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“The Two Dollar Tip that Meant a Million”
By Art Garland
 
"I can't wait to get my hair cut with my birthday money!" exclaimed Heather who turned 38 on June 7.  She had been saving her money for her visit to her Mamaw Honeycutt’s where she is officially “On vacation for three weeks”!  However, before coming to Darke County she was busy participating and winning medals at the Special Olympics events held in her own home town.

Melissa Phillips,  works at a quaint friendly little beauty salon in Bradford called, "Theresa's".  She does my hair and when called she gladly made an appointment for Heather that work around our schedule. Heather could hardly wait!   What’s so unusual about this your might ask?  It’s because on July 10th, Melissa made a special trip to the salon especially to cut the birthday girls hair, having no other appointments scheduled and having clue Heather was any different than any other woman.

Heather is a total delight and loved by all who meet her immediately.  She was born with a genetic disorder called Tuberous Sclerosis Complex (TSC) -- a rare, multi-system genetic disease that causes benign tumors to grow in the brain and on other vital organs such as the kidneys, heart, eyes, lungs, and skin.  

Heather's family was told she would be completely mentally retarded, never potty trained, never talk, never ride a bike, or do any of the things normal children do. Well she has certainly proved the doctors wrong. While she still struggles with seizure control and is constantly trying different medications to control them,  she is active with the Center for Disabilities, doing a Karaoke performance solo each year.  She loves Country Music but cannot read so she memorizes her songs.  She loves to draw pictures and give them to people.  She enjoys dances, bowling, cooking and craft classes as well as being very active with participating in The Special Olympics.  This year she came home with Gold and Silver medals for bowling and Basketball Individual Skills Competitions.

As with Heather, who has been having seizures since 3 weeks of age, many TSC patients show evidence of the disorder in the first year of life. However, clinical features can be subtle initially, and many signs and symptoms take years to develop and can skip generations. As a result, TSC can be unrecognized or misdiagnosed for years.

Tuberous sclerosis complex (TSC) is a genetic disorder that causes non-malignant tumors to form in many different organs, primarily in the brain, eyes, heart, kidney, skin and lungs. The aspects of TSC that most strongly impact quality of life are generally associated with the brain: seizures, developmental delay, intellectual disability and autism.

The growth of tumors resulting from TSC is not as severely unregulated as in cancer, but these tumors may still cause serious problems. Tumors that grow in the brain can block the flow of cerebral spinal fluid in the spaces (ventricles) in the brain. This can lead to behavioral changes, nausea, headaches or a number of other symptoms. In the heart, the tumors are usually at their largest at birth and then decrease in size as the individual gets older. These heart tumors  can cause problems at birth if they are blocking the flow of blood or causing severe arrhythmia. The tumors in the eyes are not as common, but can present problems if they grow and block too much of the retina. The tumors in the kidney (renal angiomyolipomas) can become so large they eventually disrupt normal kidney function or begin to bleed internally. In the past, kidney failure was almost inevitable. Today, doctors can use drug therapy to their life by their physician for potential complications. Thanks to research findings and improved medical therapies, people with TSC are experiencing better health care than ever before.  But more research is needed until we find a cure.

Both of Heather’s kidneys have been affected dramatically by this disorder and are at 50% combined function. The kidneys are covered with so many angiomyolipomas that there is no visible healthy tissue to be seen on CT and MRI scans. Heather nearly died in 2010 when she had to endure two surgeries on her kidneys.  The first was to repair an aneurysm on her renal artery that was extremely close to rupturing. We were told that had it not been discovered when it was, she would not have survived if it had ruptured. She then had another surgery to perform embolization on the numerous remaining aneurysms that will be a continual battle on both of her kidneys to prevent them from getting larger and causing internal bleeding. "We thank Jesus every day for directing us to Cincinnati Children's Hospital for saving her life. None of the physicians we were seeing  detected the life threatening Aneurism on her renal artery. Thank you Jesus for being with her and us then and now", states her mother. "We thank Jesus every day for directing us to the Cincinnati Children's Hospital and the doctors who, with God’s wonderful grace, saved her life. 

After the visit was over, Melissa told me the amount of money Heather gave her and the amount she returned in change.  Heather was beaming with pride at her new doo!  I asked, "Heather, do you like your hair to which she replied, "Yes!".  I told her that when someone has been given a service they are happy with, they should show it by "tipping" that person with extra money.  Quickly she dug through her purse and generously produced two one dollar bills and handed them to Melissa and hugged her tightly.  Melissa had tears in her eyes.
 
On the way out I gave Melissa a hug and told her not to spend the two bucks all in one place and she replied it might only be two bucks to you, but it means a million to me.    
 
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