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<div><strong> Support Skyler’s Sturge Weber Journey </strong>
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<div><strong>Aloha</strong>, and welcome to the GoFundMe page for Skyler Auston-Ray B. Salvado, aka Sky. This fundraiser was created by Skyler and his siblings to help support his lifelong medical journey. Skyler and his siblings know that this account of his life journey will help spread awareness about how unique and rare each case of Sturge Weber Syndrome (SWS) can be by highlighting Skyler's individual experience and <em>huakaʻi </em>(journey). Skyler and his family want others to know that this is a disease that needs more awareness! Skyler hopes that by sharing his story, vulnerably and unedited, he can bring awareness to the need for more specialists who can educate others on Sturge-Weber Syndrome. Skyler's story tells of<em> hope, bravery, perseverance, enlightenment, and grit!</em> Mahalo for your support!
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<div><strong>Sturge-Weber Syndrome (SWS)</strong> is a rare medical condition that only 1 in 20,000-50,000 babies are born with per year. It is a <strong>degenerative disease</strong> that brings about life-long ailments such as: epilepsy (seizures), neurological problems, cognitive difficulties (learning curves), glaucoma, vascular malformation, and includes a distinctive Port-Wine Stain (Nevus Flammeus). In some SWS cases, such as in Skyler’s case, individuals can also have hydrocephalus (CSF; excess cerebral fluid that can cause detrimental effects on brain functions and increased head circumference). Each case of SWS varies in severity and progression, and each individual's care/needs are tied to the interventional need of the affected bodily function.
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<div><strong>Skyler’s SWS diagnosis</strong> is considered to be ornate and rare. Skyler has ALL of the strong markers of SWS, including CSF which is being treated with a Ventriculo-Atrial Shunt (VP Shunt). His Port Wine Stain covers about 85% of his upper body. The effects of the Port Wine Stain depend on the location of the birthmark. In Skyler’s case, it has affected his neurological functions, ophthalmology functions, and emotional and social problems related to appearance. In addition, Skyler is now having difficulty speaking and being understood due to the significant growth of his lip caused by the Port Wine Stain. The progression of his Port Wine Stain has caused his treatment for Sleep Apnea to be difficult due to the size of his lower lip. In terms of his eyes, Skyler’s glaucoma in his right eye is extensive and deteriorating. All of the treatment for his glaucoma is merely therapeutic, and its progression is inevitable. In a recent visit, he was told that the pressure in his right eye will eventually cause the glaucoma to spread to the next eye if not properly treated and monitored.
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<div>Skyler’s care has proven to be intricate and progressive as he has gotten older. <strong>There is no cure for SWS</strong>; individuals can only rely on treating the comorbidity of symptoms from a SWS diagnosis.
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<div><strong><em>Meet Skyler…</em></strong>
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<div>From the moment Skyler was born, he was a fighter. Skyler was frequently in and out of doctors’ offices and hospitals. His earliest diagnosis foresaw that Skyler would not be able to read, write, or speak, and he would possibly be wheelchair bound due to his deformations. Doctors were also unsure of how much time Skyler would have due to the extent of his condition. His mother, Ellison, loved Skyler with such fierceness and conviction that she never gave up on him. She insisted on giving Skyler the fairest chance at life, looking to her faith for strength and grit as she faced raising her child with special needs. She ensured that the reconstructive surgeries during the first year of his life took place, despite having to see her baby endure invasive eye and brain surgeries. In a tragic turn of events, when Skyler was only 4 years old, he lost his mother to a car accident that left him and his siblings in the care of their mom’s sister.
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<div><em> (Ellison)</em>
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<div><em> (Malia)</em>
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<div><em> (Vern)</em>
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<div>Left <em>(Malia &amp; Children) Right (Ellison and Children) </em>
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<div>Ellison's sister, Malia, took on the responsibility of caring for Skyler and his siblings in honor of her sister's love for her children. Malia and her husband, Vern, moved Skyler and his siblings from Hilo, Hawaiʻi, to California, where she grew into the mother that Skyler regards as his hero—his mommy. Vern was and is still a fundamental part of Skyler’s life; he grew into the father Skyler still turns to today. Skyler's parents and specialist teams at UCLA Medical Center took Skyler's care in stride. His previous diagnosis was void. He was growing into a healthy young boy with the determination, love, and support from his mom, parents, siblings, and doctors. By the time he was 21, Skyler would undergo numerous operations, including: 2 VP shunt surgeries, 4 reconstructive eye surgeries, 1 lip reduction surgery, and 1 round of laser treatment for his Port Wine Stain (not including the surgeries he received as a baby).
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<div>Nevertheless, through all of Skyler’s perseverance in school while facing his medical condition, he was able to graduate from high school as a 3.0 student, attend college on a scholarship, and graduate with an Associates Degree in Video Production. At this point in Sky’s life, he was all too familiar with unexpected life changes… but nothing prepared him for the journey that would indefinitely bring Skyler home to Hawaiʻi.
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<div>Skyler's mother and hero, Malia, was fighting stage four colon cancer for three years. She gained her wings in 2018. Prior to her passing, Skyler spoke with his mom about moving home to Hawaiʻi since all of his siblings and ʻohana were back in the islands… reluctantly and submissively, Skyler moved back home to grieve her loss with his siblings and to keep his promise to his hero. Family was and remains the core of Skyler's values; the only people that got him through the hardest parts of his life were in Hawaiʻi, and his place was with them.
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<div><em>(Skyler's Siblings)</em>
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<div><strong><em>The turning point…</em></strong>
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<div>During the COVID-19 pandemic, Skyler was still transitioning from moving home to Hawaiʻi. At this point, he was only able to secure a PCP. All of the ties that Skyler's mom had worked hard to secure and maintain on the mainland were not considered viable options due to the distance and financial obligations. However, this was not a big concern at the time because Skyler's condition was stable and his prescriptions were all up-to-date.
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<div>In 2020, Skyler suffered a sudden and life-threatening seizure episode due to his shunt malfunctioning, and his siblings had to rush him to the local ER. He was sent home with instructions to come back if there was another episode. However, his older siblings were not satisfied with this answer. From a young age, Skyler's siblings were very involved in his care and took it upon themselves to be well versed in his condition. They understood that traditional practitioners always found Skyler’s case to be paralyzing and most times found themselves having to educate doctors on SWS during emergency visits since they were much more familiar with Skyler's condition. Skyler went home and had another episode. His siblings ultimately ended up paying for tickets to a neighboring island so that his shunt could be treated with the proper equipment. This decision would save Skyler's life. Upon his arrival, it was discovered that Skyler's VP shunt had become unset and the excess cerebral fluid in his brain was not being drained properly, which triggered his seizures. In addition, the only equipment and technician able to reset Skyler's shunt was and is only located on this neighboring island. This episode left him hospitalized in the ICU for 4 days.
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<div><em>(August 2020)</em>
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<div>This experience was a wake-up call for Skyler and his family. It really put into perspective for Skyler and his siblings just how difficult having proper care in the islands would be because of his unique needs during emergency situations. Skyler's needs have aggressively advanced, and he is now seeking specialized care that can adequately address all of his needs.
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<div><strong><em>What will your donation do for Skyler...</em></strong>
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<div>Skyler’s doctor visits are long overdue, and he desperately needs to connect with specialists that will improve his quality of life by providing specialized care that Hawai’i simply cannot offer. The fundraising will help him to make the necessary trips to meet with specialists across the mainland.
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<div>Through the diligent persistence of Skyler and his medical advocates, they channeled the necessary steps to get Skyler in front of the right people. After reaching out to the Sturge-Weber Foundation and Skyler's previous doctors at UCLA and their Jules Eye Stein Institute, they were able to establish care with specialists that are willing to take his medical case and already have doctor’s appointments lined up. This GoFundMe is an ongoing campaign to help aid Skyler, not just for his upcoming appointment to UCLA in October of 2024, but for the long-term medical journey. Furthermore, his medical care might not always be at UCLA; in the future, it could potentially be at other specialized Sturge Weber medical facilities located across the United States.
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<div><strong><em>There is no better way to understand Skyler’s life, than in his own words…</em></strong>
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<div><em>“I guess my life has been a diamond in the rough, being born in Hawaiʻi but growing up in California. My Aunt/Mom used to tell me to stick to reality instead of fantasy for I always talk about the future instead of now. I think of that now and how she is not here with me today for she was my hero and by her grace what I am today. What she had to fight after my biological mother passed away and all my challenges she had to face and see what I went through as I grew up making her my mom. By her dying of cancer I started to not care about my medical; for how I am alive, but she not. For I wasn’t done yet achieving my goals to give back. Show her with all her hard work it paid off, cuz after high school I knew my work wasn’t done. I wanted to be successful with a career to show I finally made it and that’s what I meant at her funeral that I haven’t made her proud. For about 5 years I've been depressed and it has been my hardest challenge. Then it got me thinking that I can’t complain or feel down for I am a person that doesn't like when I’m looked down upon even though I’m different and still have my other family to keep proud and help. It’s because I love challenges to prove to people not to feel sorry for me. Also they’re people suffering more than me or going through more. I know today I'm still judged by how I look, but I remember what my idol in life said: ‘Everything negative - pressure, challenges - is all an opportunity for me to rise’ - Kobe Bryant. Lately I have just been moving in silence. As the journey is processed, sometimes it isn't easy but I’m trying. Only God and my Day ones are my true supporters. When I’m listening to music, I feel alive and truly myself; for that’s why I rap and sing. As a performer I go by my middle name Auston Ray.”</em>
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<div><strong> -Skyler Auston-Ray B. Salvado</strong>
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Support Skyler’s Sturge-Weber Journey

This fundraiser was created on behalf of Aunty Malia and Uncle Wally Wong:<br /><br />On January 29th, Pua Wong (23), daughter of Wallace and Malia Wong, was involved in a serious accident on Mauna Kea mountain on her home island of Hawaiʻi. She was with family and friends when she slid down a snowy hill on a boogie board and crashed, suffering extensive injuries including numerous broken bones and a severe head injury. She was unresponsive and transported to Hilo Medical Center, where she received excellent care. Because of her injuries and trauma to her head, she had to be medevaced to the Queen’s Medical Center ICU that night to receive further care. Her dad and boyfriend (Kawika Roman) are currently by her side on Oʻahu as she undergoes multiple surgeries to address her injuries.<br /><br />Pua, a graduate of Kamehameha Schools Hawaiʻi (’15) and California Baptist University (’19), is known far and wide by family and friends as an outgoing, caring, and active young woman. She was an all-star on the CBU water polo team and graduated with a Bachelors of Science in Biology. Pua is currently a college and career readiness teacher at Laupahoehoe Community Public Charter School on Hawaiʻi island. She spends her Wednesday nights volunteering for the Hope Services Hawaiʻi Street Medicine program, where she helps to provide basic medical services to homeless and families. Pua does all this while studying for the MCAT with hopes of attending medical school so she can continue her passion for serving her community through medicine.<br /><br />Pua also has a deep love for the ocean and is a regular at Honoliʻi beach, her home surf break. When she’s not working, volunteering, or surfing, she’s exploring the island and spending time with her loved ones. Anyone who meets Pua would agree that she has an undeniably warm and beautiful smile and an infectious aloha spirit. She’s simply one of the most lively people you could ever meet and this accident has truly shocked her family and friends. With a long road to recovery, your support, love, and prayers would be much appreciated.<br /><br />We send our deepest gratitude to the many civilians who ran to her aid and assisted without hesitation. We especially want to thank those individuals who gave up their blankets, clothes, and other items to keep her warm and stabilize her injuries while emergency help arrived. Without their selfless efforts, Pua’s condition could have been much worse. ʻO kou aloha kai ʻoi aʻe.<br /><br />Any donations received will go to the Wong ʻOhana to assist with the significant medical and other financial expenses that will be incurred to help Pua recover. While she remains in critical condition, we are optimistic that Pua's strong and fighting nature, along with the support from all who love her, will carry her through this extremely difficult time.<br /><br />Mahalo for all your aloha, prayers, and support. Any donation would be greatly appreciated. If you are unable to donate, please share this link.<br /><br /><img src="https://d2g8igdw686xgo.cloudfront.net/54303982_1612072207481659_r.jpeg" alt="54303982_1612072207481659_r.jpeg" width="100%" media_type="3" />

Pua Wong's Medical Expense Fund

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