Because Huntington’s disease is inherited, its sudden
appearance can send family relationships into a state of shock.
Many HD families can trace the disease back over
generations, but in some, like mine, it appears unexpectedly.
Adoption of gene-carrying children generates another kind of
surprise for both the unknowing adoptive parents and the adoptee.
The story of four HD-stricken daughters born to Dianne M.
Travers, who died of HD in 2010, reveals the almost surreal perils of adoption
when HD is involved. Their story also highlights how genetic testing,
increasingly common in the biotechnological era, can open up unexpected and
disturbing doors.
Figuring out a puzzle
The story of these women came to light because one of the
sisters, an adopted child who is today the 47-year-old Lisa Davenport Boudreau,
in March 2012 discovered the identity of her birth mother after an 18-year
search.
An Army combat veteran, Lisa commenced her search at the age
of 30 in 1995 after retiring from the service on disability resulting from
post-traumatic stress disorder.
“It was like a puzzle, putting a little piece together at a
time,” Lisa told me in a series of recent interviews from her home in
Wilmington, NC. She and her sisters were willing to share their both
exhilarating and painful story in an effort to raise consciousness about both the tragedy of HD and the challenges of adoption.
Lisa’s adoptive parents had told her that they raised her in
a closed adoption, which withholds the identity of the birth parents. Knowing
her parents would be reluctant to help, Lisa at first proceeded on her own,
without knowing the name of the agency that had handled her adoption.
Acting like an investigative reporter, she sought her roots
by compiling a list of women who’d gotten pregnant around the time of her birth
in 1965 in Fargo, ND. She also looked for Fargo babies born that year and
poured over census reports and microfiche of area newspapers, hoping somehow to
find a scrap of news about her entrance into the world.
In 2007, with her four children from two previous marriages old enough
to allow her more free time, Lisa devoted herself to the task full time. She
first contracted a private investigative firm specializing in assistance to
adoptees. Despite paying a $2,000 fee, she got no results.
Lisa was finally able to obtain from her adoptive mother the
name of the agency that had handled her case, Catholic Charities of North
Dakota, to which Lisa paid $500 in fees for a document certifying her
nationality and birth weight and for the agency to begin a search for her birth
mother. This crucial step allowed Lisa to intensify her search.
As Lisa explained, since the 1960s adoption laws have changed
to make it easier for adopted children to find their biological parents. “A lot
of adoptees want answers,” she said.
However, Catholic Charities delayed in obtaining results,
Lisa said.
“I had to have someone put a fire under (their social
worker), because in three years they did absolutely nothing,” she explained. “And
then, all of a sudden, when I told them I would sue them, in a month they found
my mother. I really think Catholic Charities is using the adoption industry to
make money.”
Catholic Charities told her Lisa that she had no siblings.
To this day, she has still not obtained a copy of her birth certificate, which
remains sealed in an archive in Fargo.
An identity – and a
disease
“Towards the last year of looking for mom, there was
something in my gut,” Lisa recalled. “For the last three months, I didn’t sleep
two hours a night. I knew something was wrong. I could feel her pain, even
though I never met her.”
Finally, on February 27, 2012, Lisa received a call from a
social worker at Catholic Charities who had been able to track down her birth
mother.
What came next was not just the joyful revelation of her
biological mother’s identity, but also the shocking news that would instantly
transform the lives of Lisa, her husband Bob, her children, and the relatives
she had yet to discover.
Lisa learned from the social worker that her mother Dianne
had recently spent seven years in a nursing home and had died of a disease of
which she had never heard: Huntington’s.
“After the call, I got on my laptop,” Lisa remembered. “I
pulled it up online and read it to my husband and said, ‘what is this?!’ It was
very shocking. Then I had to tell my kids. It was very emotional.”
Searching for roots
In piecing together her and her mother’s past, Lisa would
learn that Dianne, a Native American, had gotten pregnant with her at the age
of 16. Later in life, Dianne became an alcoholic and a bit of a drifter,
spending time in California, Utah, and North Dakota. When HD killed Dianne in
November 2010, she was 62.
“I missed her by one year,” Lisa said regretfully of her
quest to meet her mother.
Lisa would also discover the identity of her birth father,
Byron Johnson, an artist and architect of Norwegian descent. He had died at the
age of 52 in 1993 after falling off a roof in a work accident.
Yet Lisa’s burning desire to know about her mother’s life
only grew. She tracked down Dianne’s second husband, 96-year-old Jim Travers, who
recalled that his wife had had a daughter. Lisa discovered both a birth
certificate and a death certificate
for this woman, Sabrina Del Rio, her half-sister, deceased at the age of 31 in
2003.
Querying the nursing home where Dianne had spent her last years,
Lisa learned that a California woman named Donna Scott had handled her mother’s
funeral arrangements.
Lisa set out to call every Donna Scott in California phone
directories. She said she made about 3,000 calls.
“I was searching for someone who knew my mother and might be
able to tell me about her,” Lisa explained.
Lisa also wondered if she might have more siblings.
On March 5, 2012, a Donna Scott in Los Angeles received a
message from Lisa. Donna phoned her sister Lisa Hein in Alpine, near San Diego,
to discuss the mysterious caller who claimed she might be a sister.
Opening up ‘a
rattlesnake’s nest’
Despite her suspicions, Lisa B. was no less shocked by what
ensued.
Returning the phone call for herself and Donna, Lisa Hein
revealed that Dianne Travers was their mother. Both she and Donna were Lisa
Boudreau’s half-sisters. Their father was Dianne’s first husband.
“I’m 47, jumping up and down on my bed, when I got the call
from Lisa!” Lisa B. said. “My husband looked at me like I was kooky.”
Lisa B. spoke to each sister in separate calls. It did not
take long for them to broach the subject of HD. The two California sisters
recalled their mother’s struggle with HD. They also explained why their sister
Sabrina had died so young: she had juvenile HD.
Sadly, the two sisters also revealed that they, too, were in
the early stages of HD.
“How crazy that her name is Lisa!” Lisa H. told me. “We
talked for hours that night, till 4 in the morning California time.”
Lisa H., a nurse, spoke enthusiastically about the joy of
connection moment but also felt “a giant pit in my stomach” because of the
“rattlesnake’s nest” of Huntington’s that she and Donna presented to their
sister.
“It was bittersweet,” recalled Donna, who that same day had
left her job as an insurance underwriter because of her disability resulting
from HD. “We spoke for almost five hours that night. I have the message (from
Lisa B.) saved. I will never get rid of it. She said, ‘I think we’re sisters.’
“We found her on adoption sites and Facebook sites. We said,
‘holy cow, she looks like our mother!’ You never know what a person is reaching
out for.”
In May, Lisa B. visited her sisters in California. In July,
Donna spent two weeks with Lisa B. in North Carolina.
“When we met, it was incredible,” said Lisa B. “We looked at
each other and touched each other and poked at each other. Back at the house we
took our shoes off and looked at toes and fingers. We all had the same kind of
birthmark on our leg. They both were upset at me because I have no wrinkles,
and they have more wrinkles than I, and I’m older. They were upset that I had
no gray hair, and they did.”
Their mother’s story
Lisa B. was finally learning about the mother and the family
she had always wondered about.
Donna, Lisa H., and Sabrina were raised by their father
Salvador Del Rio, who divorced Dianne and remarried. Whereas Lisa B. had spent
her life up to March 2012 without knowledge of her sisters, Lisa H. and Donna
had known since they were children that somewhere they had another sister,
beyond Sabrina.
But nobody yet knew that Dianne’s father had died of HD, nor
that she, too, was at risk for the disease.
Donna, who spent her summers as a teenager with Dianne and
Jim Travers in Utah, talked with her mother about the daughter she put up for
adoption. Later, in the late 1980s, when Dianne entered a rehab facility for
alcoholics, she wrote a mini-autobiography as part of her therapy.
Reading her mother’s writing, Lisa H. understood that “it
destroyed her and broke her heart” to give up Lisa B.
Lisa H. was excited about getting to know her mother better
and reconnecting with her lost sister. In the hopes of finding the adoptee, she
planned to have Catholic Charities send a letter to Lisa B.
Dianne, too, seemed ready for a new life. Around 1988 or
1989, she finished rehab in Utah. She took a plane to San Diego, with a
connection in Las Vegas.
But at the Las Vegas airport, Dianne started to drink. She
missed her connection and never made it to California.
Crestfallen, Lisa H. didn’t mail the letter that might have
reached Lisa B. She didn’t want her to know that her mother was an alcoholic.
Although Donna had earlier enjoyed spending the summers with
her mother, she said that Dianne became “a very mean alcoholic.” In the early
1990s, Donna cut herself off from her mother to protect herself, her son, and
her husband.
Dianne was diagnosed with HD in the late 1990s. In Donna’s
thinking, the alcoholism could have been both a cause and effect of the HD.
Sabrina’s short life
As Dianne exited her daughters’ lives in the 1990s, and with
the family still unaware of HD, Donna and Lisa H. became increasingly worried
about their younger sister Sabrina’s health and behavior.
“Looking back now, we see that Sabrina had the symptoms
during juvenile years,” Donna said. “She was a dork and klutz in high school.
We would call her ‘clumsy.’ She spoke with a slur. But in fact it was the HD.
She started acting differently.”
In her 20s, Sabrina frequently forgot to pay her bills, and
she neglected to deposit checks. Her car was repossessed for failure to make
loan payments.
Lisa H., who has a substantial background in neurological
research, paid special attention to
Sabrina’s symptoms.
When Sabrina could no longer function normally, Lisa H. and
her husband Andrew tried to discover the cause of her difficulties.
“She came to visit us one day in San Diego,” said Lisa H.
“It was late 1998. She had had ten accidents and totaled like three cars in the
two years before that. I would call her house and the line was dead. Sabrina
said the was power out in her neighborhood.”
In fact, Sabrina’s phone had been disconnected for failure
to pay her bill.
“She was walking staggering in front of us. Andrew said,
‘There’s something so wrong with her.’” Lisa. H said. “I sat there and watched
her walk: ‘Oh my gosh, she has a brain tumor!’
“I had just gotten married, and Sabrina got sick six months
later,” Lisa H. continued. “She was sleeping on our couch and trying to figure
out what was wrong with her. She had severe depression and anxiety. She had
trouble at work.”
Sabrina left her job in Los Angeles to move in with the
couple. In 1999, Sabrina tested positive for the HD gene. She was in her
mid-20s.
“Lisa, nobody’s ever going to marry me like this,” Sabrina
told her sister as she cried after receiving her test results. According to
Lisa H., it was the only time she shed tears about her condition.
“I looked at my husband and said, ‘I’m going to have to take
care of her. She’s my child. I release you. Go and get married,’” Lisa H. said.
“And he said, ‘Nope, we’re going to do this together.’”
Within six months Sabrina was in a wheelchair. A year and
half later, she became bed-ridden.
“Andrew and I did it 24/7,” Lisa H. recalled. “We staggered
ourselves to take care of her.
“She never complained. She always had a smile and was
thankful. She handled it all very graciously. A lot of times people get bad
tempers and are grumpy. She stayed her sweet self. She was very grateful. She
went into the wheelchair, and said, ‘Oh, what a pretty wheelchair.’”
Sabrina died in 2003, just 31.
Struggling with
symptoms
Today the three remaining sisters struggle with the early
symptoms of HD.
Donna has battled the depression and anxiety caused by HD.
Sometimes she goes more than a day without sleep.
“I’m a very, very patient person,” said Donna, who is 46 and
whose adult son is at risk for HD. “For that to change in my character, it
blows me away. That’s not me. I’m not one to fight.
“I’m living moment by
moment right. I honestly don’t look into the long-term future, because I know
it’s not there for me.”
Like Donna, Lisa H. had to leave her job, where she was
“triple- and quadruple-checking” herself to avoid making mistakes.
“I feel like I have a lot of difficulties with memory and
organization,” said Lisa H., who is 43 and the mother of two adopted boys, whom
she devotedly shuttles back and forth to school and baseball and football
practices. “Everything seems like it takes me so long. I can’t even remember my
nursing school graduation.
“It’s funny how your desire to have kids is so strong and
crazy. Now that they’re here it makes me sadder and makes the disease harder
because I wonder what I’ve done to them. We’re so happy but I don’t want them
to have to see me like my sister was and spend their lives caring for me. I
said to Andrew, ‘We can do this, but I want your focus to be them and not me.’
I was 100 percent fine having me go someplace when it starts to affect the
kids.”
A passion for helping
others
Lisa B. decided to test for HD. She felt compelled to help
her four children map out their lives regarding the disease and family
planning. In May 2012, her results came back positive.
“I was getting on the plane to California, with my
paperwork,” Lisa B. said. “I didn’t tell my husband the results. The first
people I told were my two sisters. I handed them my results after we had lunch.
Back home, I told my husband. We cried and cried. I didn’t know about HD, but
my sisters watched it happen. If I had found out younger, I wouldn’t have been
able to handle it so well.”
Lisa believes she has experienced early symptoms such as
depression, but also thinks her perceived
behavioral issues could result from the post-traumatic stress disorder and
gunshot wound to the head she suffered while in the Army.
“I’ve survived so much with the military,” she commented.
“I’m not going to let this bring me down. It’s your attitude.”
Lisa B. has fought back by becoming an HD advocate. On
January 7, she led the very first meeting of the Wilmington-area HD support
group that she founded.
Another of her passions is to help reform adoption laws so
that adoptees have greater access to information about birth families and are
informed of potential health risks.
“A felon has more
rights to their documentation than I have as an adoptee,” Lisa B. observed.
Finding her family has brought her “inner peace,” she added.
“It’s a very powerful feeling to finally feel that you’re part of something.”
However, she also recognizes that this knowledge is a
two-edged sword.
“I love the family I’ve found, but now I have to carry the
burden of knowing about Huntington’s and helping people understand how to
handle this information,” Lisa B. explained. “I also did find my 84 year old
grandmother who was married to the grandfather who had it, who passed it on to
my mom.”
Thus Lisa B. is attempting to track down the many newfound
aunts, uncles, cousins, and other relatives who are at risk for inheriting the
HD gene.
“My grandfather had 15 more kids, the granddad who died of
HD,” Lisa B. continued. “Four of my birth family uncles were incarcerated. I’m
in the process of making a list and contacting these people. My aunt tells me,
‘You came back and stirred the pot.’ You have to have a tough skin when you
take approaches like this.”
Any day now, Lisa B. expects to receive a package sent by
her grandmother containing a painting Byron did of Dianne pregnant.
“Something that both my father and my mother touched would
be incredible for me, for someone who never had my mother or saw my mother or
touched her,” Lisa B. said. “If someone offered me a million dollars for that
picture, I would say no.”
Throughout her quest, Lisa has had to juggle her desires
with her relationship with her adoptive mother, Meredith Davenport. (Her adoptive
father, Ed Meredith, died in the late 1990s.)
“She wasn’t too on board with me looking,” Lisa B. said.
“And I didn’t want to step on her toes. I waited until our relationship was
strong enough. I wanted to look, but it affected so many people. It’s very hard
mixing all these people together.”
Lisa kept Meredith “in the loop” throughout her search, she
said. Meredith became upset when she learned of her daughter’s risk for Huntington’s
disease, she added.
Above all, Lisa B. worries about her own children, all in
their late teens or early twenties. They now face their own decisions about
testing for HD.
“I told them, “You need to have this information,’” Lisa B.
said of their newly revealed at-risk status. “‘Knowledge is power. You have the
information I didn’t have when I was adopted.’ It’s a very personal decision.
They need to make it on their own what they want to do with the knowledge they
have.”
