Showing posts with label Trisomy. Show all posts
Showing posts with label Trisomy. Show all posts

Monday, August 11, 2025

What my daughter taught me about human value.

This profound article was published by the Bloom blog on July 9, 2025.

Robin Koczerginski and daughter Bree

By Robin Koczerginski

When I was younger, I believed a meaningful life was one I'd be proud to share in old age, sitting frail but content at a family gathering, surrounded by children and grandchildren, maybe even great-grandchildren bringing cups of tea to my bedside.

I imagined telling stories: backpacking through Guatemala, driving through the bush in Northern Ontario to do charitable work, romantic evenings out on the town with their grandmother. I’d offer wisdom, reflect on my mistakes, and hope to pass on a better path. It would all rest on a foundation of career and contribution, something that made a dent in the world, something lasting.

I had a recipe for a meaningful life: a heavy dose of impact, a dash of adventure, generous helpings of love and relationship, all baked in a base of longevity.

My internalization of this, shaped by the books I read, the movies I watched, and the history I absorbed, was the scaffolding of that imagined future.

But what if human value isn’t something we build over time, but something that exists in a single moment? What if it isn’t earned, but inherent?

When my daughter Bree burst into the world like a meteor crashing into my life, everything I thought I knew about meaning was shaken. Bree has a rare genetic condition called Trisomy 13, or Patau Syndrome. There’s no cure or treatment. It isn’t a disease; it’s an imprint, a fundamental part of who she is. She has an extra 13th chromosome tucked into every cell in her body.

The impact of this extra chromosome varies, but in most cases, it brings profound cognitive and physical disabilities. And even that is only relevant if the child survives, because the prognosis is devastating. We found out about Bree’s diagnosis during pregnancy. We were told she might not make it to birth. And if she did, her life expectancy would likely be measured in weeks.

So how do you measure the worth of a life that might be short and full of medical complexity? What meaning does it hold? Or, maybe, was there something flawed in the question itself?

In the very early days of her life, when we lived in the NICU at Mount Sinai Hospital, when every beep of a monitor sent waves of panic through my body, when her fragility felt too much to bear, I believed it was my duty as her father to impose value on her life.

While Bree pushed forward, embracing each new challenge with a quiet resilience, the idea of her death loomed over me. I put immense pressure on myself to solve the question of what her life meant, because I believed I would one day have to justify it. I was already silently writing her inevitable eulogy.

I thought I had to be the vessel for her worth. That her legacy would depend on my growth, my contributions, my impact. I vowed to become a better person when she was gone. I imagined starting a fundraiser, launching a charity, plastering her face on posters so the money raised in her name could “do good” in the world.

Because if death took her as an infant, I thought meaning had to be made, not simply felt.

But Bree didn’t die in the NICU. Or in the weeks that followed.

There were minor medical procedures and lots of trials to find the right medications to support her. There were new routines developed. There was a life with Bree in it, starting to blossom. 

She kept surviving and exceeding the minimal expectations placed on her. And, in doing so, reshaping the expectations I had for her life.

What changes in how we value her life if she wasn’t just a brief shooting star in our life? Not a tragedy I had to redeem, but a full participant in our family’s core?

As Bree grew older, and I worked hard to understand the anticipatory grief I was feeling, I began to appreciate Bree for who she was, not what I, or society, expected her to be. She is almost four-years-old now. She has vision loss, low-muscle tone, is on a continuous G-tube feed, is medicated to control her seizures that come out as short myoclonic jerks, requires constant low-flow oxygen, and is monitored 24 hours a day for her safety. She is and will likely always be non-verbal and never be able to be independent in any way.

Yet, Bree has carved out a beautiful existence, one wrapped in love, insulated from the noise and stress and existential panic the rest of us often live with. She experiences extreme joy through the songs she likes, the textures of her toys in her mouth, the motion of being carried by her mother, the brightness of the sun gracing her face, and the sounds of her big sister’s high-pitched voice. And while she could never fully understand the literal meaning of the words “I love you," I have no doubt she feels the energy behind those words through us. And in her own very unique way, she displays her love for the world fiercely. 

Her progress and her potential are not her path towards value. By simply existing and being loved, her life holds complex and very real layers of meaning. She, and so many children like her, have taught me that presence, connection, and a soft harmonization with the world are dimensions of meaning that can so often be overlooked. 

There’s a quiet but persistent pressure in our culture to leave a mark. We teach it early: change the world, chase your dreams, do something big. And when it comes time to measure a life, we often default to questions like: What did they accomplish? Who did they influence? What legacy did they leave?

When Bree was born, I carried this framework with me. I grieved the idea that she wouldn’t grow up to pursue passions or change lives or build a family of her own.

And yet, she changed me fundamentally. She expanded my capacity to love. She cracked open a version of fatherhood I didn’t know I was capable of. She slowed me down and sharpened my focus. She introduced me to a community I would never have found otherwise. 

Bree has and will likely never say a word, and still she shifts the ground beneath me. Isn’t that impact?

We often associate human value or worth with scale, as though something must be visible, replicable, or lasting to count. But Bree taught me that meaning can live in the intimate and the invisible. In the way I now notice the stillness in a room. In the way I approach other families with disabled children. In the way I’ve started writing, to stay close to her. To understand myself as her father.

I’ve come to believe that we’re asking the wrong question. It’s not “Did this person leave a legacy?” It’s “Were we changed by loving them?”

If the answer is yes, then something important happened. Even if no one else sees it. Even if it didn’t last long.

Robin Koczerginski is community programs manager for AccessNow. Like this content? Sign up for our monthly BLOOM e-letter, follow BLOOM editor @LouiseKinross on X, or @louisekinross.bsky.social on Bluesky, or watch our A Family Like Mine video series.

Wednesday, December 25, 2013

Bill Peace: The assisted suicide push

The following article was written by Bill Peace, also known as "Bad Cripple" and published on his blog on December 24, 2013. Peace recently testified against the assisted suicide bill in Massachusetts.

Bill Peace
By Bill Peace

Those that seek to pass assisted suicide legislation into law are relentless. Nothing will disuade them from their goal. I have not observed this sort of commitment outside of religious or political fanaticism. I am not suggesting the people and organizations that advocate for assisted suicide are fanatics. Quite the contrary, most are good people with a strong opinion on an important topic. Most that advocate for assisted suicide are white, middle aged, and well educated. I will acknowledge they have good reason to be concerned about the way we die. To witness the bad death of a parent, spouse, sibling, child, or close friend is a horrific life changing experience. What advocates fail to grasp is people die badly for cultural reasons. Americans fear death and value autonomy above all else. I find it tiresome to hear people state that when I cannot control my bladder and bowels I want to die. I will not let another person wipe my ass, dress my body, and feed me. I would rather die than go to a nursing home. All of this undermines a narrow concept of autonomy.

I too bemoan the fact people die badly. However, assisted suicide legislation is not the answer. We simply do not need such laws. I have long wondered why people insist on pushing assisted suicide legislation when what is need is a national discussion about end of life in general. My recent experience in Boston testifying in opposition to H1998 helped me understand where proponents of such legislation have gone wrong: they have turned the debate surrounding the end of life into a public policy question.  At no point are the larger cultural implications of assisted suicide legislation considered. This reduces the debate to be about individuals rather than about the social forces that drive one to conclude their life has no value and death is preferable to life. To me, this is a socio-cultural tragedy not an individual failure or issue of choice. More to the point, lives are at stake. This was on full display symbolically in Boston. Proponents of assisted suicide wore blue stickers that read “My life. My Choice. My death”. This slogan is wrong. Simply put, no human being dies in a social vacuum. Death is never about an individual alone.

Wednesday, May 15, 2013

Trisomy 18 is not a death sentence. The story of Lilliana Dennis - updated.

By Alex Schadenberg
Executive Director of the Euthanasia Prevention Coalition

On May 29, 2012, I wrote an article about Lilliana Dennis, a child who has a genetic anomaly known as Trisomy 18 or Edwards syndrome

Most children with Trisomy 18 are screened in the womb and not born, and if they are born, they are often denied medical treatment under an ideology that defines them as "incompatible with life."

Last year, Barb Farlow sent me the story of Lilliana Dennis that included a Youtube video of Lilliana's first birthday.

The story and the youtube video moved me to write the article: Trisomy 18 is not a death sentence: The story of Lilliana Dennis.

The article received a huge response with many websites and blogs republishing it. 

Brad Mattes who hosts the program Facing Life Head-ON read the article and contacted the Dennis family asking them if he could feature Lilliana in an upcoming episode of his show. Episode 11 titled: Hope for Lilliana told the amazing story of Lilliana through interviews and pictures.


Over the past year I have received weekly updates from the Dennis family and recently I noticed that Lilliana received hearing aides. 

The recent update included a 3 minute youtube video showing Lilliana reacting as she notices that she can clearly hear.

This update also featured the work of the Jackson Center. The Dennis family stated:
Lilliana at Easter Party
"we are asking for your help to raise money through Walking for Dreams. This is an annual family and pet walk that benefits both the Jackson Center and our family. The money raised by our team will split on a percentage basis with a portion being credited directly toward Lilliana's tuition and the remainder being used to help defray Jackson Center operating expenses. Conductive education is a program that helps children and adults with motor disorders develop motor skills through repetition, peer interaction and positive reinforcement. The goal of conductive education is to help each participant achieve the highest quality of independent life. The Jackson Center is the only conductive education program in Indiana. To learn more about the Jackson Center visit the Jackson Center. Since Lilliana began attending the Jackson Center, she has increased her overall core strength and developed her hand-eye coordination. And too date, she eats oral food the best while at the Jackson Center. We are interested in doing everything we can to ensure that conductive education is available in central Indiana and have set a goal to raise $3,500 for Lilliana and the Jackson Center through Walking for Dreams. If you are willing to help, you can make a donation on-line by visiting www.walkingfordreams.org."
Lilliana at a restaurant
My primary concern is how euthanasia changes attitudes toward people with disabilities, especially children like Lilliana who are often defined as "incompatible with life." 

In the Netherlands, where euthanasia is legal, children like Lilliana are euthanized at birth under the terms of the Groningen Protocol.

Currently, the Belgium government is talking about extending euthanasia to children with disabilities, like Lilliana. 

In many countries, including Canada, children like Lilliana are simply not given a chance to live based on the attitudes that either view the lives of Trisomy 18 children as not worth living or that they are too expensive to care for.

When seeing the story of Lilliana Dennis we recognize that life comes in many different shapes, sizes and health conditions. That everyone deserves to be treated with equality and given a chance to live.

Society needs to learn that Trisomy 18 is not a death sentence.

Video's of Lilliana:
* Lilliana turns 2. May 17, 2013.
* Lilliana hears for the first time. May 7, 2013.
* Trisomy 13 and 18 March Awareness.
Lilliana talking, smiling and twirling, 20 months old.
* Facing Life Head-on: Season six, episode 11: Hope for Lilliana.

Monday, August 13, 2012

Barbara Farlow, a great example for everyone who cares about children with disabilities.

Barb & Annie Farlow.
Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

In the past few weeks I have written several articles about how medical professionals are treating (not treating) children who are born Trisomy 13/18.

Children born with Trisomy 13/18, conditions whereby the child has an extra 13 or 18 chromosome, are often considered "incompatible with life." When you learn about Trisomy 13/18 it becomes evident that the label "incompatible with life" is a death sentence because it leaves many parents without hope, when much hope exists.



Barb Farlow has done so much to co-ordinate information and encourage research studies concerning Trisomy 13/18. She got involved in these issues after the birth, and death of her daughter Annie.

Barb has turned a tragic story into positive outcomes for so many caring parents. This is Annie's storyLink to the story of Annie Farlow.



Three weeks ago, a research study was published in the Journal Pediatrics that found parents of children with Trisomy 13/18, considered the child to be happy and found that their lives were enriched by the child.

The research team in the study invited 503 parents of children with a Trisomy 13/18 child to participate in the study. 87% of the parents responded and 332 parents (67%) of 272 children completed the questionnaire.

The parents indicated that their physicians stated to them that:

* 87% their child was incompatible with life,
* 57% their child would live a life of suffering,
* 50% their child would be a vegetable,
* 23% their child would ruin their family.
On the positive side, 60% were told by their medical provider that their child would have a short, but meaningful life.
* 30% of the parents had requested a plan of treatment based on "full intervention."
* 79% of the children who received "full intervention" were alive at the time the questionnaire was sent. Those children were a median age of four years old.
* The survival rates for children with "full Trisomy" 13/18 was 40% lived for at least 1 year while 21% lived to at least age 5.
Half of the parents reported that caring for a child with a disability was harder than they thought it would be and yet 97% of the parents described their child as a happy child and most of the parents indicated that caring for their child had enriched their lives.

Link to the full blog article.


Link to more information about Annie Farlow.
Lilliana lives with Trisomy 18. She is not incompatible with life.

Monday, July 30, 2012

Hope for Lilliana - Lilliana lives with Trisomy 18. She is not "Incompatible with Life"

Lilliana on her first birthday.
Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

The most recent edition of the show Facing Life Head-On - entitled Hope for Lilliana, focuses on the life of Lilliana Dennis, a one-year old child with Trisomy 18 who is living a miraculous life.

Children with Trisomy 18 are often considered "Incompatible with Life" and therefore denied medical treatment. Parents are usually discouraged from treating children with Trisomy 18 and most of these children do not live beyond their first year of life.

Lilliana is proving that Trisomy 18 is not a death sentence, and with the proper care children with Trisomy 13/18 can thrive and live a happy life. Link to the program.

A recent study published in the current edition of the Journal Paediatrics questioned parents who have children with Trisomy 13/18. The study confirmed that the parents of children with Trisomy 13/18 considered their child to be happy and found that their lives were enriched by their child.

Link to a recent article about the Journal Paediatrics study.

The research team invited 503 parents of children who had a Trisomy 13/18 child to participate in the study. 87% of the parents responded and 332 parents (67%) of 272 children completed the questionnaire.

The parents indicated that their physicians stated to them that:
* 87% their child was incompatible with life,
* 57% their child would live a life of suffering,
* 50% their child would be a vegetable,
* 23% their child would ruin their family.
On the positive side, 60% were told by their medical provider that their child would have a short, but meaningful life.
Barbara Farlow with daughter Annie.
* 30% of the parents had requested a plan of treatment based on "full intervention."
* 79% of the children who received "full intervention" were alive at the time the questionnaire was sent. Those children were a median age of four years old.
* The survival rates for children with "full Trisomy" 13/18 was 40% lived for at least 1 year while 21% lived to at least age 5.
Half of the parents reported that caring for a child with a disability was harder than they thought it would be and yet 97% of the parents described their child as a happy child and most of the parents indicated that caring for their child had enriched their lives.

Last May, I came across the story of Lilliana Dennis. Lilliana Dennis is proving that Trisomy 13/18 is not a death sentence.  

Link to my first article about Lilliana Dennis.

Link to the Facing Life Head-On episode - Hope for Lilliana.

Link to a recent article about the Journal Paediatrics study.

Tuesday, May 29, 2012

Trisomy 18 is not a death sentence: The Lilliana Dennis story.

Alex Schadenberg
By Alex Schadenberg

As the executive director of the Euthanasia Prevention Coalition I have had the opportunity to read stories of despair and stories of hope. This story is one of the greatest stories of hope. 


This is the story of Lilliana Dennis, a child who is living with Trisomy 18, a rare genetic condition that many doctors have labelled as "incompatible with life." 


This is a story of a child who was not supposed to live. A child who has a condition that most doctors would refuse to provide medical treatment for and let to die based on "futile care" theory. A story of a child, who in the Netherlands, may have been euthanized based on the guidelines of the Groningen Protocol because she would be viewed as a "life unworthy of life."


This is a story of a child who is not only living but who is thriving and showing the world that the lives of children with Trisomy 18 are worthy of life, worthy of care and worthy of medical treatment.


On May 23, an article entitled: Hearts full of hope: Surgery extends the life of infant with rare condition was written by Ryan Trares and published in the Daily Journal in Franklin Indiana. This article told the story of Lilliana. Here is the text of the article:


Youtube video from Lilliana's first birthday.

The odds seemed impossible to comprehend.
Lilliana, soon after birth.
Russell and Rhonda Dennis had just learned their newborn daughter, Lilliana, suffered from Trisomy 18. The genetic disorder would stymie her physical and mental development. Fewer than half of babies with the disorder survive their first week. Only about 8 percent live an entire year.
All you can do is take her home and love her while you can, doctors said.
That was about one year ago. The Dennis family never thought that Lilliana would celebrate her first birthday, but after open-heart surgery and regular therapy, she is thriving.
Her parents want to hold her up as an example that though the condition can be traumatic, it’s not an automatic death sentence.
Lilliana's first birthday.
“She’s proven she can live, she can learn,” said Rhonda Dennis, her mother. “She still might not live much longer, but we’ve come to terms with all of the things that the Lord has laid out. He’s in control, and bad things may come, but that’s part of his plan.”
In their southside Indianapolis home, the Dennis family have created a system to help protect Lilliana.
A monitor measures the amount of air she is getting in her lungs, warning the family if she has trouble breathing. Tanks of oxygen are on standby, as are medications to open her airways, in case the little girl struggles.
A gastric feeding tube was implanted in her stomach in April, since she has not developed the ability to eat by mouth. She gets much of her nutrition pumped into her body during the night, then feeds three times during the day to ensure she gets the proper nutrition.
The Dennises have four other children, and none of them have Trisomy 18. Even while Rhonda Dennis was pregnant with Lilliana, she experienced no complications or warnings that their new child would have so many problems.
Lilliana was born May 17, 2011, at Community South Hospital. She was three weeks early and weighed only 4 pounds, 7 ounces. Her small weight was the first sign that something may be wrong. More concrete signs, such as her clenched fingers that never seemed to straighten and feet that curled like rockers, made doctors order a genetic test.


The results showed she had Trisomy 18. The condition, also called Edward’s syndrome, is similar to other genetic disorders such as Downs syndrome. When Lilliana was conceived, she had an extra chromosome, which caused her to develop a heart defect, poorly developed fingers and toes, and blockages that stunted her breathing.
In Lilliana’s case, the immediate danger was the stress on her respiratory system. The hole in her heart prevented oxygen-rich blood from properly circulating through the body. The struggle for oxygen puts undue stress on the rest of the body, and eventually they die.
Little research has been done on Trisomy 18, due to the incredibly high death rate. Estimations are that almost 99 percent of babies with the condition are never even born. For those that are, odds are about 50 percent that they survive their first week.
Such a large percentage of the children born with the disease die quickly, and doctors have little opportunity to study the physical effects, said Dr. Sanjay Parikh, Lilliana’s cardiologist at Peyton Manning Children’s Hospital in Indianapolis.
From the start, the family turned to their faith to cope.
Russell, president of Heritage Bible College in Franklin, and Rhonda Dennis turned to a specific Bible verse for guidance — Romans 15:13. The verse reads, “Now the God of hope fill you with all joy and peace in believing, that you may abound in hope, through the power of the Holy Ghost.”
That message became their rallying cry.
“When you’re told these things up front, you just think it’s God’s plan. I really didn’t think she would live. I thought that she would live a short time, and we’d just show everyone we still trusted God,” Rhonda Dennis said.
They also started researching the problem on their own. Online support groups, as well as national organizations such as the Trisomy 18 Foundation, helped fill in the blanks beyond what their doctors had told them.
The information was frightening, as it revealed how deadly the condition can be. But it also offered hope. They read about children who were attending school and had learned to walk. One woman lived to be 41 and graduated from college.
“The doctors tell you this condition is incompatible with life, that it’s fatal, and that all of these things will more than likely go wrong,” Rhonda Dennis said. “But then you meet these people and see these kids doing stuff, interacting, walking and talking.”
Initially, Lilliana’s doctors told them it was too late for surgery and there was nothing they could do. But the Dennises wanted a second opinion. Working with friends in Ohio, the little girl’s heart scans and images were hand delivered to a doctor based in Toledo, Ohio, who specialized in Trisomy 18 cases.
The family also went to see Parikh. He examined her heart images and immediately said that he could do the surgery.
But he had a catch. Parikh couldn’t guarantee that he could assemble a surgical team that would agree to do it.
Because the life expectancy of any baby with Trisomy 18 is so short, and surgery doesn’t guarantee a greatly extended life, many health officials feel that any surgery or procedure is cruel.
“The prejudice is such that, these babies don’t live long enough, so why put them through the pain and stress of surgery if it isn’t going to make that great of a difference,” Russell Dennis said.
The Dennises also had to plead their case in front of the hospital’s ethics board, which must give the approval on risky or controversial procedures.
The board was split, and unanimous approval was needed to do the surgery. One of the main opponents of doing it asked the family how this operation would affect Lilliana’s quality of life.
“My thinking was, if she gets the surgery, she lives. If she doesn’t, she dies. It was that simple,” Russell Dennis said.
But it was Rhonda Dennis who spoke. She looked at the physician and simply asked, “What if it was your daughter?” After deliberating behind closed doors, the committee emerged and gave their approval for the surgery.
Other parents who had gone through Trisomy 18, as well as their own research, told the Dennis family they had a six-week window to repair the hole in her ventricle which would relieve the stress.
Parikh and his team gathered on Oct. 13 to perform the open-heart surgery, a first for a baby with Trisomy 18. The operation was long, complicated by Lilliana’s small size and her breathing problems. But by the next day, she was stable and recovering in the hospital.
After 17 days of recovery, Lilliana came home with her parents. The change in her health since that time has been noticeable.
Though they take precautions with an oxygen monitor and medications, Lilliana’s breathing has become stronger and more regular. The next challenge is teaching Lilliana’s body to work the way a small child’s should.
Rhonda Dennis is working with her to learn to feed by mouth. She has an oral stimulator that allows her to coat Lilliana’s gums and inner cheeks with baby food, most of which the girl spits up.
Lilliana also sees a physical therapist six times each month. The sessions are designed to help with basic muscle tone, such as lifting her arms and legs, and moving her head. She still can’t lift her head up much when laying on her stomach, but has started actively moving her lower body around.
“She has great hip action. She can scoot all over the floor,” Rhonda Dennis said.
To celebrate Lilliana’s first birthday, the Dennises had a celebration open house. She received her own birthday cake, and gifts from family and friends. After 12 months of fear and concern for their daughter, Russell and Rhonda Dennis are grateful to focus on the positive.
They understand that Lilliana will likely struggle for the rest of her life, and they’ve accepted that. Their goal now is to give their daughter the best life she can have while she’s alive, and to reach out to other parents to help them with the myriad decisions that come with Trisomy 18.
“If the parents don’t know what to push for and what to demand, a lot of times they won’t get it,” Rhonda Dennis said. “There are statistics that show that many of these children don’t live long. But you don’t know that for sure.”