
Case History

School Days

At primary school Kayleigh did not have too many problems. The school
was small and allowances were made when Kayleigh had intermittent
difficulties climbing and descending the stairs. People were there to
help her when her arm was painful and they accepted that she couldnt
write very fast. She was always happy and tried her best. Some
information had been passed to High School about the difficulties that
she faced but I dont think we realised how much harder it would be
for Kayleigh. The transition to High School can stress any child but
when the child also has HME other difficulties can arise.
Our daughter has been fortunate because of the determination and the
inclusive approach used by Our Ladys High School staff. (It should
be noted here that Kayleigh is also extremely determined.) At the
open evening a few months before she was due to start, we spoke to the
school nurse about Kayleighs difficulties. Foot drop causes her to
trip up; she has poor balance and tires easily when walking distances.
And bowing of her forearm also meant that her hand is very weak. The
nurse was interested in this rare condition but also concerned about
how Kayleigh would cope. There would be many stairs, long distance
between classes, heavy bags to carry and an enormous amount of
writing. Kayleigh was also a little concerned but excited at the same
time.
An appointment was made for her to see the Community Paediatrician
with a view to getting Kayleigh some help. It was decided that a
statement would be the best way to provide for her additional needs.
She was due to have an operation to lengthen her forearm and so the
school set about putting the support in place. When the statement was
complete Kayleigh was allocated 25 hours support which is sometimes
extended by the school to 30, dependant on her needs. She receives
transport to school and to weekly hydrotherapy sessions, which she
attends with her support assistant. Input from Lancashire Inclusion
and Educational Services provides school with advice on supporting
children with physical difficulties and provides funding for ICT
equipment such as her laptop and Dictaphone.
The school makes sure that Kayleighs classes are downstairs. She
leaves them 5 minutes early to avoid the busy corridors and is
accompanied by the support assistant who carries her bag and laptop.
She stays in with groups of friends at break times, so that she is
never alone and can socialise with others.
Altogether the statementing procedure was felt to be a positive
experience. Although it was done purely because of her physical
problems it was felt that there had been an affect on her academic
ability due to the high number of school absences because of pain,
tiredness and frequent operations. The Educational Psychologists
report showed that Kayleigh has above average intelligence,
functioning at 4 years above her age in some areas. This gave
Kayleigh a tremendous boost. Especially because the Ed Psychologist
found that she also happened to be dyslexic which explained some of
the difficulties she experienced with school- work. (Note for Vanessa
re link with HME and dyslexia - some of Kayleighs cousins are also
dyslexic!)
Kayleigh is now in year 9 and has experienced nothing but success
thanks to the schools sensitive, calm and proactive approach (even
when new difficulties arise and complex operations are due.) The
support assistants have been brilliant, one in particular has a great
sense of humour, making Kayleigh laugh, which helps her to cope when
things are difficult. They know how able she is and stand back
allowing Kayleigh (who is fiercely independent) to do things for
herself but they are close by when she is in pain or needs help.
Going to school still tires her out but she is determined to do her
best. I hope that by sharing our experience other families can see
that moving up to High School need not be a problem.
The Erringtons
mickerrington@blueyonder.co.uk
Thanks Debbie for that piece, I would like to add that I have had the
same support from Joshuas secondary school, St Birinus Boys, and it
is good to know that across the different counties the support and care
is there to be used. Also under Joshuas statement,due to his current
circumstances, we have a Tutor for 10 hours per week, he comes to the
house and does anything from History and Geography to helping him with
his Tech homework. If anyone is having difficulty with any issue
involving schooling, please let us know. We will only be too pleased to
look into it with you.
Debi Roper
Case History

I have a 13 year old son, Adam. He has suffered from Multiple
Osteochondromata since he was 9 months old. Adam is a spontaneous
case and has had a number of operations over the years, as you can
imagine this came as quite a shock. I then came across your website.
I found it difficult to get any literature from the hospitals or
libraries but I was amazed at what information was held on the
website. At a time when I thought we were the only ones in the world
that has this rare condition the website gave us a glimmer of hope.
Adam entered a piece on the notice board and received many emails from
other people who suffered from the same condition. This made him
realise that he was not suffering alone.
When we received the first invitation to the Conference in 2001, I was
excited but also apprehensive at attending, I did not know what to
expect. Adam attended the workshop for the day whilst my partner and
I listened to the talks that were being given. We met with Adam for
lunch and he told us of the friends he had made during the morning and
how they had all been comparing scares and experiences. We have
attended every conference to date and Adam meets up with the same
group of friends each time. I know he looks forward to the
conferences and I have found them extremely helpful as I have learnt a
lot more about HME.
Adam is in Year 9 at school and recently he was asked to prepare a
talk on any subject for his English lesson. Adam decided to do his
talk on HME, as he said No one else will be doing a talk on this as
no one else has it at my school. From the information off the
website and the conferences Adam had attended he managed to put
together a 3 minute talk. Adam covered items such as what the
condition is, how it affects him in his day to day routines, the areas
affected on the skeleton (here he used the picture of the Bumpy Bone
Tracker we have). Adam was also fortunate to obtain a X-ray from his
file at hospital to use to show the class the lumps on his knees. The
teacher and the class all found the talk really interesting and Adam
received a B+ grade.
Both Adam and myself are really looking forward to the next conference
in 2005 and would like to say a big thank you to the group for making
us feel welcome and for the support they have offered.
Lynda Grisenthwaite
Also from Lynda and Adam: the word search on page 5 of this newsletter.
Thank you!
AGM Seminar 2004 Edinburgh

Having left a cold, wet and windy Luton Airport at 9.30am on Saturday
1st May, with Dawn Searle and her son Rob as travelling companions, it
was a special treat to arrive in Edinburgh, to be welcomed by bright
sunshine and very pleasant weather.
The weather being perfect was just the start of a successful visit to
Edinburgh. Our seminar facilities adjacent to the New Royal
Infirmary at Edinburgh were state of the art with a superb lecture
theatre. The catering and dedicated staff matched the quality of the
surroundings.
44 members, 13 children, and four speakers attended.
Members travelled from all over Scotland and north of England, with a
few families having made a longer trip from the Midlands, one couple
as far south as Milton Keynes, and another member flying in from
Dublin. Of those who attended most had not been to Birmingham for a
conference.
Our opening speaker was Professor Hamish Simpson, who is now based in
Edinburgh. He repeated, at the Support Group request, the
presentation made 2 years ago at our first Birmingham conference,
What is HME. Professor Hamish explained the growth of exostoses,
the assessment of the altered shape resulting from exostoses, and
treatment and/or surgical options.
This led nicely onto Mr Duncan, Consultant Orthopaedic Surgeon at The
Royal Hospital for Sick Children in Glasgow.
Mr Duncans talk on Treatment of HME in Children concluded that
childhood was an important time for children with HME as so many
problems can arise and important decisions need to be taken with
regard to either preventative or corrective surgery. More work needs
to be done on HME, and there were still many questions unanswered.
Excellent discussion followed between members and speakers, with
chair, Helen Small demanding of the speakers advice on where we go
from here with regards to further research. It is clear after two
conferences and now the seminar that not enough research has yet been
done on HME, and in particular into the fact that for many adults with
HME, the lumps continue to grow in adulthood. Speakers were
responsive to our concerns and all agreed on the importance of raising
awareness amongst GPs and orthopaedics.
Following a short break for refreshments we held our AGM, the minutes
of which are enclosed with this newsletter.
Dr Salter, Reader in Pathology, University of Edinburgh gave a
fascinating insight into the structure of removed exostoses.
Stimulated by earlier conversation on the number of adults with HME
who have lumps still growing; Dr Salter is now keen to investigate
whether the growth plate remains active in adults with HME as opposed
to the growth plate stopping as normal.
Daniel Porter, also now based in Edinburgh, is now a familiar face at
our conferences and seminar. He provided a varied and interesting
update on current research into HME, including a number of case and
family studies, which have taken place in and around Europe.
The business concluded we retired to the Main Common Room for a
splendid finger buffet, and plenty of good chat. The children joined
us, both exhausted and exhilarated from an afternoon visit by bus to a
museum in central Edinburgh.
At 6.00pm only a few members with particular trains to catch had said
a reluctant goodbye and left. Heather Emerson, a member living in
Edinburgh, had had the foresight to reserve a private room at a local
hotel and so the party moved on and extended into the evening.
All too soon Dawn, Rob and myself were waiting to board our plane back
to Luton. We found ourselves looking out of the window at Edinburgh
Airport, watching a beautiful sunset on what was the end of a very
fine day indeed.
The evaluation forms appear to back up my feelings and your feedback
will certainly give us inspiration when we start to organise the next
conference.
And now a round of thanks
.
To Daniel Porter, who booked the venue on behalf of HMESG and helped
with the organisation. In addition, the support group received a
£1000 grant from The London Law Trust towards the expenses of the
afternoon. I would like to thank Dawn Searle, who as fundraiser
continues to work hard raising invaluable funds for HMESG. Also, we
must not forget all the members who have contributed so generously.
Thank you to the committee and respective spouses, who made the
journey to Edinburgh and for their support on the day and efforts
leading up to the conference. Special thanks also to the speakers who
gave their time and commitment and provided so much for us all to talk
about.
I would like to give a particular mention to Heather Emerson, who on
arrival and throughout the afternoon circulated to ensure everyone
felt at home, played chauffeur to several members, and arranged the
evening drink. Ian Watson and Nicol Watt were also chauffeurs to
several members including the committee, collecting from the airport
in the morning and returning them in the evening.
Thank you Heather, Ian and Nicol.
A final big thank you to all who came to Edinburgh and contributed to
ensuring the success of the afternoon.
Looking forward, we have yet to set a date for our next conference.
When we do we will have lots of ideas to consider.
Thank you for your continued support.
Sarah Nicholls, Secretary
Copies are available of Mr Duncans slide presentation. Please send a
self addressed A4 envelope with a 35p stamp on for your free copy.
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