 33:16to kind of what's the word like, to really help hirshbungs, patience,
- 33:28survivors, warriors, whatever you want to say to just I feel better is
- 33:37an understatement, but you know, to deal with the hirshbrons because it's not
- 33:46as you said, it's not a one surgery and you're done. For a
- 33:52lot of people, there is complications. Surgery have to surge, you have
- 33:58to surgery. You're not really getting anywhere, and so I think it has
- 34:04influenced how coming back to your question, sorry, I think it has influenced
- 34:09what I wanted to do, because, as I said, as much as
- 34:15I love sports therapy, it's not working with the population that I do want
- 34:22to work with, which is the Hirshman's community. It's interesting. I mean
- 34:28I touched on the point you said earlier about stomach muscles, and that was
- 34:34something you taught me when we first had our conversation. That makes total sense
- 34:39now, but I never understood it as a child or a young adult that
- 34:46yeah, of course my stomach muscles would be rubbish because I haven't gotten it
- 34:54or I have very few, so I get I never I never really understood
- 35:00that, and that was Yeah. It's again, this may have clicked with
- 35:07everybody else much sooner than me, and it might just be me being very
- 35:09thick, but yeah, it just didn't click with me until you said it.
- 35:15And it's it reminds me of something I did in the summer. I
- 35:21ran a race in London or was it someone a few months ago and one
- 35:27of my friends commented on my running style and said that I lean over too
- 35:30much because I haven't got any stomach muscles to hold me up. But it's
- 35:37things like that that, you know, because people don't know that you have
- 35:42the condition because you don't you know, it's not visible. People can't necessarily
- 35:50see that. It's not necessarily your faults or or it's possibly a bit trickier
- 35:58than others to you know, for example, hold planks or to be able
- 36:04to lift things or whatever it might be, just because the stomach muscles aren't
- 36:07there. But yes, no, no, thank you very much because you
- 36:10taught me that, so yeah, so thank you, but yes, you're
- 36:15right with And that kind of neatly ties us on to the next thing when
- 36:21you when you were talking about helping and community and trying to have a community
- 36:30out there, because I think, as you've sort of touched on, we
- 36:35didn't know anybody else growing up who had this condition. Certainly I nobody had
- 36:44necessarily heard of it. And if we can have and I know there are
- 36:47communities out there who who do bits and pieces for Hirschbrungs, and they do
- 36:55phenomenal jobs, whether it be on Facebook or whether it be charities. They
- 37:01do some phenomenal work, but to have more awareness out there I think is
- 37:07really important. And I'd sort of come back to your point Andrew, about
- 37:15when Louise is diagnosed with Hirschbrung's disease, how how much support and not necessarily
- 37:23from sort of the hospital, but sort of things you could search or research
- 37:30or anything like that was there around Hirshbruns. So I think we've got to
- 37:37consider tiny things. I guess I'm not necessarily say Google was very much and
- 37:47very much maturely adoption stage. You know, I work in technology and have
- 37:52done for all my work in life, so I guess I was an incredibly
- 37:57really adopter. So you know, the Internet was something that it was an
- 38:05early research tool that there wasn't a lot out there in those days about hirsch
- 38:09burns. You know, this is almost well it was pre Wikipedia, for
- 38:14example, and you know Wikipedia is the font of all knowledge, right except
- 38:19where it isn't. So what we had was all the hospital could supply us.
- 38:29Here's one or two these things called what do they call them websites?
- 38:36Yeah, because this was twenty twenty two years ago, and the aftercare and
- 38:43the support that we had, you know, yeah, we had we had
- 38:45great medical staff who answer all the questions we had for them. We had
- 38:51a stomachcare nurse that came came to our home every a couple of weeks to
- 38:54make sure we had a the right type of supplies because as the Wisa was
- 38:58growing, you know, her her cost bag for changing size and get the
- 39:04underworld and stuff. As she got older and we'd had we we'd have the
- 39:09care from the medical staff at the hospitals. But aside from that, there
- 39:16were there was pretty much nothing. And that's not that's not to say that
- 39:21the medical staff and the people did support weren't good enough. They were absolutely
- 39:24the best that they could be. And but I guess it's the sign of
- 39:31the times that in those days there wasn't any to get them tears that perhaps
- 39:42helped us. Where now we have the Internet. And I think even though
- 39:52science, as we said quite early on this season, talked science has moved
- 39:58on, but the support the TVs that I think are out there possibly haven't
- 40:05kept up with that. You know, things like Louisa was mentioning about her
- 40:08stomach muscles. Where where does it say that, you know, if if
- 40:14you're a child is diagnosed one of the things you might encourage them to do
- 40:19gymnastics, for example, to get the stomach muscles in other things that we
- 40:30have done to help hard we known of them. That's that's an interesting point
- 40:36that you make that actually going and doing sports or activities that would strengthen stomach
- 40:46muscles is probably is something that is really really important because I think almost the
- 40:57certainly when I when I was growing up, it was almost the advice was
- 41:00the opposite that actually, you know, avoid doing too much with your stomach
- 41:06muscles because they're a bit weaker, and et cetera, et cetera. But
- 41:09actually I think going the other way around, so long as you're sensible with
- 41:13it. And again this isn't a podcast for medical advice, not just make
- 41:17that clear. I am not a doctor in any way, shape or form.
- 41:22But actually doing yeah, gymnastics, doing We're not saying, you know,
- 41:30go crazy, but doing things that would help strengthen stomach muscles are really
- 41:39really important, as they are for everybody, but especially with somebody who has
- 41:44those stomach muscles lacking. Did you did you find that, say, did
- 41:50you find that your stomach muscles improved when you did gymnastics? But that would
- 41:54be probably the arsw would just be a straight yes, I imagine. I
- 42:02I don't know. I did do gymnastics for a few years, and I
- 42:09don't think it was really my thing, but kind of comparing it to dance,
- 42:16where again, especially ballet, where stomach muscles are needed continuously to maintain
- 42:25that posture. Evidently not from when I started over to you know, mid
- 42:36teens, when I said, this isn't really for me anymore, And that
- 42:40wasn't because of my lack of stomach muscles, it was they just never seemed
- 42:47to change. And again it's maybe I didn't have it hadn't clicked that most
- 42:55of my stomach is scar tissue, so I can't just pull my belly in
- 43:02and suck my stomach in like everybody all the other girls around me were,
- 43:08you know, it's it's not quite the same. And so even just educating
- 43:15ourselves and parents' families people going through this, that the right type of exercises
- 43:25and it doesn't need to be planning because it doesn't need to be sit ups
- 43:31and all those horrible co exercises. It doesn't need to be that at all.
- 43:37But just kind of it from a personal standpoint, it was a light
- 43:45bulb moment, and it sounds like I've passed on that like bulb to you
- 43:53that, Yeah, you know, our stomachs aren't like everyone else's, and
- 44:06quite a lot of us have had fairly large portions of, if not all,
- 44:12of our interestin is removed. And so even there, our stomach muscles
- 44:19aren't necessarily going to sit correctly, so and they need to adapt to that
- 44:29as well. But yeah, I think taking it beyond that in terms of
- 44:35after care and support, a lot of the support that we had back then
- 44:40was was purely medical, whereas you know, we didn't have I want to
- 44:50use the term counseling, but that that maybe isn't right. You know,
- 44:53we didn't have the support that says, well, okay, now you have
- 44:57a childhood, this is what it is, this is what to do,
- 45:00this is how you can help your child in my best you can. It
- 45:06was very much about let's sort of deploying. Yeah, yeah, very much,
- 45:13the sort of practical, the the things you can see as opposed to
- 45:20And I think you make a really really interesting point, and I think that's
- 45:23something again I'm going back, you know, twenty thirty years ago, something
- 45:30that wasn't wasn't talked about was mental health at all, and something that's a
- 45:35lot more prevalent now and something that I think is really really important when it
- 45:40does come to Hirshprungs. Especially again in doing the research for this, there
- 45:47are a lot of conditions linked to Hirshprungs. So people have Hirshprungs and another
- 45:52condition, but none of that's talked about. It was just you have Hirshprungs
- 45:58and that the world was as we said, the world was a completely different
- 46:01place. I think, yeah, as you said that, people just look
- 46:07at the internal stuff the right, this goes here, and this isn't working,
- 46:14and this is missing, and YadA, YadA, YadA, and I
- 46:19think talking about everything, well, everything else that's kind of goes along with
- 46:24having Hirschbrungs or another long term health condition. Has said it has very much
- 46:30been linked to crones and for obvious reasons, and very much linked to autism
- 46:37in the research that I've done, and not a lot is made of that.
- 46:45They've been several people who've contacted me who said, I, you know,
- 46:47my son daughter whoever has herst Bruns and they have this other condition as
- 46:54well, and we didn't know at the time. So yes, I think
- 46:59that's incredibly Yeah. I think for me, as I kind of said earlier,
- 47:08it's well, you know, it's not just the medical side. It's
- 47:14where as a person, even at that young age, ourselves the person with
- 47:21hush runs, but and the families and caregivers, you know, we are
- 47:28all around these people. It's not just a two D. It's not the
- 47:32hush runs and you're good for life, you know, it's as you say,
- 47:37the the long term and short term medical conditions that go with it.
- 47:43It's the mental health, it's the practical health, it's the peer support that's
- 47:49needed. It's the how do I tell someone my child or I have hushbruns?
- 47:55I think, I mean, even like how do you tell a partner
- 48:00you've got after that's you know, that's something that that's not ever an easy
- 48:07conversation. But yeah, it's almost making it an encompassed not just two deep
- 48:16Hushbrun's label. Job done. It's there's so much more to it than that.
- 48:22Yeah, absolutely, and so touching on my final point. Really,
- 48:29I come to you, Andrew with I've had plenty of conversations with people and
- 48:35messages from people have said, my son and my daughter has just been diagnosed
- 48:39with Hirshbrung's disease. It was diagnosed a few months ago. What would you
- 48:45say to somebody who was concerned or worried that their child's just been diagnosed with
- 48:52hirshprungs. As a parent of a child with hirshbruns, I think my my
- 49:00first message would be, don't be scared. It is a serious condition.
- 49:07There's no getting away from that. It is long term, it is,
- 49:14but please, please, please don't be scared because there are always through this
- 49:20and you will end up with son or daughter you've always dreamed of. That
- 49:30would be my first message. Yeah, for sure, for sure we have
- 49:36yeah, and if we can do it, anyone can do it. And
- 49:39touching on that point because obviously this podcast is about inspirational people and people really
- 49:47want to get to interview. How I'm sorry about this, Divisa, How
- 49:52proud of you are of Louisa? And how fast is calm from her hirshbumps
- 49:58condition? At this point where words would fail me. She she's had she's
- 50:07had a tough life from almost from day one, and she she continues to
- 50:15fly daily with what she does. And I think especially the passion of which
- 50:22she takes things on. You know, she she will take cause and she
- 50:29will fight tough and nail for her and I were you know, it's the
- 50:36old cliche. Would I change her? Absolutely not? Would I would?
- 50:40I want Louisa not to have hersh brands in a in a crazy, odd,
- 50:47fatty sort of way. No, because I think it's made of what
- 50:52she is. M hm. Yeah, I'm incredibly proud of her every day.
- 51:00Sure. And lastly, Louisa, I always sort of said a little
- 51:05bit about support your sports therapy and and all the great stuff you're doing on
- 51:12your your gap year and what you want to achieve with that. But what
- 51:16would ideally the future hold for you personally? For me personally, I think,
- 51:27oh that's a really good question. Sorry, I left it till last.
- 51:32On a personal level, I want what everyone wants, I guess,
- 51:38or most people want. I want to travel, see the world, a
- 51:45good job that I enjoy, has family. Yeah, I just want to
- 51:52normal life, I guess. If that's a sense of answer, yeah,
- 52:01well as normal as we can get. With Hirshbrugs as normal. Yeah,
- 52:07as normal as we can get. Fantastic. Well on on behalf of me
- 52:12and the podcast I'd like to say thank you very much both of you for
- 52:16joining me for episode four of Tom's Hirshprong's podcast. We will be back with
- 52:23another episode next week. Thank you very much for we be back with episode
- 52:28five. Thank you, Thank you, Tom. Thank you for listening to
- 52:36the podcast. Find us on Instagram and Tom's Underscore Hirshprong's Underscore podcast. Listen
- 52:42to previous episodes on Spotify by searching Tom's Hirshbrung's Podcast