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>> THE CAUSE OF CDH ISN'T REALLY KNOWN.
FEW CASES ARE ACTUALLY GENETIC RELATED AND WE KNOW A FEW
MUTATIONS THAT CAN CAUSE-- BE ASSOCIATED WITH CONGENITAL
DIAPHRAGMATIC HERNIA.
BUT THE MAJORITY OF THE CASES WE SEE ARE ACTUALLY WHAT WE CALL
"SPORADIC."
>> WE DON'T KNOW THE CAUSE.
THIS IS NO ONE'S FAULT.
THAT HOLE IN THE DIAPHRAGM JUST FORGOT TO CLOSE,
AND WE HAVE TO DEAL WITH THE CONSEQUENCES.
>> MOST CASES DON'T TEND TO RUN IN FAMILIES.
MOST PEOPLE WON'T BE ABLE TO SAY THAT, YOU KNOW,
COUSIN JIMMY OR UNCLE JOE HAD THIS.
IT'S USUALLY, IN MOST OF THE FAMILIES WE MEET,
IT'S THE FIRST TIME THEY'VE EVER HEARD OF IT.
>> IT'S AN EXTREMELY FRUSTRATING CLINICAL DIAGNOSIS.
WE HAVE MADE PROGRESS.
IT'S THE SORT OF THING THAT YOU SORT OF SLOG AWAY AT.
LITTLE INCREMENTAL CHANGES CAN HAVE AN IMPACT.
>> AND OVER TIME LITTLE STEPS CREATE BIG STEPS THAT CREATE
GIANT STEPS.
>> THE COMMITMENT TO DELVING DEEPER HAPPENS AT EVERY LEVEL.
>> THE ANSWERS TO HOW WE CARE FOR DIAPHRAGMATIC HERNIAS ARE
GOING TO COME FROM OUR LABORATORY AND OUR CLINICAL
EXPERIENCE.
>> THERE'S THIS PING-PONG GAME BETWEEN THE CLINIC
AND THE RESEARCH LABORATORY, BETWEEN THE LABORATORY BENCH
AND THE BEDSIDE.
>> ONE DEPENDS ON THE OTHER TO ACTUALLY ADVANCE WHAT WE DO.
>> RATHER THAN GOING AND FIXING THE HOLE IN THE DIAPHRAGM,
WHAT WE REALLY NEED TO FOCUS OUR RESEARCH ON IS TRYING TO MAKE
THE LUNGS GROW SO THAT WHEN THE BABY IS BORN,
THERE'S SUFFICIENT LUNG SIZE IN ORDER TO EXCHANGE
RESPIRATORY GASES.
>> THE COLLABORATION BETWEEN SURGERY AND RESEARCH IS PART
OF THAT RESPONSIBILITY TO PUSH THINGS FORWARD.
>> WE HAVE AN OBLIGATION TO DO RESEARCH.
WE HAVE AN OBLIGATION TO EDUCATE.
>> THERE'S AN ONGOING COMMITMENT TO TAKE WHAT WE'VE LEARNED--
>> --AND SPEAK TO OUR COLLEAGUES IN THE FIELD,
AT OTHER CENTERS, IN OTHER COUNTRIES--
>> --SO THAT YOU'RE ABLE TO FURTHER THE WORK THAT'S BEING
DONE ON BIRTH DEFECTS AND GETTING ANSWERS.
>> WE'RE TOTALLY DEVOTED TO CARING FOR THESE CHILDREN.
>> WHEN YOU'RE ABLE TO FOCUS ALL YOUR ENERGY,
ALL YOUR EFFORT, ALL YOUR TEAM ON DEALING WITH BIRTH DEFECTS
AND YOU HAVE THE SIGNIFICANT VOLUME OF BABIES WITH BIRTH
DEFECTS, YOU ARE ABLE TO CHANGE THE WORLD.
YOU'RE ABLE TO CHANGE THE FACE OF BIRTH DEFECTS.
>> SIMONE IS 10 MONTHS NOW.
>> SHE'S DOING REALLY WELL.
SHE'S EXTREMELY ACTIVE, AND SHE'S MOVING ALL AROUND AND
GRABBING THINGS AND PULLING UP AND TRYING TO CRAWL.
>> IT SEEMS LIKE THERE'S SOMETHING NEW EVERY DAY,
SOMETHING THAT SHE WASN'T DOING THE DAY BEFORE,
AND I'M JUST AMAZED.
PEOPLE SAY TO US, "I CAN'T BELIEVE THAT SHE WENT THROUGH
ALL OF THIS.
LOOK AT HER.
SHE'S LIKE 100 PERCENT HEALTHY."