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Progression is an odd thing. I find it difficult to measure the progress I’ve made in life. People my age, people I went to school with, are getting married, having babies, and buying homes. But my progression has always looked different.

The month of November kicked off eventfully in 1997 in the wee hours of the morning when our electricity went out. Jeffrey, our 5 ½-month-old baby with spinal muscular atrophy (SMA), relied on blow-by oxygen and an oxygenator for comfort, and the power outage rendered both useless.

The winds howled and the blustery snow started falling early in the day. It was an unusual sight for the last day of October — Halloween. The city was quickly covered in a blanket of wet snow. Driving became slow and methodical, motorists keeping their distance from the…

Wow, October feels like it was just yesterday. But it also felt like it took 45 years to end. What even is time? My book signing was on Oct. 2. I thought I should probably update you now that it’s November. Holy heck, it’s been a whole…

Recently, I attended the 2019 Cure SMA Chapter and Leadership Conference in Boston. There, I connected with friends I had met through previous conferences and listened to presentations from Cure SMA staff members, as well as updates from the pharmaceutical companies…

I have this nagging feeling that I’m going to die in bed. My parents sleep in the basement, so when I need to be rolled at night, I scream at the top of my lungs until someone hears me. We have a baby monitor that works…

It is truly the most wonderful time of the year. As you read these words, I hope that you are envisioning me spinning in my wheelchair, wearing an oversized cardigan with leaves falling all around me, and resting a pumpkin spice latte on my footplate. When it comes to autumn,…

There are three Casten kids: Ava (12), Henry (11), and Ella (9). They each need our attention, and will ask for it periodically. Our life is quite crazy. Lindsay is still recovering from the amputation of her lower right leg and is facing a complete…