Doha, Qatar:Duchenne Muscular Dystrophy (DMD) is a rare muscle disorder that affects approximately 1 in 3,500 male births worldwide1. It is a genetic condition usually recognized in boys between three and six years of age.

DMD is characterized by weakness and wasting (atrophy) of the muscles of the pelvic area, followed by the involvement of the shoulder muscles. As the disease progresses, muscle weakness and atrophy spread to additional muscles of the body, including the trunk and forearms, eventually affecting breathing capability. The disease is progressive and most affected individuals require a wheelchair by their teenage years.

Sidra Medicine with the development of a multidisciplinary team-based approach specializes in the care of children and young people with DMD providing high quality and cutting edge services from pediatric intensive care, surgery, therapy services to post-operative and long term care.

Ali is a young person with DMD. Due to the rapid progression of the disease, he was wheelchair bound by the time he was in his early teens.  Despite spinal surgery at another healthcare institution in 2017, Ali’s condition continued to deteriorate. He became more immobile and was confined to his bed. He developed severe contractures where his muscles became tight, making it painful and difficult for him to move. As a result, Ali required full support to move his body and was not able to sit up in his wheelchair.

Being bedridden and immobile for two years had a significant impact on his physical and mental health. Ali was admitted to the pediatric intensive care unit (PICU) at Sidra Medicine in mid-November of 2018.

Dr. Patrick Sheehan, the Division Chief of Pediatric Otolaryngology, Head and Neck Surgery at Sidra Medicine performed Ali’s tracheostomy in late November 2018. Dr. Sheehan also leads Sidra Medicine’s membership with the Global Tracheostomy Collaborative – which ensures that the tracheostomy care at Sidra Medicine is at the highest levels of practice. Ali’s procedure involved creating an opening in his neck to place a tube into his windpipe. The tube was inserted through a cut in the neck below the vocal cords; allowing air to enter his lungs.

During Ali’s time at the hospital, he was taken care of by a multidisciplinary team from PICU, occupational therapy; physiotherapy; respiratory therapy; speech and language therapy. The team, which also included dieticians and child life specialists, created a customized daily care schedule to support Ali in regaining his weight and strength; to help him with a range of movements and for him to speak with a tracheostomy.

Over four months at the Sidra Medicine PICU, with the care provided by the highly specialized multidisciplinary team, Ali slowly regained his strength and eventually was able to sit up in his wheelchair once again. The transition from being horizontal for nearly two years to being able to sit up, had a major impact.

“Once Ali regained his ability to sit and talk – he was keen to go out on his wheelchair and spend

time in our lovely healing gardens and interact with people. It was a wonderful transformation. We are really proud of his progress and his endurance,” continued Dr. Sundaram.

Kirsty Foster, one of Ali's physical therapists, spoke of Ali’s stay and how he was not only a pleasure to work with but also made an impact on the staff working with him.  "Ali has such a big personality and he was truly one of those patients who we looked forward to working with and seeing. He taught the team a lot about patience and just not giving up."

Upon his discharge, Ali, who through speech therapy at Sidra Medicine learned to speak with the tracheostomy, managed to share a simple and powerful message with the team who helped him: "Thank you."

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Muscular Dystrophy Association: https://www.mda.org/disease/duchenne-muscular-dystrophy  

About Sidra Medicine
Sidra Medicine provides specialized healthcare to women, children, and young people from Qatar and around the world.  

Established by Qatar Foundation for Education, Science and Community Development, Sidra Medicine embraces best practice medical education, innovative biomedical and clinical research and discovery, and exceptional patient and family focused care.

Sidra Medicine provides comprehensive specialist healthcare services for children and young people, as well as maternity and gynecology care for women. Some of its unique children’s specialist services include Cardiology, Neurology, Urology and Plastics & Craniofacial Reconstruction. It is also currently the only specialist center in the country that treats and cares for pregnant women with fetal complications.

The ultramodern healthcare organization is a testament to Qatar’s pioneering spirit and sustained commitment to its human and social development.

To access Sidra Medicine services, and learn more about our contribution to global healthcare, education and research, please visit www.sidra.org. 

© Press Release 2019

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