25/09/2026
Today, we’re back in ED again, hoping they can get to the bottom of what has been happening.
Hailie absolutely hates coming to ED. Not because she is afraid of hospitals, but because it disrupts her life.
At 16, she wants to be at school, seeing her friends, making plans and living her life not spending hours in a hospital having tests and answering questions she has answered so many times before.
Today we also had medical students coming in again and every time I get the opportunity, I talk to them about Hailie and ACTA2 Multisystemic Smooth Muscle Dysfunction Syndrome (MSMDS).
Because one day, one of these students may come across a child whose symptoms don’t immediately seem to fit together - A child with fixed, dilated pupils, a PDA/Aortopulmonary window and other unusual vascular findings, stroke-like symptoms or cerebrovascular changes that may resemble moyamoya.
These unusual features can be important clues. These should prompt consideration for genetic testing of an underlying ACTA2-related disorder, MSMDS
Hailie’s diagnosis took nearly 10 years.
If sharing her story helps even one doctor recognise the pattern a little earlier in another child, then something good can come from all these difficult hospital days.
That’s why we keep talking.
That’s why awareness matters.
And that’s why Hailie’s story matters❤️💜🩵