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Joey Bergsma Retinoblastoma Awareness Month
 

Palm Beach County has proclaimed the month of November, “Joey Bergsma Retinoblastoma Awareness Month”.

Retinoblastoma is the most common eye tumor in children and the third most common cancer affecting children overall. It develops in the retinal cell layer of the child’s eye. One in every 12,000 children in the United States is affected with retinoblastoma. Ninety percent of the cases occur in the first five years of life. When detected early the eye and vision can be saved and life is not threatened.  When left untreated, the child’s eye is enucleated (removed) in order to save their life. If retinoblastoma is allowed to escape the eye there is no cure.  Early detection is vital to saving vision and life.

NOTE:  At a recent seminar, an ophthalmologist told us that he diagnosed a bilateral case (both eyes) in a young girl almost 13 years of age.

What parents need to know:

  1. You can take a picture of a tumor or cataract.  Always be alerted to
    your PHOTOS.  If you take a red eye picture and do not get a red reflection there could be a problem.  Your retina is supposed to reflect light red.  In a red eye picture a tumor will reflect white. In most cases of retinoblastoma, there is a history of white dot pictures that would have saved the child’s vision or life.   www.lovejoey.com  
     
  2. The ophthalmoscope needs to be used at every exam in a darkened room. It is the stethoscope for the eyes.  The pediatrician will simply shine it into the child’s eyes looking for a red reflex reaction.  If they do not see a strong red reflex, the child should be referred immediately to an eye doctor. If you are not sure an ophthalmoscope is being used, do not assume it is, ASK.  A tumor or cataract can start to develop at anytime in childhood.
     
  3. An infant needs an eye dilation exam.  The pupil of an infant is small in diameter and needs to be dilated in order for the ophthalmoscope to see tumors and other ocular diseases such as cataracts effectively.  It is recommended to have the eye dilation exam before leaving the hospital, the 6 to 8 week well-baby exam, the 6 to 9 month well-baby exam and one more at the 18 month well-baby exam. The pediatricians that are using eye dilation drops want to see all doctors doing the same. It adds only ten seconds of time to the regular exam and costs pennies. 

NOTE: One in every 677 live births in the United States has a treatable eye disease that will blind if not detected and treated. Cataracts are ten times more prevalent in infants than retinoblastoma and can blind as early as two months of age if not treated. Pre mature babies are the only infants in the US that have an automatic eye dilation exam…we need to ask. Early detection and referral is the key to saving our children’s vision and, in the case of retinoblastoma, lives.

My beloved grandson, Joseph Hollander Bergsma, died needlessly from metastatic retinoblastoma on December 22, 2000.  Joey was three years old.  Awareness would have saved his life.  I was taking pictures of the tumor reflecting the light and did not know it…these pictures would have saved his vision and his life.

More importantly, if an ophthalmoscope would have been used to screen his eyes at his 15 month or 18 month well-baby exam…Joey would be alive.

Joey’s journey was short, but his message is powerful.  The last year of his life was a miracle.  We were at Sloan Kettering in Manhattan for 8 months and the Burzynski Clinic in Houston for over 2 months.  The last ten days of his life we were at home in Florida.  Joey died in his house at Lake Osborne where he wanted to be. Everyday was a gift and I thought he was to be the first child to survive this disease.  Through his death I realized the miracle was, Joey is to be the last child to die needlessly from it.

 We are saving vision and lives through awareness.

Cheryl Bull, a West Palm Beach grandmother saw coverage on channel five last February on Joey’s story.  Her granddaughter, Elexis, came to visit and they went to Disney World.  She developed the pictures from the trip and found several white dot pictures like Joey’s.  Elexis was taken immediately to an eye doctor.  Elexis was the perfect case scenario.  The tumor had just started to develop…they froze it off with cryotherapy.  Elexis not only has her eye and her vision; she has perfect vision in her eye.  The doctors will watch her carefully for the next few years, but foresee no problems.

Jennifer was not so lucky.  Last July, Sandra Padilla of Lake Worth complained to her social worker that there was something wrong with Jennifer’s eye.  She was eight months old at the time.  Susan Slocum had been looking at Joey’s poster in her Healthy Start Office since last November and had recently seen coverage on “Joey Bergsma Retinoblastoma Awareness Month at the Palm Beach Zoo” on TV.  Susan told Sandra to take a picture of Jennifer in a dark room…Jennifer’s pupil was white.  Her eye was removed…it was already blinded by retinoblastoma tumors.  Dr. Timothy Murray performed the eye enucleation at Bascom Palmer in Miami. It is sad that she needlessly lost her eye, but Thank God she has her life.  Jennifer had this developing at birth.  The “ten second, two cent” eye dilation exam would have saved her eye and her vision.  NOTE: Jennifer also had strabismus; the eye was rolling inward.  In some cases tumors or cataracts will cause irregular eye movement.  Be alerted to your child’s eye movement; like your photos, this could be a clue to something wrong.

Joey is smiling…his message is being heard.

LEGISLATIVE UPDATE:

The infant eye care bill (HB1117, SB2062) nicknamed “Joey’s Bill”, was written last year and heard in four committees.  In the last two hearings the vote was unanimously in our favor.  We will make it to the floor this session and “Joey’s Bill” will pass…there is no reason not to do this for the children of our state.

The House Bill is asking for the eye dilation exam before they leave the hospital, the 6 to 8 week well-baby exam and the 6 to 9 month well-baby exam.  The Senate Bill was changed and is asking for the eye dilation exam before they leave the hospital, the 6 to 9 month well-baby exam and the 18 month well-baby exam. 

Hopefully, we will have all four exams in the first 18 months of life. This will help   ensure healthy vision for all of the children in our state.  No child will loose an eye, go blind or die to a treatable eye disease again.

Too many children have lost their vision needlessly and had their lives jeopardized this year alone because we are not doing the eye dilation exam.  Healthy vision should be our children’s birthright.  Working together we will fix this for the children of our state and our country.

For information, posters, seminars and to HELP with this important cause; please contact me at the following:  

Pam Bergsma  (Joey’s grandma)   
619 South K St. 
Lake Worth, Fl.   33460
561-586-2094      lovejoey@bellsouth.net               www.lovejoey.com
 


 

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