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April 2, 2018/Features & Updates2

After Eight-Month Hospital Stay, Amazing Grace Goes Home

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Cleveland Clinic Children's Grace Down syndrome

Like many toddlers, 3-year-old Robert Rosian – often wearing green-tinged dinosaur slippers – spends his days furiously pedaling about on his low-riding tricycle.

For the past eight months, he did so in the hallways of Cleveland Clinic Children’s, his family’s home-away-from-home while younger sister Grace was being treated for leukemia. But not anymore.

Cleveland Clinic Children's baby Grace leaves hospital
Grace and her brother Robert the day Grace got to go home. (Credit: Reen Nemeth / Cleveland Clinic)

Grace, just 17 months old, has weathered the effects of cancer and completed intensive chemotherapy. With her cancer now in remission, she and her family are back home in the aptly-named Cleveland suburb of Strongsville, ready for a long-overdue dose of normalcy.

“With everything Grace has been through, she’s always been a happy baby,” said her mother, Valerie Revell-Rosian. “I don’t think a single day went by that we weren’t able to get a smile out of her.”

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Born with Down syndrome, two months early in October 2016, Grace has faced a lifetime’s worth of challenges from the start. Diagnosed at birth with transient myeloproliferative disorder (TMD), a form of leukemia common in babies with Down syndrome, she endured her first round of chemotherapy just two days later. And Grace – whose family is always at her side – spent her first two months in the hospital’s Neonatal Intensive Care Unit (NICU).

Cleveland Clinic Children's NICU leukemia
Grace and her brother Robert the day Grace got to go home. (Credit: Reen Nemeth / Cleveland Clinic)

According to Seth Rotz, M.D., a pediatric oncologist at Cleveland Clinic Children’s who has treated Grace, children born with Down syndrome bear a higher risk of later contracting acute myeloid leukemia (AML), a more serious cancer of the blood and bone marrow. That is exactly what occurred in August 2017, prompting Grace and family to begin their eight-month inpatient journey.

“Although AML is a curable form of leukemia for kids with Down syndrome, their bodies are extremely sensitive to chemotherapy,” explained Dr. Rotz. “Grace was at such a risk for severe infections that she had to stay hospitalized throughout her treatment.”

Cleveland Clinic Children's Grace first birthday
Grace and her brother Robert the day Grace got to go home. (Credit: Reen Nemeth / Cleveland Clinic)

Complicating matters was the fact Grace’s AML was also found in her spinal fluid, an extremely rare occurrence that added further rigor to her treatment plan. Grace received 10 spinal tap procedures, in which the chemo was administered directly into the spinal fluid; typically, a child with AML might only need two.

“Even when her body was battered by infection or the effects of chemo, Grace took the treatments like a champ,” added Dr. Rotz. “All the nurses and everybody here just loved her.”

Cleveland Clinic Children's Grace Down syndrome
Grace and her brother Robert the day Grace got to go home. (Credit: Reen Nemeth / Cleveland Clinic)

RELATED: After 18 Months in NICU, Baby Celebrates First Birthday at Home

Valerie noted that despite the unusual circumstances, Cleveland Clinic staff treated Grace, brother Robert and everyone in her family like, well, their family.

“I don’t think there was a time when somebody came into her room that they didn’t also acknowledge my son,” she stated. “And they never left without asking if there is anything they could do for us. Little things like that make a huge difference when you’re stuck living in a hospital.”

Cleveland Clinic Children's Grace leaves hospital
Grace and her brother Robert the day Grace got to go home. (Credit: Reen Nemeth / Cleveland Clinic)

Now, at last, home for Grace and family is once again their house in Strongsville. She was given a proper send-off from Cleveland Clinic Children’s, with staff lining the hallway where Robert once raced, cheering and wishing them well as Valerie wheeled Grace – shrouded in balloons and smiling, as usual – out the door.

“We’re extremely blessed to be home,” exuded Valerie.

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. Cleveland Clinic is consistently recognized in the U.S. and throughout the world for its expertise and care. Among Cleveland Clinic’s 81,000 employees worldwide are more than 5,743 salaried physicians and researchers, and 20,160 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,690-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, 276 outpatient facilities, including locations in northeast Ohio; Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2023, there were 13.7 million outpatient encounters, 323,000 hospital admissions and observations, and 301,000 surgeries and procedures throughout Cleveland Clinic’s health system. Patients came for treatment from every state and 132 countries. Visit us at clevelandclinic.org. Follow us at twitter.com/CleClinicNews. News and resources available at newsroom.clevelandclinic.org.

Editor’s Note: Cleveland Clinic News Service is available to provide broadcast-quality interviews and B-roll upon request.

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