08/10/2026
Lifeās been feeling lighter in some ways recently, but heavy in others.
Itās almost a year since life went crazy and we had to use so much strength to get through some really bumpy times.
The massive positives dare I say are that weāve managed to stay out of hospital, and Tillie Maeās care has now fully transitioned over to adult services.
That was stressful!
After a few bumps along the way, we finally have a fantastic medical team. They really listen to us, trying to understand Tillies needs and, most importantly, seeing her rather than just her condition.
Tillie still has lots going on, but weāre managing things well with the support of her amazing school team, regular MDT meetings and our lovely Roald Dahl nurses (who are very much on speed dial š).
Tillie Mae is back at school full time and, another little positive, her hair is finally growing back. š
We are still fighting for the equipment she needs at home. Another complaint letter went off today. She has also started back on CPAP to try to improve her sleep. Some nights are truly awful, imagine a new baby or even being 18 again and up parting all night with no sleep. Sleeps over rated right !!!
Then thereās the big news about the FDA approval of a new treatment for Sanfilippo in America.
A lot has happened over the last few months, and the news about the new treatment has really highlighted just how difficult things are for the older children and young adults living with Sanfilippo.
Even if the treatment were an option here in the uk for Tillie Mae, Iām not sure I would put her forward for it. Not because I donāt want more for her of course we do but because it has made me think about the bigger picture.
Life is already challenging when it comes to accessing services, care and support. And sometimes I find myself wondering, if we were to outlive Tillie, who would love her and care for her like we do?
Medicine is moving forward, which is incredible, but the care, services and support around these children and young adults donāt seem to be moving forward at the same pace. And sadly, they certainly arenāt consistent everywhere.
Next July will be a huge milestone for us as Tillie Mae will leave education, and then she will be discharged from our childrenās hospice this December, we are being referred to the adult hospice. But the adult hospice can only offer very minimal support and a place for end-of-life care , if Iām honest, this is not somewhere we would currently consider for Tillie .
The plan when she leaves school is even more uncertain. My expectation is high and apart from one place Iāve fallen in love with Iāve not managed to find anywhere else that comes anywhere near, the problem now will be the long wait list then funding to access it.
It all feels unnerving.
So much change.
And somehow, reaching this point means so much to be grateful for but losing so many services and people we have spent years building relationships and trust with , the people who know Tillie Mae, know us and know our family is hard. The thought of them not being there to support us right to the end makes me incredibly sad.
If this last year has taught me anything, it is that transition is a scary place to be.
When you have a child with a life-limiting condition, you need those services and that support more than ever yeļæ¼t because Tillie has lived beyond the life expectancy we were once given, it feels like the safety net around her and around us is slowly disappearing.
Transitioning needs to get better.
I hope over time we can build new relationships, find new services and meet people who will get to know Tillie Mae and our family so that she can continues to have the quality of life she deserves and be surrounded by people who see her, listen to her, love her and fight for her. š