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When Medicine is a Mystery

Mina photo outside

Mina Longo is a soft-spoken 13-year-old who loves to read horror novels, listen to heavy metal music and is learning to play the guitar. She sounds like many girls in middle school, worrying about things like making time for friends and if she might finally get a new Google Pixel. You would never know it wasn’t always this way

Mina’s complicated health journey began before birth, when physicians noticed her left kidney wasn’t developing as expected. Then, to the surprise of her family and her doctors, Mina was born nearly 10 weeks premature. Weighing a mere 2 pounds, 12 ounces, she was so small that she fit in her mother’s hand. Unable to eat or breathe on her own, Mina was immediately transferred to Rady Children’s. At two days old, surgeons repaired a hole between her trachea and her esophagus, and then connected her esophagus to her stomach.

Over the next 10 years, Mina’s life was filled with doctors’ appointments, surgeries, hospital stays and hundreds of opinions and diagnoses from various experts. Still, many of her health conditions remained a mystery and her symptoms have defied explanation. Mina’s mom, Shannon, remembers the wild ride.

“Her internal plumbing was all over the place,” says Shannon. “It was a complete game changer when she was born because all of my original plans were out the window. It was like, all right, let’s see what we must do for this little person. It was a mystery to figure out what was happening with her.”

Since Mina had difficulty with respiratory and swallowing functions, physicians at Rady Children’s recommended she be the first patient in the pediatric Aerodigestive and Airway Surgery Program. She was 5 years old. With a multidisciplinary team of experts from otolaryngology (ENT), pulmonary and respiratory medicine, gastroenterology, hepatology and nutrition, speech-language pathology and occupational therapy, the program specializes in the evaluation, treatment and management of complex airway and esophageal disorders.

The collaborative team has the extensive experience necessary to care for kids with both common and rare disorders involving the respiratory and digestive systems.

“We quickly realized that some of our patients with complex conditions that span multiple specialties were receiving fragmented and uncoordinated care,” Matthew Brigger, MD, chief of the Division of Otolaryngology at Rady Children’s, says. “These patients really needed active focus and discussion by a dedicated group of multidisciplinary specialists. We created the Aerodigestive Clinic to address this need.”

The program is set up with the patient and family in mind by offering weekly consultations at a single location on the same day. Not only does this offer convenience, but it also allows for collaborative care from across Rady Children’s. With complicated health conditions to navigate, the family can lean on the Rady Children’s team to connect the dots. The program was perfect for Mina, who didn’t have a straightforward diagnosis or treatment plan.

“The ability to come together as a team to solve some of the most difficult problems and see the change in these children who often have spent their lives hearing the word ‘no’ is truly a privilege,” Dr. Brigger says.

Mina’s family found the level of care at Rady Children’s hard to find elsewhere. Now residents of Los Angeles, they regularly drive two hours to San Diego to receive care. “I could see the difference in the way that people at Rady Children’s listened,” says dad, Ricardo. “There’s a difference in how people are treated and how kids are treated here. It’s a special hospital. They treat you like family.” Shannon agrees that she was often overlooked when offering her thoughts regarding Mina’s care at other institutions.

“When she was young and she needed emergency care, we would take her to hospitals in Los Angeles, and they would diagnose something and I would say, no, that’s not right. Place after place, they would do whatever they thought was right but without considering my input,” says Shannon. “We would come back down to Rady Children’s Hospital because the moment you tell the surgeon your thoughts, they would take that information to heart. They listen when no one else will. It has been a great experience, and that’s why we are here and keep coming back.”

When asked what’s next for Mina and her family, Mina says the sky is the limit. She is passionate about advocating and fundraising for other children with complicated diseases through the Rady Children’s Hospital Foundation. In 2022, Mina served as the local Children’s Miracle Network Hospitals champion, helping to raise funds through partnerships with Costco Wholesale, Panda Express, Walmart, Sam’s Club, Rite Aid, Marriott International, Credit Unions for Kids, Ace Hardware and more. Mina met and encouraged these supporters as they raised funds for Rady Children’s through in-store promotions, employee contests, customer contributions and fundraisers.

So far, Mina has raised thousands of dollars to help other kids like her. “So far, Mina has raised thousands of dollars to help other kids like her. “I advocate for the kids who don’t have a straight answer,” Mina says.” “I advocate for the kids who don’t have a straight answer,” Mina says. Shannon doesn’t know what the future holds, but the family aims to make each moment count. “If only the world could learn strength, patience and love from her and kids like her,” says Shannon. “The hope is that endless possibilities are her future, but the reality is that so much is unknown. It’s a daily reminder that this is the best for now, and that’s good enough for me.”

Dr. Brigger agrees that Mina is very special and that her energy inspires his team. “Mina’s complexity is overshadowed by her amazing spirit,” he says. “For a child with such a complex health history, you would never know it by her amazing outlook on life. Her passion and zest for life, along with other incredible patients like her, is what drives us to continually build the program and make it better.”

To learn more about the Children’s Miracle Network Hospitals and raise money for kids like Mina, visit rchsd.childrensmiraclenetworkhospitals.org.