There are more than 7,000 documented rare conditions in the world. While there is no known cure for some conditions, where there is a cure (or maintenance through medicines is possible), the cost of medication is exponentially high to bear. This podcast will focus on the status of rare conditions in India, which has been talked about very little in Indian society. It will be a one-of-its-kind attempt in India to document the gamut of challenges and achievements of people with rare conditions and will open a constructive dialogue on what can be done. This is important because an estimated 1 in 20 Indians are affected by a rare disease. The series will bring out the human face behind rare conditions – the patients, the families, caregivers, doctors, activists and geneticists working to improve life for people with rare conditions.
This episode features a parent who has lost three infant children to a rare illness linked to inborn errors of metabolism caused by enzyme deficiency.
Vikas Bhatia’s ordeal turned him from an ordinary parent to an advocate of securing proper diagnosis and treatment. He and his wife- Poonam Bhatia – established the Metabolic Disorders and Rare Diseases Organization of India. They describe themselves as a parental support and advocacy organisation.
What was his journey? Listen on.
This season has been made possible from a grant by the Thakur Family Foundation (https://www.thakur-foundation.org/).
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1 Mar 2021
What does a rare family look like?
The life of a rare individual's parent is unlike anybody else’s. Mostly, parents are their children’s primary caregivers till late in the child’s life, and it is likely that they do not have qualified support. Parents thus have to juggle multiple priorities leading to hard decisions. For instance, whether to take up a job or not given the child’s needs? Should the family shift homes to seek treatment to ease the rare child’s life? These become significant questions.
While each family is unique, this episode features Dr. Suhas Indurkar, the mother of 43-year-old Kedar Indurkar who has cerebral palsy because of which he has little physical strength in his body. She describes decades worth of experiences being part of a rare family, including her pursuit of a career in spite of the challenges, her support systems, and how Kedar was raised to be self-adequate.
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14 Feb 2021
Climbing the job ladder with a chronic rare illness
Adulthood is when one should be able to live independently; when one can earn a living and become self-sufficient. But, should a rare individual have a disability, the severity of the disability can determine whether they can get and hold a job or start something of their own to become self-employed.
This episode explores how two people with rare illnesses have coped. Kedar Indurkar is a 43-year-old with Cerebral Palsy and is a recipient of an award by the President of India for his work. Manav Goyal has facioscapulohumeral muscular dystrophy (FSHD).
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15 Jan 2021
Learning the hard way
Education is the foundation on which a person can build their life. But for rare individuals, being able to go to school or college is not a guarantee.
Often people with rare diseases have to give up on the dream of education because of challenges that able bodied people cannot even think of. In this episode, a 45-year-old woman from Chennai - Sujatha - offers insight on how she was forced to power through discrimination and a chronic illness to realise her dreams. She has Pseudoachondroplasia, an extremely rare form of dwarfism. She is also an MPhil.
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31 Dec 2020
Quest for blood- How COVID-19 pandemic hurt children with thalassaemia
Thalassaemia is a rare blood disorder which causes the blood to have less haemoglobin. Children suffering from thalassemia need regular blood transfusions- once every fortnight to 20 days. In some cities of the country such as Mumbai and Bengaluru, the children were getting an assured blood supply for their needs. Some non-profits who worked with these children, were organising blood donation camps regularly to ensure good supply for those who need blood transfusion.
But since the COVID-19 pandemic began, this system has gone for the toss. The large blood donation camps have stopped completely. The non-profits are now struggling to get donors. This has played havoc in the lives of these children.
In this episode of Rare Lives, senior reporter, Menaka Rao speaks with Vinay Shetty from THINK foundation (http://www.thinkfoundation.org/index.php) in Mumbai, Rajat Agarwal from Sankalp foundation (http://www.sankalpindia.net/) in Bengaluru and Atul Gera from Ranchi. These activists are trying hard to keep the blood supply in their cities going. We also speak with a 13-year thalassemia patient, Ira Sukheja and a Rajshekhar, parent of a 9-year old thalassemia patient, Rajeshwari.
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24 Dec 2020
Breaking free from the emotional costs of a rare disease
Over the years, the importance of taking care of one’s mental health has gained more acceptance. In 2020, with the breakdown of more traditional and physical forms of communication, social isolation reared its ugly head. While the pandemic has thrown up serious uncertainties, it has also led to greater recognition of valuing each moment that life has to offer. Gratitude is an emotional coping tool that rare individuals employ most of the time.
In this episode, Arouba Kabir (https://twitter.com/Aroubakabir), a practising therapist at Enso Wellness (https://www.ensowellness.in/) and a rare individual who has Cystic Fibrosis, discusses her life journey, and how she has seen rare individuals coping against massive odds. This episode thus delves into the hidden emotional costs of being rare.
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25 Nov 2020
The pandemic unravels India’s weak disability support system
Persons with disabilities make up over 2 percent of the Indian population. While not all persons with disabilities are rare individuals, rare diseases are chronic and can lead to major disability. Both – rare individuals and persons with disabilities – have needs that are different from the larger population.
From lifesaving medicines not reaching people due to the country-wide lockdown to lack of proper knowledge on how they can prevent the Coronavirus infection, this episode features difficult experiences. It focuses on the interview of Smitha Sadasivan, a disability rights advocate and a person with a rare illness called Multiple Sclerosis. She talks about the Indian public system proving fragile in the pandemic, and the consequent impact of this on rare individuals.
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22 Oct 2020
Parenting a rare child
Being rare is not a death sentence, and nobody can understand this better than a parent of a rare child. In this episode, host Avantika Shrivastava speaks with Tresa Joseph whose daughter has been diagnosed with an extremely rare genetic illness- 9P Deletion. While speaking fondly of the transformatory impact her daughter has brought in her life, she also voices concern due to major differences between America’s healthcare system (where Amelia was born) and India’s, their homeland, in accessing medical care. She discusses these challenges, and obstacles which the young family has had to face during the COVID-19 pandemic.
This episode delves into the choices that almost all parents of children with rare diseases have to commonly make, such as deciding on medical treatment and sending their children to school.
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29 Sept 2020
Why it is not easy to diagnose a rare disease
In August, a 25-day-old baby boy was diagnosed with two severe rare diseases - Pompe and Spinal Muscular Atrophy- at the specialised rare disease centre of JK Lone Hospital in Rajasthan. A baby with two rare illnesses is possibly the first such reported case in the world.
This episode features the interviews of Dr Priyanshu Mathur, a pediatrician at the JK Lone hospital, who treated the baby, and another parent in Uttar Pradesh whose children have been diagnosed with Spinal Muscular Atrophy.
The episode delves into why correct diagnosis of rare diseases is so important, and how diagnosis and timely treatment are hard to secure for parents.
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14 Sept 2020
The impact of COVID-19 & lockdown on people with rare diseases
More than 1 million Indians have been taken ill by the COVID-19 virus, but what has been the human cost on an extremely vulnerable section of the country’s population – people living with rare disease? The first episode of ‘1 in 20,000’ Season 2 – Rare Lives – delves on the pandemic and its impact.
Hosted by Avantika Shrivastava, this episode features the experiences of Dr. Dipanjana Datta, a genetic counsellor and West Bengal coordinator for the Organisation of Rare Diseases in India, and Dr. Apurba Ghosh who is the Director of the Institute of Child Health in West Bengal.
This season has been made possible from a grant by the Thakur Family Foundation.
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6 May 2020
कोरोनावायरस से दुर्लभ रोगी कैसी बचें
ये पॉडकास्ट भारत सरकार,आर्गेनाईजेशन फॉर रेयर डीज़ीइस इंडिया और विश्व स्वास्थय संगठन दिशा-निर्देश पर आधारित है। यह उनके लिए लाभयदायक है जो आश्रित व्यक्तियों की देख भाल कर रहे हैं या दुर्लभ रोगों से झूंझ रहे हैं ।
पॉडकास्ट में दिया गया ईमेल आई.डी. है: contactus@ordiindia.in (mailto:contactus@ordiindia.in) ।
वेबसाइट है www.mygov.in (http://www.mygov.in/) ।
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27 Sept 2019
Awaiting Change
This special episode of 1 in 20,000 features George Estreich, author of 'Fables and Futures: Biotechnology, Disability, and the Stories We Tell Ourselves'. In a candid conversation, Estreich discusses the inspiration behind his work, his now teenage daughter Laura, who was diagnosed with Down Syndrome and what he has experienced of disability through her. He also shares his thoughts on how social expectations make people with disabilities vulnerable, and what could be done to protect them.
About the book: How new biomedical technologies—from prenatal testing to gene-editing techniques—require us to imagine who counts as human and what it means to belong.
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28 Aug 2019
A long wait
The final episode of 1 in 20000 touches upon the legal rights of rare disease patients. In this conversation with Advocate Ashok Agarwal, who practices in the Delhi High Court, we get a glimpse of the distance India still has to go on securing a life of dignity for them.
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29 Jul 2019
The Gene Story
Genes are the building blocks of our bodies and are responsible for the diversity of physical and other characteristics found in humans. They are incredibly complex for us to understand, but geneticists and the scientific community are developing new ways to sequence them, thus determining the exact ways in which genes create life. Everybody is unique, has its own needs, and this is true for the bodies of people with rare conditions too. A whopping 80 per cent of rare illnesses are genetic in nature causing lifelong health complications.
In this episode, Dr Deepanjana Dutta, a genetic counsellor, traces the gene story. She discusses what we know about genes until now and how medical cures are developed. She also shares her experiences of counselling people who have had to face not just medical but social challenges since genetics is little understood in the country and diversity in the body is often unwanted.
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28 Jun 2019
A Father's Journey
A family is changed forever when a loved one is diagnosed with a rare disease. In this episode, Mr Iftikhar Zia discusses his experience of raising a son with a rare disease, how his family became close-knit as a result, and the joys they have experienced in spite of chronic challenges.
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28 May 2019
An equal partner
We all want empathy, understanding and love, but how do these play out for people with rare diseases? In this episode, listen to a seldom heard perspective of an able bodied woman Sangeeta Goyal and her choice of partner who uses a wheelchair. She shares her journey of being a couple, and their trials and joy.
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28 Apr 2019
Living Rare
What is it like to live with a rare condition? In this episode, Mr Vipul Goyal gives a peek into his world, the time he was diagnosed with muscular dystrophy, how he turned his struggle into a strength and what made him contribute to the lives of people with rare conditions. He is currently a co-founder of the Indian Association of Muscular Dystrophy.
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28 Mar 2019
Care for a rare
In this episode of 1 in 20000 Avantika speaks to Mr. Prasanna Shirol, the founder of ORDI, a rare disease patient care and advocacy organization.
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28 Feb 2019
Introducing 1 in 20000
An estimated 100 million Indians are said to suffer from any of the over 6000 rare diseases found in the world. So how is it that the conversation is so limited and restricted to only those who get impacted? This podcast 1 in 20,000 will answer this and many more questions. On World Rare Disease Day, we are honored to launch India’s first podcast on rare diseases hosted by Avantika Shrivastava.
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