Five-Year-Old Isaac Making Friends With The Stars

John Campbell

Trent Hills – How many five-year-olds can say they’ve thrown the ceremonial first pitch at a Blue Jay game the night the team’s ace pitcher Roy Halladay is honoured as Sportsperson of the Year, or shared the stage with international pop star John Mayer at a concert in Toronto?

Isaac McFadyen has.

He’s unique in one other respect and that’s how Mayer, Halladay and his wife Brandy came to know him. Isaac is the only one in Ontario with a rare disease known as MPS VI, and is just one of three known cases in Canada. Maroteaux-Lamy Syndrome is caused by an enzyme deficiency that stiffens the joints, stunts growth, damages the heart and hips, and causes clouding of the cornea. It also shortens a person’s lifespan. There is no cure.

It wasn’t long after their son was diagnosed at 18 months of age in October 2005 that Isaac’s parents, Andrew and Ellen, set up The Isaac Foundation to fund treatment and innovative research projects. In three years it’s handed out $180,000 in grants using money raised through the donations of individuals and a host of events, the biggest being a golf tournament it holds annually. The fourth one was held last weekend in Kingston, where Andrew is a Grade 7/8 teacher.

Recently, the foundation committed to a third year of funding for research at Mount Sinai in New York for the development of a therapy to relieve chronic inflammation in the joints of individuals with MPS VI. Another research project the foundation is funding involves “chemical chaperoning” in which a drug administered orally will mimic the effects of the enzyme Isaac lacks.

“It’s probably as close to a cure as we may find over the next 10 years,” Andrew said

Until one is found, Isaac must undergo enzyme replacement therapy once a week at Hospital for Sick Children in Toronto. He’s also had several operations and what would be routine for most children, such as the removal of tonsils, is anything but for Isaac. Any time he is anesthetized “is a major, major issue,” because of his breathing problems, Andrew said.

Last year he underwent surgery for his spinal cord which had become so compressed that “any type of bump or fall could have paralyzed him.”

Isaac, who’s bubbly and outgoing, is a far different boy from what his parents feared he might be at his age when they were told the disease he had. The outlook was not good but dread has given way to hope.

Isaac’s last six months have been his “healthiest,” his parents say.

He runs, climbs, plays games – “doing all the things that other kids do,” Ellen said. “I never thought at the age of five that he’d be doing this well.”

His breathing has improved and he’s sleeping better as a result. He’s also growing, albeit “at a slowed-down rate,” Andrew said.

“In most ways he’s quite normal,” Ellen said, and “fits in really well” with other children at Kent Public School where he attends junior kindergarten.

The couple can thank the Ontario government for Isaac’s doing well. It’s footing the bill for his enzyme replacement – the cost is staggering, running between $300,000 and $1 million a year — but it took the prodding of Opposition health critic Elizabeth Witmer to help make it happen.

The couple lobbied the government for eight months, backed by Witmer, and their cause made the front pages of Toronto newspapers and was covered extensively by television and radio stations.

Their campaign ended when then-health minister George Smitherman announced in July 2006 that the province would pick up the tab for Isaac’s therapy.

Andrew is deeply grateful that Witmer fought on the couple’s behalf and he regularly provides her with reports of “firsts” by Isaac, such as his first soccer game, his first report card.

“I’ll do that for his entire life,” Andrew said. From his graduation from public school to his graduation from high school, he’ll keep her updated. And “when we make an announcement that we found a cure … I want her there.”

Andrew also praises the Liberal government for finally agreeing to cover the costs of Isaac`s therapy. “They saved his life, and it’s not often a government can see those direct results that quickly and that unequivocally,” Andrew said.

The support their fundraising has received from two bona fide stars in sports and entertainment has been immensely helpful.

“Having somebody like Roy Halladay and John Mayer jump onboard is really important to us,” he said.

The night Halladay got his award, he received a $1,000 cheque which he matched and turned over to the foundation. He subsequently donated 16 tickets to his skybox at the Rogers Centre to be auctioned off last weekend, and vowed that he and his wife “were going to be in this for the long haul” in their support of the Isaac Foundation.

And after Mayer, “one of the biggest pop musicians in the world,” wrote about meeting Isaac on his blog, “we had 30,000 hits on our website in a couple of weeks,” Andrew said. Their encounter also made the pages of a celebrity magazine.

He and Ellen pledged from the get-go that the foundation would operate with minimal overhead and move quickly in getting grants out the door.

“We’re so proud of the fact that we can say that 98 to 99 per cent of all money that comes in goes directly back out to research,” Andrew said.

Even though this has been “the healthiest six months” Isaac has enjoyed, the couple remain mindful that things could change at any time.

“It’s always wait and see,” Ellen said. Every day Isaac is able to enjoy life like any other kid his age, “I am able to live in the moment … That’s how I cope,” she said. “I don’t look too far down the road.”

“I look at where we could be still and it’s very difficult,” Andrew admitted. His emotions “bounce back and forth,” and it’s on those hour-long drives to Kingston or while sitting in an empty classroom that he finds himself crying. But as soon as he gets home and sees Isaac and his younger brother Gabriel at play, it lifts his spirits.

“I get regrounded,” he said.

To learn more about the Isaac Foundation, visit www.theisaacfoundation.com.

Jays Pitcher Stands Behind A Good Cause

isaac, gabe, and halladayBOB ELLIOTT, SUN MEDIA

Roy Halladay has received and given a few high fives over his career. They usually come after pitching yet another complete game, a 10-inning shutout, receiving the Cy Young award or just maybe that two-hit night at Dodger Stadium in 2007.

They were accomplishments we have come to expect from the former first-round draft pick.

The high five Halladay received, as he leaned out of the third base dugout, extending his palm to his old pal Isaac McFadyen at 6:43 last night, was likely as satisfying as any he’s had in a Blue Jays uniform.

Halladay had not seen Issac since last season when Isaac visited Doc’s Box, a skybox where Halladay and his wife, Brandy, entertain children and their families.

The Jays ace was named the fifth annual George Gross/ Toronto Sun Sportsperson of the Year in December and before the Detroit Tigers played the Jays, editor-in-chief Lou Clancy presented Halladay a $1,000 cheque last night.

Halladay donated it to the Isaac Foundation ( theisaacfoundation.com) and then Halladay matched the offer himself.

“My wife Brandy and I believe in the Foundation,” Halladay said. “It hasn’t gotten a lot of support and there’s not a lot of awareness for the illness.”

Isaac was born 4 1/2 years ago. At 18 months, in November of 2005, he was diagnosed with Maroteaux-Lamy Syndrome, or MPS VI. The disease is caused by an enzyme deficiency which stunts growth and causes joints to stiffen and heart valves to fail.

“Without proper medicine his hands will (turn into a) claw and corneas will cloud,” said Isaac’s father Andrew McFadyen seated at the St. Louis Bar and Grill, across the street from the Rogers Centre.

“Isaac has already had an operation when his spinal cord compressed,” said McFadyen.

Isaac’s brother, Gabriel, three, shared the table — when not crawling under it.

Now, Isaac is taking the synthetic enzyme Nagalazyme, which costs between $350,000 and $1 million a year. While approved in the United States and the United Kingdom and by the Canadian government, the Ontario government initially refused to approve it.

“Christina Blizzard of the Toronto Sun really fought for us, helping us get approval,” said McFadyen. “Only three people in Canada have this disease so there were not enough children to test. This is now our life boat.”

Later the gang — Isaac and Gabriel, with mother and father Ellen Buck-McFadyen and Andrew McFadyen, plus grand parents Paula and Wayne Buck plus Ellen Dabbs and friends — walked to the concrete building across the street and out onto the carpet.

B e f o re the game a video ( youtube.com/watch? v=dcAQWUZV4nc) was shown on the Jumbotron and Halladay scooped his pal Isaac up like a comebacker with men on first and second and pointed to centre. The two pals watched Isaac on the giant screen.

Halladay invites children from the Sick Kids Hospital once a month to his skybox, which is where Brandy and Roy met Isaac a few years back.

“We hope to have the box nine or 10 times this season,” said Halladay, who visited Sick Kids the day after the 2008 season ended. “We went into a few treatment rooms and would like to get more directly involved at the hospital.”

Singer John Mayer and Halladay are helping raising funds to MPS VI research.

“This allows us to make a difference,” McFadyen said. “Roy Halladay is respected in Toronto, in Ontario and across Canada. He’s a great father and a role model for kids across the country.”

Then the proud father told of how excited his son Isaac gets when he sees Halladay on TV.

McFadyen lives i n Campbellford, Ont., and teaches grade 8 at Sir Winston Churchill Public School in Kingston — where I managed to pass both kindergarten (Miss Preston) and grade 8 (Mr. Joynt).

“I hope fans understand what a treasurer they have in Halladay,” McFadyen said. “I know our family understands.”

After Isaac threw his Campbellford strike with the ceremonial first pitch he sprinted to Halladay and gave him another high five, which looked like it had the same force as the ones Brad Fullmer used to deliver after a home run.

Who is your favorite ball player Isaac?

“Roy Holl-A-DAY!” said Isaac with a big smile.

A lot of Jays fans would give the same answer.

bob.elliott@sunmedia.ca

Doc Delivers As Role Model

-661081_ORIGINALFrom The Toronto Sun – December 2008

The trophies sit alongside a stairway inside the Halladay household.

The 2003 American League Cy Young Award presented to … Roy Halladay.

In front of it stands a silver horse, the American Quarter Horse Association Rookie of the Year trophy presented to … Brandy Halladay.

The Halladay house of honour in Odessa, Fla., now has another award.

Roy Halladay, the Blue Jays’ ace right-hander, is the winner of the fifth annual George Gross/Toronto Sun Sportsperson of the Year award. The award goes to the athlete judged to have had the most impact on the Toronto sports scene in 2008. A $1,000 donation will be made in Halladay’s name to the charity of his choice.

Halladay was selected over nominees Mats Sundin of the Maple Leafs, Chris Bosh of the Raptors, Daniel Nestor, a doubles winner at Wimbledon, Don Cherry of Hockey Night in Canada and Jays manager Cito Gaston.

Previous winners are Mike (Pinball) Clemons of the Argos; the Toronto Rock lacrosse team; Cassie Campbell, captain of Canada’s gold-medal winning Olympic women’s hockey team; and Bryan Colangelo, Raptors general manager.

“Wow, it’s good company. Both the past winners and the people in contention this year, have all done a lot for sports in Toronto and Canada,” Halladay said of the list of names. “Obviously, getting picked is an honour. It’s nice to be associated with all those names.”

Halladay has been a mainstay of the Jays for a decade, since bursting into prominence as a 21-year-old in 1998.

In his second career start, he took a no-hitter into the ninth inning against the Detroit Tigers.

That game was no fluke. He won his Cy Young five years later and, this past season, was a 20-game winner for the second time. A workaholic on a “don’t stop until you drop” program, his fitness enabled him to throw 246 innings and finish as the runner-up in Cy Young voting to Cleveland Indians lefty Cliff Lee.

Halladay’s rise has not come without its setbacks. He has a career record of 131-66 — 113-49 since he was demoted from the major leagues back to class-A Dunedin in the spring of 2001 to re-invent himself as a pitcher.

“A lot of things changed for me then,” Halladay said.

But it is not just on the ball field where the 6-foot-6, 225-pound star shines. He and his wife Brandy are known for their involvement in the community, and especially their work with children. If there is a role model in sports definitely worth emulating, Halladay is your man.

“I try to be as helpful as I can, be a good person,” Halladay said this week when informed of his most recent accolade. “I feel it is more important to be a good person than a good pitcher. I had to get to the point where I liked the person I was, regardless of what happened on the field.

“You play for a short period, substance is more important. It’s more important that you are a good father, a good husband and a good person in the community. That really defines who you are.”

Besides pitching every fifth day and trying to go nine innings, Halladay and his wife entertain 10 to 15 children from the Toronto Sick Kids Hospital in a Rogers Centre Skybox on Sundays.

“We go up, say hi, take pictures,” Halladay said. “We’re trying to move forward in other ways. They’ve upgraded and updated a lot of rooms at the hospital. Some still need more, we’re trying to improve some of their treatment rooms.”

Halladay went 20-11 in 33 starts this past season, his 11th with the Jays — and first since age 12 without mentor Bus Campbell. Spring training 2008 began with a flight from Tampa to Denver for Campbell’s funeral.

For years, Campbell, having charted pitches after watching on the satellite dish that Halladay had purchased for him, would call his former pupil.

“This year was different, I was used to being able to talk to him,” Halladay said. “With the people we had in Toronto (pitching coach Brad Arnsberg), unless it got drastic, we were pretty good at fixing things.”

Halladay fits the sexy tag of franchise player, despite talk that the rebuilding Jays should deal him for three or four players.

“Playing my whole career with the same organization is something I’d like to do, something everyone would like to do,” Halladay said. “The hard thing is it takes two parties to agree on it.”

Halladay is humble, as one friend says: “Humble enough to be mistaken for a Canadian.”

“I don’t need much,” he answers when asked if he gets the proper credit. “People in Toronto are grateful — any time I run into someone they are very complimentary.”

Growing up in Arvada, Colo., one of Halladay’s role models was two-time National League MVP Dale Murphy of the Atlanta Braves.

“I could not tell you any of Dale Murphy’s stats but I know how great a man he was, what a family man, a father and what he did in the community,” Halladay said.

So, how is Halladay a great father to his sons Braden, 8, and Ryan, 4?

“On the day they move out of our house, I want them to know that they got the best from me; that it wasn’t about me, it was about them,” the proud papa said. “I’d rather be their friend first.”

And how is he a great husband, aside from allowing Brandy to take a turn at the TV remote control when his favourite show, Survivor, is playing?

“My wife has to take the back seat most of the season and put off some of her hobbies. It’s easy, sometimes, in baseball, where everyone is talking about you, to forget,” Halladay said. “I try to do more for her during the winter and put baseball on the back-burner.”

Brandy has three quarter-horses — Colby, Mutt and Certs — boarded 15 minutes away at Showcase Farm in Lutz, Fla. She competes in English and Western riding disciplines at competitions around the Tampa Bay area.

Halladay’s off-season support begins with him taking the kids off mom’s hands on competition weekends.

A year ago, Brandy broke through with four wins at the Tampa Fairgrounds. The five judges gave their results with riders atop horses inside the ring, as husbands, children and boosters nervously waited.

“It was cool,” said Halladay, who stood and cheered when Brandy got her first first-place finish. “It took her a while before there was a seventh (out of a field of 45) or an eighth. Then, that one weekend, Brandy had four (firsts).”

Brandy didn’t receive a phone call from the AQHA secretary when she claimed the rookie of the year — as Halladay did from Baseball Writers’ Association of America secretary Jack O’Connell when he won his Cy Young.

“They base (his wife’s award) on a point system and put it on the website, not a lot fanfare,” Halladay said.

Provided Colby’s tendons are 100%, Brandy will ride at competitions in Florida and South Carolina next month. She also hopes to make the All-American Quarter-Horse Congress in Columbus, Ohio in 2010.

With husband supporting wife, with wife supporting husband, this is an award-inning household.

Braden Halladay, a ferocious 58-pound nose tackle, played for the East Lake Eagles in the Little League Super Bowl. Games are played at 8 a.m., so that means a 6:30 weigh-in for the under-60 pound division.

The mighty Eagles got off the final play with nine seconds remaining and scored the only touchdown with zero time on the clock to beat the Countryside Cougars 6-0.

“The parents went crazy at the end, not me,” said Halladay, who cheered on the Eagles.

East Lake was given a trophy and all the players received a medal.

And where is Braden’s medal now, hanging over the stallion’s head alongside the stairway?

“Actually,” Doc said, “it is.”

A Costly Second Chance For Little Isaac

Isaac Globe and MailA costly second chance for little Isaac
With Ontario now funding an expensive new treatment, a two-year-old is flourishing despite his rare disease, LISA PRIEST writes

LISA PRIEST
TORONTO — He’s not even three years old, but the words pulse oximeter roll off Isaac McFadyen’s tongue, as if they are second nature. He knows the device well; it clips onto his finger and measures the oxygen in his blood. It’s one of several checks done each hour he undergoes treatment for his rare disease.

But Isaac’s life is not one of suffering. It is that of a preschooler thriving after receiving one of the most expensive drugs in the world — Naglazyme — the only treatment for Maroteaux-Lamy syndrome, an inherited metabolic disorder.

The bag of colourless medicine, not even a cupful, costs the public health-care system $5,000 to $6,000 for each weekly treatment, something he will require, in some form or another, for the rest of his life.

In the three months he has undergone enzyme replacement therapy, Isaac’s parents say they’ve witnessed dramatic physical changes. Isaac has grown two inches and his belly, once rotund due to an enlarged spleen and liver, has shrunk by three inches.

“For us, the idea that he has a chance at a future, is more than we ever had before,” Isaac’s father, Andrew McFadyen, said.

During his 14th infusion in early December, Isaac, a high-spirited boy, rode a plastic tricycle in the corridors of Toronto’s Hospital for Sick Children, as his mother, Ellen Buck-McFadyen hurried along with him, clutching the intravenous pole that carried his medicine.

A few months ago, the future looked bleak for Isaac, who has mucopolysaccharidosis type VI, or MPS VI for short, a disease so rare it’s estimated that only three to 10 Canadians have it.
In May, his family faced moving to England where the drug is funded by government — at the cost of $300,000 to $1-million annually — or watch Isaac be ravaged by the inherited metabolic disorder.

He had already suffered some of the ill effects of the disease: a piece of his skull and a portion of vertebrae in his neck were removed after they began compressing his spinal cord. His corneas were clouding, his forehead protruded and he had an umbilical hernia.

“We were really close to moving,” said Mr. McFadyen, who was eligible for British citizenship through his Welsh mother. “We had our application filled out and all set to go.”

When Isaac’s plight was profiled in The Globe and Mail in May as part of a broader piece on the lack of an organ drug policy in Canada, the story drew swift reaction, with the subject being raised twice in the Ontario Legislation by the opposition.

In July, the provincial government decided to fund the drug for Isaac after a clinical review by members of Ontario’s inherited-metabolic-diseases program.

“This is not a cure but neither is insulin a cure for diabetes,” said Joe Clarke, senior associate scientist in the Hospital for Sick Children’s Research Institute, who has treated Isaac. “We’re hoping that it will correct the metabolic abnormalities sufficiently so that the disease won’t progress.”

In developed countries, there are an estimated 1,100 sufferers, virtually all of whom will experience severe disability and shortened life spans. That’s because those with MPS VI are missing an enzyme called arylsulfatase B, needed to break down carbohydrates known as glycosaminoglycans. The carbohydrate builds up in the body’s cells and affects multiple organs.
Signs of the disease include stunted growth, enlarged tonsils and adenoids that cause breathing problems, poor mobility and dramatic changes in facial features, including a flat nose and large head. In their teens, sufferers often require heart-valve surgery.

“Isaac is the youngest patient I’ve ever seen with the condition, so we have to consider him to be programmed to have more severe disease,” Dr. Clarke said. “The results we’ve achieved so far, I’m very, very happy with, ecstatic with it.”

Although the drug won’t necessarily reverse the damage the disease has already done, it will help halt its progression.

“If Isaac didn’t get this drug, he was simply going to continue to progress where there would be very little in the quality of life for him,” said Conservative health critic Elizabeth Witmer, who twice raised his plight in the legislature.

She is concerned about Canada’s lack of an orphan drug policy, as is Durhane Wong-Rieger, president of the Canadian Organization for Rare Disorders.

“There is widespread agreement that we need to provide some treatment for rare disorders,” Dr. Wong-Rieger said. “But there’s no agreement on how we’re going to provide the funding . . . There’s some real urgency in terms of putting together a process to evaluate these drugs.”
Since Isaac began receiving treatment in September, his life has turned around. The problems of today are much smaller than those of a few months ago: a traffic snarl as they make the two-hour drive to the hospital from their home in Campbellford or a puzzle piece that goes missing in the hospital playroom.

“It’s such a huge relief,” Ms. Buck-McFadyen said, holding her other son, 13-month-old Gabriel, at the hospital. “We know how fortunate we are.”

MPP Demands Help For Ailing Boy

Isaac Globe and MailLISA PRIEST

From Thursday’s Globe and Mail

Published 

Last updated 

Two-year-old Isaac McFadyen sat quietly in a gallery of the Ontario Legislature yesterday as the Progressive Conservative health critic demanded that the provincial government pay for a costly drug to treat the toddler’s rare disease.

Elizabeth Witmer, MPP for Kitchener-Waterloo, asked Health Minister George Smitherman to ensure bridge funding for the enzyme replacement therapy, used to treat Maroteaux-Lamy syndrome, until a national policy is in place.

Without it, the McFadyen family from Campbellford, Ont., will have to move to England where the government covers the drug Naglazyme, which costs a staggering $300,000 to $1-million annually.

“This [drug]can reverse some of the problems of this disease and may even prevent them altogether,” Ms. Witmer said.

But Mr. Smitherman said he was in no position to say right then and there that Ontario would fund the drug.

“This is one of the more difficult circumstances that can be encountered by a family, of course, and by the challenges that it presents for a public health care system,” Mr. Smitherman said. “. . .The case is obviously an individual case that we have to treat as such.”

People like young Isaac are missing an enzyme that is needed to break down carbohydrates, which build up in the body’s cells and affect many organs.

Signs of the disease, known as MPS VI for short, include stunted growth, enlarged tonsils and adenoids that cause breathing problems, poor mobility and dramatic changes in facial features, including a flat nose and large head. Once sufferers reach their teens, they often require heart-valve surgery.

Isaac has already suffered some of the effects of the disease: a piece of his skull and a portion of vertebrae in his neck were surgically removed last month after they began compressing his spinal cord. His corneas are clouding, his forehead protrudes and he has an umbilical hernia.

But in many ways, he is an average rambunctious toddler who, in a high-spirited moment, managed to give Mr. Smitherman a high five yesterday after Question Period.

In an interview, Isaac’s father, Andrew McFadyen, said he was disappointed by Mr. Smitherman’s response in the legislature. But he said that the Health Minister later told him he was going to work “vigorously on the file.”

The drug Isaac requires, Naglazyme, is so expensive that even its U.S.-based developer and manufacturer, BioMarin Pharmaceutical Inc., has acknowledged no patient can afford it. It is the only drug available to treat the disease, which is so rare that it’s estimated only three to 10 Canadians have it.

In most countries where Naglazyme is licensed, such as those in the European Union, governments cover the drug’s cost. In the United States, it is largely funded through private insurance.

In Canada, there is no policy for “orphan drugs” like Naglazyme — medications for rare diseases, the incidence of which varies by country — and no way for people like the McFadyens to afford such costly therapies.

Because Isaac’s parents cannot afford the drug, the boy is going without the treatment. The McFadyen family is planning to move to England to obtain the costly therapy. There, Isaac would be treated by Dr. Ed Wraith, at Royal Manchester Children’s Hospital, who has said that at a minimum he hopes Naglazyme will halt the boy’s disease process.

“We don’t want to have to sell everything and go but we will,” Mr. McFadyen said. “We just can’t sit on this.”