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Nestle Q1 results: Shares slip 4%; check key earnings details here
Nestle Q1 results: Shares slip 4%; check key earnings details here

Business Standard

time5 hours ago

  • Business
  • Business Standard

Nestle Q1 results: Shares slip 4%; check key earnings details here

Nestle Q1 results: Kitkat and Maggie maker Nestle India shares slipped 4.4 per cent in trade, logging an intra-day low at ₹2,344 per share on BSE. The southward movement in the stock came after the company reported a fall in its Q1FY26 net profit. At 11:47 AM, Nestle share price was trading 4.42 per cent lower at ₹2,344.35 per share on BSE. In comparison, BSE Sensex was down 0.51 per cent at 82,303.13. How did Nestle India fare in Q1? Nestle India reported its Q1FY26 results on Thursday, July 24, 2025, during market hours. In the June quarter (Q1FY26), the fast-moving consumer goods (FMCG) company registered a 13 per cent fall in the consolidated net profit year-on-year (Y-o-Y) to ₹646.6 crore as compared to ₹746.6 crore. Its total expenses also grew 9.2 per cent to ₹4,200 crore, as compared to ₹3,844 crore a year ago. However, its revenue from operations grew 5.8 per cent to ₹5,096 crore, from ₹4,814 crore a year ago. Reportedly, Nestle's financial performance was impacted due to elevated consumption prices across commodity profiles. Further, borrowing from commercial banks to fund temporary operational cash-flow requirements resulted in higher finance costs during the quarter. The management also noted that there has been a significant rise in demand over the recent quarters, which has led to a growth in urban markets. With the onset of monsoons, management anticipates milk prices to decline. Additionally, according to management, prepared dishes, cooking aids, powdered, liquid beverages and confectionery have bounced back to volume-led growth. Confectionery category saw high double-digit growth. E-commerce has maintained its growth momentum, contributing to 12.5 per cet of domestic sales, driven by Quick Commerce and new launches. While, edible oil and cocoa prices have stabilised, a decline is seen in coffee prices. Nestle appoints new chairman and MD The board, along with the financial results, approved the appointment of Manish Tiwary as the chairman of the board, effective August 1, 2025. Tiwary will assume his office as chairman and managing director of the company instead of Suresh Narayanan, who has retired on July 31, 2025. "This is to inform you that the Board of Directors of the Company, at its meeting held today, inter alia, considered and approved appointment of Manish Tiwary as the Chairman of the Board, effective August 1, 2025. Accordingly, Tiwary will assume his office as Chairman and Managing Director of the Company, effective August 1, 2025. Suresh Narayanan, will relinquish his office as Chairman and Managing Director of the Company upon his retirement on 31st July 2025," the filing read. About Nestle India Nestle India is an FMCG company which has a diverse portfolio of products. Maggi, Nescafe, KitKat, Cerelac, Milkybar, Milo, Nestea, and Polo are some iconic brands under Nestle's umbrella.

KPop Demon Hunters took 7 years to make but a lifetime of experience, says creator
KPop Demon Hunters took 7 years to make but a lifetime of experience, says creator

Straits Times

timea day ago

  • Entertainment
  • Straits Times

KPop Demon Hunters took 7 years to make but a lifetime of experience, says creator

NEW YORK – Sin ce its release on Netflix in June, the original animated film KPop Demon Hunters has burned up the internet – and the charts. The musical fantasy has topped the streamer's global rankings and inspired countless memes, dance challenges, themed merchandise and fan art. The movie's equally blockbuster soundtrack has stormed the music charts, with eight of its songs landing on the Billboard Hot 100. KPop Demon Hunters follows the members of Huntrix, a fictional K-pop girl group, as they juggle demanding careers and fight to save the world from soul-stealing demons. The film's directors and co-writers Maggie Kang – a Korean-Canadian veteran storyboard artist on films including Rise Of The Guardians (2012) and Puss In Boots (2011) – and American illustrator Chris Appelhans (who directed 2021's Wish Dragon) spoke about the making of their movie and its unexpected rise as a global cultural phenomenon. Here are edited excerpts from the conversation. Maggie, the story behind KPop Demon Hunters was your idea. What convinced you that a film which combines disparate elements like K-pop, animation, traditional Korean art and mythology, and demons could resonate with so many audiences? Maggie Kang: Well, nothing did . I wa s j ust trying to make something I wanted to see: A movie that celebrated Korean culture. And for some reason, I landed on demonology. Top stories Swipe. Select. Stay informed. Singapore S'pore's domestic recycling rate drops to all time low of 11% Singapore HDB launches 10,209 BTO and balance flats, as priority scheme for singles kick in Business Singapore's digital banks finding their niche in areas like SMEs as they narrow losses in 2024 Asia Japan Prime Minister Ishiba to resign by August, Mainichi newspaper reports World Trump says US will charge 19% tariff on goods from Philippines, down from 20% Singapore Two found dead after fire in Toa Payoh flat Singapore 2 foreigners arrested for shop theft at Changi Airport Singapore Ports and planes: The 2 Singapore firms helping to keep the world moving T he jeoseung saja (grim reapers in Korean mythology) – which is what the members of boy band Saja Boys are at the end of the movie with the black hats and the black robes – was such an iconic image from my childhood that I was very scared of, so I knew I wanted to feature that. And the thought of demons naturally led to demon hunters. I wanted to see female superheroes that were a lot more relatable, who like to eat and make silly faces. We were not trying to make them just pretty, sexy and cool. They ha d i nsecurities and showed that. Demon hunting is usually done very secretly, so these girls needed a public-facing persona. I also wanted to do something K-pop-related. It was like, let's just see if these two things can go together. How did you two end up working together on this project? Chris Appelhans: Aron Warner, the producer who did Wish Dragon, was helping Maggie develop this. He said: 'You should meet Maggie. She's really smart, and this idea is really cool.' He was right. Maggie told me about it, and about 10 minutes in, I was trying to play it coo l, but on the inside, I was like: 'P lease let me work on this movie with you.' When you're trying to make movies, you're looking for somethin g movin g t hat you have not seen before, and they just do not come along very often. This was one of those things. We essentially never disagreed. We had different strengths, but also, I think the sum of our brainpower made for a nice mix. When I first heard the title and read the premise, I was sceptical. How did you pitch your idea to Sony Pictures Animation? Kang: K-content is very popular, and it wa s at the height of boy band BTS' popularity that this was pitched, so I don't think it was a hard s ell. If you were not living under a rock, you knew how big BTS and K-content were. It was almost seven years to the day, from pitching it to the release. I had known Aron for a long time as well. When he landed at Sony with Wish Dragon, he called me and said, 'Do you have anything that you want to pitch me?' I pitched it like, 'It's a K-pop girl group, and they hunt demons secretly.' And he's like, 'I love it.' I thought he was joking. But the next week, he had a deal ready. A few months into development, Sony Pictures Animation president Kristine Belson was like, 'I think this has big movie potential.' So, we started to look for a directing partner, and that's when Chris came on. Korean-American singer-songwrit er Ejae, who does the vocals for (female lead) Rumi, was on super early and wrote a couple of demos for the first song, How It's Done, and a version of the duet Free. We played those two as proof of concept for music. Eight of animation film KPop Demon Hunters' songs have landed on the Billboard Hot 100. PHOTO: NETFLIX Did you have a particular audience in mind? There are many people who are not K-pop fans who are enjoying this movie. Kang: When I was a teenager and loved K-pop, I spent all my money on that. I went to an all-girls school, and when Titanic (1997) came out, I had friends who watched it in the theatres like seven, eight times. I was like, why isn't anybody tapping this obsessive, teenage girl love? So, I was trying to make a movie for my current self, of course, but also for my teenage self. Recently, somebody said, 'It seems like you made a movie for teenage girls, but maybe there's a teenage girl in everybody.' Romance, friendship and the idea of shame and hiding yourself – I think there are a lot of themes and ideas that are speaking to a global audience because they're something that everybody relates to. That is also the reason I wanted to make the movie as Korean as possible, because I wanted to prove it does not matter what culture something is set in. It's all about the characters and the story. NYTIMES KPop Demon Hunters is available on Netflix.

My daughter's health was a mystery. The answer was on the other side of the world
My daughter's health was a mystery. The answer was on the other side of the world

The Guardian

time2 days ago

  • Health
  • The Guardian

My daughter's health was a mystery. The answer was on the other side of the world

Right after my daughter, Maggie, was born in 2012, she held her hands clasped together against her chest. 'Like she's praying!' a nurse said in a singsong voice. But when the pediatrician walked in, the mood changed. 'Praying?' she asked, her voice tight. The nurse and I stepped back while the pediatrician gently moved Maggie's limbs, testing how much they could straighten or bend. While some tightness in the hips or knees can be normal for a newborn, Maggie's joints were unusually tight and her limbs could not straighten all the way. The pediatrician pointed out the rounded soles of Maggie's feet. 'A handful of genetic conditions can cause the shape of her feet. Most of them are fatal,' she said. I stared at her, unable to process the word 'fatal' in connection to the brand new, six-pound person I'd brought into this world. Over the next seven days, I rarely slept. The children's hospital put me up in a Ronald McDonald house a mile away from the NICU, where Maggie had been transferred. Every three hours, I walked to the NICU to breastfeed and pump. I was anxious and scared, signing off on procedures and tests, and answering dozens of questions about my pregnancy, diet, lifestyle and family history. By the time Maggie left the hospital, she had been seen by neurology, genetics, internal medicine and orthopedics. Then the results came: she had tested negative for the scary fatal conditions. The relief floored me. But she also tested negative for every other known diagnosis. 'Why are her joints stiff?' I asked her last doctor right before discharge. He shrugged and said, 'We can only get to know her as an individual. Sometimes it is not a bad thing to see how unique each person really is.' I agreed that accepting my daughter's differences was essential. But I worried that the physicians had missed something. For the next two months, I sat in front of the computer, flipping through Maggie's 50-page medical chart and searching terms like 'multiple joint contractures', 'vertical talus', 'high arched palate' and 'micrognathia'. Eventually, I discovered pictures of children with similar limbs in medical journals and studies about arthrogryposis multiplex congenita, or AMC – an umbrella diagnosis describing infants born with multiple contracted joints. I showed Maggie's new pediatrician screenshots. The condition was incredibly rare, he said; in his 30-year career, he had met only three babies who looked like my daughter, all during his time as a military physician overseas. He referred us to the closest specialty clinic, which was five states away in Philadelphia. 'She has a community. You just haven't met them yet,' he said. I knew the trip would be daunting with an infant and Maggie's two-year-old sibling in tow. But for the first time, I had some answers and knew where to look for more. Six months later, Maggie and I arrived for her first appointment at the clinic. We saw five specialists, which took nine hours. Some mysteries were solved. I learned the term for her feet: 'rocker bottom', the soles curving like the bottoms of cartoon boats. Surgery could guide them to grow flatter and arched, so she could learn to bear weight and eventually walk. Since birth, Maggie's elbows had loosened, but her knees still didn't flex all the way. We would need to take annual weeks-long trips to Philadelphia so the doctors could slowly stretch Maggie's ankles and knees, wrap them in casts, saw off the casts a week later, stretch a little farther, and cast again. Still, we had no diagnosis. 'What caused all this?' I asked the doctors. I was afraid to voice my other questions: Will she walk or talk? How different will she be from her sibling? What decisions will I have to make? How will I know what is right? In the United States, parents of the one in six children with developmental delays ask such questions every day. For the approximately 15 million children who have received a rare diagnosis, defined as one that affects fewer than 200,000 people, the future is unknowable. Some diagnoses, like Maggie's, are so rare that they aren't seen as profitable subjects for research funding. People with these 'orphan conditions' have to rely on themselves, their families, and grassroots endeavors to fund and discover treatments. Navigating the maze of anxiety and 'what ifs' felt relentless. Then I joined a Facebook group dedicated to the AMC specialist clinic we had visited, where parents shared pictures of their children, diagnoses, concerns, treatments and contact information for specialists. I introduced myself and posted pictures of Maggie. Immediately, Alyssa Wolfe, a mother and nurse, messaged me. She pointed out that her daughter, Delaney, had the same rocker bottom feet as Maggie, a rarity in the group. Our daughters both had one middle finger stuck flexed at the joint, and similar faces: a small chin, and a broad nose bridge that makes their eyes look farther apart than most babies'. Delaney was three years older than Maggie. For years, I tracked Alyssa and Delaney's progress through treatments, surgeries and diagnoses. Having another parent to talk to about major decisions was a huge relief. Maureen Donohoe, a physical therapist, was also in the group, as she worked with many children with arthrogryposis. She had been gathering stories from patients like Maggie and Delaney because they 'were different from the others with AMC, but they had so many of the same characteristics, it was impossible to ignore', she said. Alyssa had met Maureen at an arthrogryposis conference before I joined the group. 'In an elevator, Maureen approached me, listing off Delaney's attributes. I asked her if she somehow read my child's medical chart. Maureen told me, 'No,' but she had been hypothesizing with a geneticist about a syndrome, and she thought Delaney had it,' Alyssa said. After coming across six patients with these characteristics, Maureen had told Dr Judith Hall, a clinical geneticist and pediatrician, this might be a genetic anomaly worth studying. 'After Dr Hall looked at her own notes, she called me and said, 'I have 10,'' she said. Connecting with Alyssa and Maureen was the first major step in identifying Maggie's condition. But what was the next step? As Maggie grew, her development continued to be markedly different from that of other kids her age. By the time she was three, she could scoot but not yet crawl. Most kids her age with AMC had been mobile for at least a year. But one day, in physical therapy, she suddenly stood with the help of a toy shopping cart. Then she learned to use a walker. Over the years Maureen noticed a similar trend with kids like Maggie. 'They do their best weight-bearing and walking around preschool age,' she said. 'When they get older, they seem to have a harder time maintaining a center of gravity.' Sign up to Well Actually Practical advice, expert insights and answers to your questions about how to live a good life after newsletter promotion There was another big difference. Maggie was talking constantly, but her sounds were disorganized. Nobody could understand her. Most children with AMC alone had no speech problems at all. It was hard to find resources, but our speech therapist helped us get an iPad program that Maggie could use to talk. She'd press a button on a grid of images and common words, and the iPad would say the word. Her first sentence blew me away. Maggie was sitting at the dining room table eating breakfast while I washed dishes. 'I need money,' her talker said in a mechanized child's voice. I paused, holding a bowl. Maggie pressed the 'talk' button again, and the sentence repeated. She pointed at my purse and threw her head back, guffawing. She'd made a joke. I said, 'You need money!' over and over, laughing, nearly sobbing, dripping soapy water everywhere. Within a year, Maggie was using her talker to ask for snacks and toys, to complain, to tell her new baby brother, 'You're cute!' At school, Maggie verbally repeated every word she or her friends pressed. By the end of the school year, the talker was gathering dust in our coat closet. Maggie's limitations and sudden moments of progress surprised even the doctors who specialized in arthrogryposis. At every turn, I wanted to celebrate her success, but the gap widened between her and the other kids with the condition. Isolating a genetic anomaly is a 'diagnostic odyssey' that many families embark on, said Dr Michael Bamshad, head of genetic medicine in pediatrics at the University of Washington. 'There's all this data that sits locked away in medical records. A physician in one state may know of three similar cases, a physician in another state may know about five,' said Bamshad, 'but there aren't many ways for those families to find each other.' Bamshad, his colleague Jessica X Chong and their colleagues have researched the power of social media in genetic discovery. They launched a secure, free genetic information sharing site, MyGene2, in 2016. 'Families and clinicians can share their genetic information to help them find answers,' said Chong. Alyssa and I input our daughters' data and hoped for more information. But the waiting game was long, and we felt powerless. Alyssa recently described it to me as a three-part process: 'In the beginning, parents are typically very active on social media, trying to understand their kid and hoping to give them as normal of a life as possible,' she said. Then, 'sometime in elementary or middle school, their development stalls' and the focus shifts from 'fixing' the issue to maintenance through puberty. This can all be 'very isolating', she said. 'Parents with typically developing kids often stop hanging out with you.' But 'an acceptance stage' can come via social media groups like ours, which are 'sometimes the only place to find connection and friends who understand'. In 2017, Catherine Paul-Fijten, a mother and molecular biologist who lives in Dubai, used Facebook groups to connect with parents whose kids resembled her daughter, Milou. I didn't know about Milou yet, but she had the same physical traits as Maggie, who was five by then. Milou's doctors had located a difference on the ZC4H2 gene shortly after birth, and Catherine organized a meeting of doctors and geneticists – including Maureen and Dr Bamshad – to review the current, albeit limited, research. Maureen sat next to Bamshad, scrolling through pictures of Maggie, Delaney and other children with rocker bottom feet and tiny chins. Bamshad suggested that we both report our daughter's symptoms on MyGene2 and apply for testing. Within a year, the diagnosis was confirmed: Maggie also had an anomaly of the ZC4H2 gene. At the time, fewer than 50 people with a similar genetic difference had ever been identified. Catherine used personal resources to start a foundation to research the impacts of this new genetic diagnosis, updating a new, dedicated Facebook group regularly with insights. The diagnosis gave us a sense of belonging through the shared goal of understanding our kids and learning how to help them grow. The dramatic impact of online support groups for children with rare diagnoses has been well documented for more than 20 years. Online information sharing among parents has been found to strengthen treatment and mental health support for families and children with Spinal Muscular Atrophy (SMA), neurologic disorders and other rare genetic disorders as well as more common diagnoses like diabetes and childhood cancers. While the ZC4H2 gene difference is rare, research into rare conditions is crucial – 'not just for the people who have that diagnosis – but for humanity as a whole', Catherine said. That's because 'much of what we know about the function of the human genome comes from understanding the genetic basis of rare diseases', said Bamshad, citing examples including common heart conditions and vaccine research. 'What we've learned about rare diseases helps us understand the genetic and molecular basis of common conditions as well.' The ZC4H2 group has nearly 200 members, though nearly 250 people with this condition have now been identified globally. Because of their stories, I was prepared. In 2023, at the beginning of sixth grade, Maggie suddenly presented with severe scoliosis, and I knew she would probably need a full spinal fusion because I'd heard about related complications from our ZC4H2 community. I shared this information with Maggie's spinal surgeon, as well as a list of other surgeons who had had to manage these complications, and she formed a pre-emptive plan. During Maggie's spinal surgery, I let myself get lost in the labyrinthian halls of the hospital for hours, cellphone in one hand, operating room pager in the other. As with her previous 10-plus surgeries, I didn't allow myself to imagine what was happening or what could go wrong. As I stood in the hallway, I scrolled through encouraging comments and messages from Alyssa, Catherine and others. Despite our different jobs, family culture and background, we'd collaborated with doctors, scientists, physical and speech therapists – and each other – for more than a decade. Their support didn't guarantee a perfect future for my daughter, but their generosity was a profound gift. The operating room pager went off. My phone rang. The charge nurse told me my daughter was waking up, that surgery had been a breeze. I rushed to the recovery room, tapping the app to share the news while I waited for Maggie to be wheeled in. At the top of the feed, a new member had posted about her child's fresh diagnosis, her questions, her fears. I abandoned my own update to type the words that changed the course of my life and Maggie's childhood: Welcome! You are not alone. Asha Dore is a journalist, illustrator, and speech-language therapist.

Mini-me! Sonia Kruger's rarely-seen daughter Maggie, 10, looks just like her famous mum as they touch down at Sydney airport
Mini-me! Sonia Kruger's rarely-seen daughter Maggie, 10, looks just like her famous mum as they touch down at Sydney airport

Daily Mail​

time2 days ago

  • Entertainment
  • Daily Mail​

Mini-me! Sonia Kruger's rarely-seen daughter Maggie, 10, looks just like her famous mum as they touch down at Sydney airport

Sonia Kruger was spotted at Sydney Airport on Tuesday with her rarely-seen daughter Maggie, 10, who is growing up to look just like her famous mum. The 59-year-old and her mini-me, whom she shares with TV executive Craig McPherson, were all smiles as they arrived on an early morning flight. The Dancing with the Stars host attempted to go incognito with an Alo-branded cap, blending in with a black zip-up jacket and black flared pants. For the travel day, she prioritised comfort in a pair of white sneakers, a far cry from her signature sky-high heels on the beloved dancing program. Meanwhile, Maggie kept it casual in a grey T-shirt and tracksuit pants. From A-list scandals and red carpet mishaps to exclusive pictures and viral moments, subscribe to the DailyMail's new showbiz newsletter to stay in the loop. Maggie, who was born in 2015, has inherited her mother's blue eyes and blonde hair. The youngster tied her locks back with a scrunchie, matching her mum with a ponytail 'do. The mother-daughter duo walked through the airport sporting large grins, while the Aussie TV star lugged around three large suitcases on a trolley. Sonia conceived Maggie via IVF treatment and a donor egg at the age of 49, after several natural pregnancies had ended in miscarriage. The TV host has been open about her journey to parenthood, and told Stellar magazine that she worried if bonding with a child that wasn't biologically hers would be difficult. 'That's the beautiful thing about having a child in your life, whether you've adopted them or had them by surrogate, or it's a foster child,' she said. 'You grow to love them and, in my case, it was pretty instantaneous. She grew in my tummy so she's a part of me and I look at her and can't imagine loving her any more than I do.' Sonia is up for the most coveted award in television this year - nominated for the Gold Logie at the 65th TV Week Logie Award nominations. This year marks a historic moment for the Gold Logie, with six out of the seven nominees being women – a rarity in the awards' decades-long history. The gold category became gender-neutral in 1978, and since then, only ten different women have ever taken it home. Sonia said the female-dominated field was more than just symbolic; it sends a powerful message to the next generation. '[The three of us] have daughters. And one of the best parts was knowing that all those little girls out there who might be watching TV or looking for a career as an actor, a journalist, a presenter could then aspire a little bit more,' she explained. The Voice host continued: 'They see women who are doing that and being recognised for that.'

My daughter's health was a mystery. The answer was on the other side of the world
My daughter's health was a mystery. The answer was on the other side of the world

The Guardian

time3 days ago

  • Health
  • The Guardian

My daughter's health was a mystery. The answer was on the other side of the world

Right after my daughter, Maggie, was born in 2012, she held her hands clasped together against her chest. 'Like she's praying!' a nurse said in a singsong voice. But when the pediatrician walked in, the mood changed. 'Praying?' she asked, her voice tight. The nurse and I stepped back while the pediatrician gently moved Maggie's limbs, testing how much they could straighten or bend. While some tightness in the hips or knees can be normal for a newborn, Maggie's joints were unusually tight and her limbs could not straighten all the way. The pediatrician pointed out the rounded soles of Maggie's feet. 'A handful of genetic conditions can cause the shape of her feet. Most of them are fatal,' she said. I stared at her, unable to process the word 'fatal' in connection to the brand new, six pound person I'd brought into this world. Over the next seven days, I rarely slept. The children's hospital put me up in a Ronald McDonald house a mile away from the NICU, where Maggie had been transferred. Every three hours, I walked to the NICU to breastfeed and pump. I was anxious and scared, signing off on procedures and tests, and answering dozens of questions about my pregnancy, diet, lifestyle, and family history. By the time Maggie left the hospital, she'd been seen by neurology, genetics, internal medicine and orthopedics. Then the results came: she'd tested negative for the scary fatal conditions. The relief floored me. But she also tested negative for every other known diagnosis. 'Why are her joints stiff?' I asked her last doctor right before discharge. He shrugged and said, 'We can only get to know her as an individual. Sometimes it is not a bad thing to see how unique each person really is.' I agreed that accepting my daughter's differences was essential. But I worried that the physicians had missed something. For the next two months, I sat in front of the computer, flipping through Maggie's fifty-page medical chart and searching terms like 'multiple joint contractures,' 'vertical talus,' 'high arched palate' and 'micrognathia'. Eventually, I discovered pictures of children with similar limbs in medical journals and studies about arthrogryposis multiplex congenita, or AMC – an umbrella diagnosis describing infants born with multiple contracted joints. I showed Maggie's new pediatrician screenshots. The condition was incredibly rare, he said; in his 30-year career, he'd met only three babies who looked like my daughter, all during his time as a military physician overseas. He referred us to the closest specialty clinic, which was five states away in Philadelphia. 'She has a community. You just haven't met them yet,' he said. I knew the trip would be daunting with an infant and Maggie's two-year-old sibling in tow. But for the first time, I had some answers and knew where to look for more. Six months later, Maggie and I arrived for her first appointment at the clinic. We saw five specialists, which took nine hours. Some mysteries were solved. I learned the term for her feet: 'rocker bottom,' the soles curving like the bottoms of cartoon boats. Surgery could guide them to grow flatter and arched, so she could learn to bear weight and eventually walk. Since birth, Maggie's elbows had loosened, but her knees still didn't flex all the way. We would need to take annual weeks-long trips to Philadelphia so the doctors could slowly stretch Maggie's ankles and knees, wrap them in casts, saw off the casts a week later, stretch a little farther, and cast again. Still, we had no diagnosis. 'What caused all this?' I asked the doctors. I was afraid to voice my other questions: Will she walk or talk? How different will she be from her sibling? What decisions will I have to make? How will I know what is right? In the United States, parents of the one in 6 children with developmental delays ask such questions every day. For the approximately fifteen million children who have received a rare diagnosis, defined as one that affects fewer than 200,000 people, the future is unknowable. Some diagnoses, like Maggie's, are so rare that they aren't seen as profitable subjects for research funding. People with these 'orphan conditions' have to rely on themselves, their families, and grassroots endeavors to fund and discover treatments. Navigating the maze of anxiety and 'what ifs' felt relentless. Then I joined a Facebook group dedicated to the AMC specialist clinic we had visited, where parents shared pictures of their children, diagnoses, concerns, treatments, and contact information for specialists. I introduced myself and posted pictures of Maggie. Immediately, Alyssa Wolfe, a mother and nurse, messaged me. She pointed out that her daughter, Delaney, had the same rocker bottom feet as Maggie, a rarity in the group. Our daughters both had one middle finger stuck flexed at the joint, and similar faces: a small chin, and a broad nose bridge that makes their eyes look farther apart than most babies. Delaney was three years older than Maggie. For years, I tracked Alyssa and Delaney's progress through treatments, surgeries, and diagnoses. Having another parent to talk to about major decisions was a huge relief. Maureen Donohoe, a physical therapist, was also in the group, as she worked with many children with arthrogryposis. She had been gathering stories from patients like Maggie and Delaney because they 'were different from the others with AMC, but they had so many of the same characteristics, it was impossible to ignore', she said. Alyssa had met Maureen at an arthrogryposis conference before I joined the group. 'In an elevator, Maureen approached me, listing off Delaney's attributes. I asked her if she somehow read my child's medical chart. Maureen told me, 'No,' but she'd been hypothesizing with a geneticist about a syndrome, and she thought Delaney had it,' Alyssa said. After coming across six patients with these characteristics, Maureen had told Dr Judith Hall, a clinical geneticist and pediatrician, this might be a genetic anomaly worth studying. 'After Dr Hall looked at her own notes, she called me and said, 'I have ten,'' she said. Connecting with Alyssa and Maureen was the first major step in identifying Maggie's condition. But what was the next step? As Maggie grew, her development continued to be markedly different from that of other kids her age. By the time she was three, she could scoot but not yet crawl. Most kids her age with AMC had been mobile for at least a year. But one day, in physical therapy, she suddenly stood with the help of a toy shopping cart. Then she learned to use a walker. Over the years Maureen noticed a similar trend with kids like Maggie. 'They do their best weight-bearing and walking around preschool age,' she said. 'When they get older, they seem to have a harder time maintaining a center of gravity.' Sign up to Well Actually Practical advice, expert insights and answers to your questions about how to live a good life after newsletter promotion There was another big difference. Maggie was talking constantly, but her sounds were disorganized. Nobody could understand her. Most children with AMC alone had no speech problems at all. It was hard to find resources, but our speech therapist helped us get an iPad program that Maggie could use to talk. She'd press a button on a grid of images and common words, and the iPad would say the word. Her first sentence blew me away. Maggie was sitting at the dining room table eating breakfast while I washed dishes. 'I need money,' her talker said in a mechanized child's voice. I paused, holding a bowl. Maggie pressed the 'talk' button again, and the sentence repeated. She pointed at my purse and threw her head back, guffawing. She'd made a joke. I said, 'You need money!' over and over, laughing, nearly sobbing, dripping soapy water everywhere. Within a year, Maggie was using her talker to ask for snacks and toys, to complain, to tell her new baby brother, 'You're cute!' At school, Maggie verbally repeated every word she or her friends pressed. By the end of the school year, the talker was gathering dust in our coat closet. Maggie's limitations and sudden moments of progress surprised even the doctors who specialized in arthrogryposis. At every turn, I wanted to celebrate her success, but the gap widened between her and the other kids with the condition. Isolating a genetic anomaly is a 'diagnostic odyssey' that many families embark on, said Dr Michael Bamshad, head of genetic medicine in pediatrics at the University of Washington. 'There's all this data that sits locked away in medical records. A physician in one state may know of three similar cases, a physician in another state may know about five,' said Bamshad, 'but there aren't many ways for those families to find each other.' Bamshad, his colleague Jessica X Chong, and their colleagues have researched the power of social media in genetic discovery. They launched a secure, free genetic information sharing site, MyGene2, in 2016. 'Families and clinicians can share their genetic information to help them find answers,' said Chong. Alyssa and I input our daughters' data and hoped for more information. But the waiting game was long, and we felt powerless. Alyssa recently described it to me as a three-part process: 'In the beginning, parents are typically very active on social media, trying to understand their kid and hoping to give them as normal of a life as possible,' she said. Then, 'sometime in elementary or middle school, their development stalls' and the focus shifts from 'fixing' the issue to maintenance through puberty. This can all be 'very isolating', she said. 'Parents with typically developing kids often stop hanging out with you.' But 'an acceptance stage' can come via social media groups like ours, which are 'sometimes the only place to find connection and friends who understand'. In 2017, Catherine Paul-Fijten, a mother and molecular biologist who lives in Dubai, used Facebook groups to connect with parents whose kids resembled her daughter, Milou. I didn't know about Milou yet, but she had the same physical traits as Maggie, who was five by then. Milou's doctors had located a difference on the ZC4H2 gene shortly after birth, and Catherine organized a meeting of doctors and geneticists – including Maureen and Dr Bamshad – to review the current, albeit limited, research. Maureen sat next to Bamshad, scrolling through pictures of Maggie, Delaney, and other children with rocker bottom feet and tiny chins. Bamshad suggested that we both report our daughter's symptoms on MyGene2 and apply for testing. Within a year, the diagnosis was confirmed: Maggie also had an anomaly of the ZC4H2 gene. At the time, fewer than 50 people with a similar genetic difference had ever been identified. Catherine used personal resources to start a foundation to research the impacts of this new genetic diagnosis, updating a new, dedicated Facebook group regularly with insights. The diagnosis gave us a sense of belonging through the shared goal of understanding our kids and learning how to help them grow. The dramatic impact of online support groups for children with rare diagnoses has been well documented for more than twenty years. Online information sharing among parents has been found to strengthen treatment and mental health support for families and children with Spinal Muscular Atrophy (SMA), neurologic disorders, and other rare genetic disorders as well as more common diagnoses like diabetes and childhood cancers. While the ZC4H2 gene difference is rare, research into rare conditions is crucial – 'not just for the people who have that diagnosis – but for humanity as a whole', Catherine said. That's because 'much of what we know about the function of the human genome comes from understanding the genetic basis of rare diseases', said Bamshad, citing examples including common heart conditions and vaccine research. 'What we've learned about rare diseases helps us understand the genetic and molecular basis of common conditions as well.' The ZC4H2 group has nearly 200 members, though nearly 250 people with this condition have now been identified globally. Because of their stories, I was prepared. In 2023, at the beginning of sixth grade, Maggie suddenly presented with severe scoliosis, and I knew she'd likely need a full spinal fusion because I'd heard about related complications from our ZC4H2 community. I shared this information with Maggie's spinal surgeon, as well as a list of other surgeons who'd had to manage these complications, and she formed a pre-emptive plan. During Maggie's spinal surgery, I let myself get lost in the labyrinthian halls of the hospital for hours, cell phone in one hand, operating room pager in the other. As with her previous 10-plus surgeries, I didn't allow myself to imagine what was happening or what could go wrong. As I stood in the hallway, I scrolled through encouraging comments and messages from Alyssa, Catherine and others. Despite our different jobs, family culture and background, we'd collaborated with doctors, scientists, physical and speech therapists – and each other – for more than a decade. Their support didn't guarantee a perfect future for my daughter, but their generosity was a profound gift. The operating room pager went off. My phone rang. The charge nurse told me my daughter was waking up, that surgery had been a breeze. I rushed to the recovery room, tapping the app to share the news while I waited for Maggie to be wheeled in. At the top of the feed, a new member had posted about her child's fresh diagnosis, her questions, her fears. I abandoned my own update to type the words that changed the course of my life and Maggie's childhood: Welcome! You are not alone. Asha Dore is a journalist, illustrator, and speech-language therapist.

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