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Fighting a Rare Disease
Gift from Musette and Allen Morgan Creates Foundation for the Study of  PSC 
 
By Deborah White
 
 “Before they knock me out with medicine at the liver biopsy, could you show me the needle?"  “Is it dangerous for me to be taking all of these medicines?”
 
These were two of the many questions Worth Morgan asked his doctor after he learned in 1997 that he had a rare liver disease. He was only 10 years old at the time, but he wrote down 26 questions to ask Dr. Gene Whitington, a pediatric gastroenterologist at Le Bonheur.
 
“They were pretty amazing questions,” said Dr. Whitington, who patiently answered every one of them.
 
Worth was very curious about his disease, called Primary Sclerosing Cholangitis (PSC). “There was no known cause, no treatment and no known cure,” said Worth’s mother, Musette Morgan.
 
Dr. Whitington suggested an aggressive and unorthodox treatment plan for Worth, and the Morgans agreed. “His parents knew that he was being treated with something that had never been done before,” Dr. Whitington said. “They were willing to do something rather than nothing.”
 
Now at 17 Worth feels great. A recent liver biopsy showed no signs of PSC.  He is 6 feet 2 inches tall, a competitive tennis player and a member of the Memphis University School football team. “He’s a big guy, grown up,” said his father, Allen Morgan. “We weren’t sure that would happen. It has just been miraculous,” Musette Morgan said.
 
The Morgans are grateful for Dr. Whitington’s work and they want to help other children with PSC. They recently made a substantial gift to the Le Bonheur Foundation, establishing the Musette and Allen Morgan Jr. Foundation for the Study of PSC.
 
The Morgans are concerned that there has been a lack of information about PSC, a lack of research and no consistency in treatment. Often the treatment for this fatal disease is a liver transplant. While children are waiting for a liver transplant, they suffer with such symptoms as severe abdominal pain, jaundice, weight loss and a profound lack of energy. “We have to get out front and advertise the disease so we can find out everything anybody knows about it, and have other people say what’s worked and what hasn’t worked,” Allen Morgan said.
 
“We are grateful to the Morgans for this grant which has allowed us to set up the foundation for the study of PSC," Dr. Whitington said. "We want to look at the basic cause of PSC as well as aggressive new therapies. We know that 60 percent of patients with PSC will need a liver transplant in less than 20 years and our goal is to change that. The Morgans’ generosity will give us the opportunities we need to make strong advances with this disease." 
 
Dr. Whitington is the director of the Foundation for the Study of PSC and the co-director is Dr. Dennis Black, director of the Children’s Foundation Research Center. They are developing a Web site, plan to hire several researchers and have formed scientific and administrative advisory boards. External members of the scientific advisory board are Dr. Nicholas LaRusso, a world-renowned adult hepatologist (liver specialist) from the Mayo Clinic, and Dr. Benjamin Shneider, a prominent pediatric hepatologist from the Mt. Sinai School of Medicine. Dr. Black said the foundation is soliciting grant applications and expects to start research projects by July.
 
Dr. Whitington would like to have an international symposium at Le Bonheur to bring people together to talk about PSC and build enthusiasm for research. “The important part of the research will come from the basic study of the disease,” he said. “If it seems appropriate to the advisory boards, we plan to promote therapy with immune-suppressing drugs including Infliximab.”
 
Dr. Whitington started giving Infliximab to Worth when he was about 14. It is an immune-suppressing drug that interferes with a chemical substance from the colon that injures the liver. Worth receives it by infusion every three months. Infliximab is used to treat Crohn’s disease, ulcerative colitis and rheumatoid arthritis, but Worth is the only person Dr. Whitington knows of who is taking Infliximab for PSC. Dr. Whitington believes that PSC is an autoimmune disease, although it is not generally recognized as such.
 
Dr. Whitington, a board-certified gastroenterologist, said he is dedicated “big time” to his busy practice and plans to continue that along with his work in the foundation. He has been with Le Bonheur since 1958 and he doesn’t plan to retire. “I’ll die with my boots on,” he said. “I love my work.”
 
For Worth, living with PSC has been rocky but rewarding. “It has been character building,” he said. In sixth grade, he spoke during awards day at Presbyterian Day School about the courage it took to cope with his illness. He told his classmates:
 
“It takes courage if you’re a 10-year-old child and you’re getting up in the morning knowing that this is your first of four days of having only liquids so that you can go through something even more horrifying for a child – surgery. Now that takes courage to be able not to cheat on the fast. It takes courage to be able to get up in the morning and go on, and it takes courage to be able to not give up in school!”
 
Looking back at that time in his life, Worth said, “There was no fear. I knew it was going to be all right. It made me realize the truth of my faith on my own terms.”
 
Worth feels very fortunate to be receiving a unique treatment for PSC. And he’s excited about the foundation. “I was really blessed that I was able to be healed, and through this others will be able to be healed as well.”

 

 

 

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