Hawaii Says “ALOHA” to the 7th One Rb World Conference and Global Retinoblastoma Community
Monday October 28, 2024
The shores of Waikiki Beach welcomed 175 guests to the 7th One Rb World conference this month, and more online, as Honolulu played host to this incredible meeting of retinoblastoma patients, survivors, families and medical professionals. Marissa D. Gonzalez, President and founding board member of World Eye Cancer Hope USA, and Conference Event Chair, reflects on the social gathering and Day One of the program in the first installment of this three-part conference review.
This is the first installment of our 3-part One Rb World 2024 Recap.
Part 1 (this post): Pre-conference social day, and One Rb World Day One.
Part 2: Our Day Two recap is a 2-page article, focused on:
- Page 1: Provision and access to life-saving care for all.
- Page 2: Advances in research and technology
Part 3: Our Day Three recap is a 4-page article, focused on:
- Page 1: Early detection and advocacy for prompt care.
- Page 2: Cure for all children, and preventing cancer spread outside the eye.
- Page 3: Keynote from NYT journalist, Pamela Paul; and global solutions.
- Page 4: Child life, patient engagement, and a massive Mahalo!
Our joyful group smiles on the bus tour at the Halona Blowhole stop.
Greeting Our Guests in Style
We kicked off our conference with a social outing, touring Honolulu on the Waikiki Trolley on Monday, October 14. Our first stop was at Ululani’s Hawaiian Shave Ice, where guests indulged in a delicious variety of flavors such as POG (Passionfruit Orange Guava, a Hawaiian staple), Mango Coconut, and Strawberry Pineapple!
After chilling out with our sweet treat, we headed back on the road to visit the Diamond Head Crater. The 300,000+ year-old landmark has been the filming location for famous television series Magnum P.I., as well as the hit comedy 50 First Dates.
Our tour concluded with a visit to one of Hawaii’s natural wonders, the Halona Blowhole. Created thousands of years ago from molten lava tubes formed by volcanic eruptions, the blowhole wowed us with beautiful sprays up to 30 feet tall!
A photo collage of the bus tour, featuring people eating shaved ice, posing at Diamond Head, and on the bus tour. Background music is from the movie Lilo and Stitch.
WE C Hope USA board members and Rb survivors Melissa Mills and Clayonia Colbert-Dorsey.
Do You Know Your Genetics?
WE C Hope founder and UK Chapter Chief Executive, Abby White, jointly opened the conference on Tuesday, October 15 with scientific program co-chair, Sandra E. Staffieri, Ph.D., Rb Care Coordinator at the Royal Children’s Hospital, Melbourne, Australia. Sandra shared a brief history of retinoblastoma care, while Abby shared World Eye Cancer Hope’s foundation story, and the origins of the One Rb World conference
These highly informative talks were followed by the day’s first session, focused on genetics. For the past three One Rb World conferences, the first day of programming has focused on survivors of all ages and their families, and this year was no different.
From Stanford Medicine Children’s Health, licensed genetic counselor, Molly McGuinness, presented a breakdown of the most critical reasons why genetic testing is important:
- To determine heritable vs. non-heritable retinoblastoma.
- To have informed surveillance of other health issues that may arise, such as second primary cancers.
- To test family members, screen at-risk relatives for eye cancer with regular eye exams, eliminate eye exams in children not at risk, and support family planning.
Pernille Axél Gregersen, M.D., Ph.D., Chief Physician at Aarhus University Hospital in Denmark, enjoyed explaining genetics to the group, saying, “Informing retinoblastoma survivors and parents about the genetics of this disease is of major importance, and I am grateful that I could contribute to spreading knowledge about this important matter.” Pernille made the conference a family affair, attending with her father, husband, and three children, who volunteered in our child life program.
Melissa B. Mills, a licensed relief genetic counselor in perinatal genetics at Stanford Medicine Children’s Health, as well as a director on the WE C Hope USA Board, overviewed options for carriers of the RB1 genetic mutation to consider ahead of pregnancy. She provided helpful statistics, including the key fact that if you have an RB1 mutation, there is a fifty-fifty chance your biological child will inherit the mutation, and if they do, they have a greater than 90% risk for developing eye cancer.
Reviewing the panel later, Melissa told me, “The genetics panel generated lots of questions from parents, and it was so important for them to be able to talk through their specific situations afterwards. Many hadn’t thought about obtaining copies of their genetic test results for their children when they grow up!”
An audience member poses a question for the genetics panel.
Giving Voice to the Adult Survivor Experience
Our Adult Survivor session was moderated by unilateral survivor Grace Padilla, who is currently pursuing a doctoral degree in neuroscience at the University of California, San Diego. Grace was joined in Hawaii by her mom, Lori, who served on the leadership team of the nonprofit support group, Retinoblastoma of Arizona, for many years.
Grace was joined by five other panelists. Unilateral survivor Leia Hunt, founder of the childhood cancer non-profit, Leia’s Kids. Leia and her family charmed our Child Life attendees with a fun-filled event on Wednesday.
Bilateral survivor Zaakirah Muhammad, Founder of See Life Different Media, also brought her mom with her to the conference, and delved into her passion for photography and entrepreneurship.
Kathryn Champ, a radiology resident at the University of California, Los Angeles, talked about how her childhood cancer journey led her to a medical career with the goal of helping others.
Joining virtually, unilateral survivor DJ Burzon is an assistant prosecutor in New Jersey. He gave an impassioned talk about overcoming adversities.
Bilateral survivor, Zaakirah Muhammad poses with Know-The-Glow co-founder, Megan Webber. Their Shaka hand sign is a Hawaiian cultural gesture conveying a friendly or laid-back vibe.
The panelists were open and honest and discussed vulnerable topics including survivor guilt, bullying, being teased because of their prosthetic eyes, suicidal thoughts, anxiety, and depression. They touched on the unique and important relationship with their oncologists and ocularists. They also reassured parents of young patients and survivors that having an eye enucleated is not the end of the world; their children will still live very meaningful and productive lives, despite childhood cancer.
The final panelist was Genevieve McCarthy, president of the Canadian Retinoblastoma Society and unilateral survivor from Toronto. She eloquently shared how impactful it was that her mother started a family support group in Canada for parents and children to lean on each other and learn from one another:
“I am fortunate that when my parents had difficulty finding support following my diagnosis, they started the Retinoblastoma Family Association. Having a sense of community through engagement with the Rb community has helped me to feel understood and accepted. By sharing our personal stories, we inspire hope in others and foster a cycle of growth and healing, all while forming deep, lasting connections that enrich our lives.”
From left to right, Val, Genevieve, Mitch, and Don enjoy posing for a selfie in front of a mountain and the Pacific Ocean.
Survivorship Care
Sassy Outwater-Wright is an Interfaith Clinical Care Chaplain and Certified Patient Advocate from Salem, Massachusetts, as well as a survivor of bilateral retinoblastoma and multiple second cancers. Unable to travel due to recent chemotherapy, she delivered a very insightful virtual keynote address about living with cancer and its effects, striking a chord with many of us.
She highlighted the importance of patients, caregivers, and clinicians recognizing the individual’s capacity to take in information, manage situations, and complete daily tasks. She reminded everyone that we need to be compassionate with ourselves and others in navigating the cancer experience step by step, asking what each person uniquely needs to get through this moment or step in the process, staying mindful to how we can support the journey, and being proactive to ease distress. Sometimes being proactive means saying “no” with grace to things that aren’t a priority to preserve one’s energy.
Following the keynote, our Survivorship Care panel kicked off with David Freyer, D.O., M.S. David is Professor of Clinical Pediatrics at the USC Norris Comprehensive Cancer Center in Los Angeles, and Director of the Survivorship and Supportive Care Program at Children’s Hospital Los Angeles (CHLA). He outlined the work done at both the CHLA and Norris Cancer Survivorship Clinics, and how each multi-disciplinary team focuses on the different needs of survivors.
He then expertly guided audience members through the risks of second primary cancer for those carrying the RB1 genetic mutation. He highlighted the critical need to take ownership of your medical history as an adult, and learn about cancers like melanoma (skin cancer), sarcomas (soft tissue cancer), and osteosarcoma (bone cancer) that RB1 mutation carriers have a higher risk for.
Alongside the physical benefits of these centers, David emphasized the importance of psychosocial support and lifelong survivorship care for both child and adult survivors.
Social worker Susan Pultman, M.Ed. from Children’s Hospital of Philadelphia tackled the strains and benefits of navigating a pediatric cancer diagnosis in a social media world. She highlighted that although it can be an emotional outlet during stressful times and a way to connect parents and survivors around the world, social media can also lead to misinformation, bullying, and exposure to poor/different outcomes in Rb treatment. She provided alternative ways of safely connecting Rb survivors and families, including peer mentorship programs, camps/retreats, and facilitated live support groups/gatherings organized by social workers.
Zali O’Dea flew in from Australia to present about grief after eye loss, something many at this conference have experienced. As patients, parents, siblings, and adult survivors, grief about the lost eye can be complex and lifelong. Zali addressed many aspects of this experience rarely discussed in a powerful and healing exploration of life after eye loss, both for those with and without prosthetic eyes.
Parents of four-year-old bilateral survivor, Charlotte, valued learning more about both genetics and survivorship, saying,
“As parents of a young survivor, or thriver, it was impactful to hear the genetics and survivorship panels at One Rb World during the family-focused day. We learned the importance of getting a copy of Charlotte’s genetic test and how important it can be for her future. We also learned it’s never too early to start looking into survivorship programs for Charlotte. Going to this conference helped us see how connecting with the right people will benefit her future, and the future of our Rb community. Connecting with others, from all ages, and hearing stories from both survivors and parents was life changing.”
David Freyer delivers his presentation during the survivorship panel.
The Parent Perspective
Five wonderful parents took the stage to share their families’ journey with a retinoblastoma diagnosis, in this candid session moderated by Lori Baños. Tears flowed freely from both speakers and the audience as parents from California, Virginia, Iowa and China relived the painful memories that brought them to this point.
Mei Leng crossed the Pacific Ocean to join One Rb World from Beijing, China. She discussed the challenges of continuing active treatment for her son, Eason, in California after her family relocated back to China. Complications arose with the strict travel restrictions during the pandemic, but thankfully Eason is a happy and healthy eight-year-old now.
Somer Stanley’s daughter, Journey, was diagnosed on a military base in Germany when Journey was a baby. Somer’s husband was on active duty at the time and the based doctors immediately identified that the glow in Journey’s eye needed specialized treatment. Within days, the family flew to Philadelphia where Dr. Carol Shields and her team began Journey’s treatment – which included the enucleation of one eye. Today, Journey is an outgoing seven-year-old who loves her “special eyes”, including one that glows in the dark!
Victoria Danhakl is an anesthesiologist in southern California whose three-year-old daughter, Izzy, is currently in treatment. Her perspective as both an Rb mom and physician brought a unique element to the panel. She explained the pros and cons of having advanced medical knowledge, while not specifically about pediatric ophthalmology, as she and her family navigate Izzy’s cancer journey. Victoria is happy to report that her daughter is loving preschool and doing great.
Rb dad Tim Valverde took us on an emotional journey through his five-year-old son’s recent relapse. After eye salvage treatment followed by several years of no detectable cancer, he described the tough challenge of supporting Hunt through enucleation and more chemotherapy; his family’s faith, and his son’s inspiring attitude helping them thrive. Tim was joined in Hawaii by his wife, parents, two daughters, and Hunt – who loved meeting other Rb kids and sibs at the child life program.
Somer Stanley addresses the audience during the Parent Perspective Panel.
All About Prosthetic Eyes
Our All About Prosthetic Eyes panel began with ocularist father-daughter team Sarah and Stephen Haddad, both Board Certified Ocularists and Co-Directors of Ocular Prosthetics Inc. in Los Angeles. Their joint presentation walked audience members through the process of obtaining a prosthetic eye – from fittings to different designs to eyelid conditions – as well as the emotional impact that a prosthesis can have on a patient and their families.
They also introduced the concept of “Fun Eyes”, including non-natural colors (e.g. purple, pink), glittery eyes, or light-up eyes; they promote self-expression and individuality in patients and survivors.
Tim Deshler’s daughter, Natalie, sees Stephen Haddad and his team for maintenance of her prosthetic eye.
Cami Loyer shared both her experience and her father’s as ocularists in Australia, and Rb mom, Cathleen Paul explained the ups and downs of having a young child with a prosthetic eye.
From left to right: Stephen and Sarah Haddad, Camille and Patrick Loyer.
Welcome Reception
After our last session of the day, our guests came together at our welcome reception to dine on sushi platters, poke bowls, a whole roast suckling pig, and more while getting to know each other. In Hawaiian culture, a whole suckling pig, prepared in a traditional imu (an underground oven), symbolizes abundance, hospitality, and communal celebration, forming a centerpiece that honors guests and draws people together. Amongst the chatter, guests were serenaded by Ocean Kaowili, a traditional Hawaiian singer and one of the best-known bassists in Hawaii.
Three Rb survivors, Destiny Flood-De Jesus, Journey Stanley, and Leia Hunt get to know each other at the Welcome Reception.
Survivor, Destiny Flood-De Jesus said, “Being part of this year’s One Rb World was truly a transformative experience that left a lasting impact on my heart.” She signed and handed out copies of her book, A Little Superhero Fights Cancer, at the Welcome Reception, and read the book during the child life program, later reflecting that “the Child Life Program was such a joy – I had a blast laughing and playing with the kids. It was a special moment that added so much light to the event.”
After the conference, Destiny said she would “love to explore more ways to stay involved and continue contributing to this amazing community which brings hope and change to those affected by Rb worldwide.”
Day One in the Books
As Day One of the 7th One Retinoblastoma World Conference came to a close, I was struck by an overwhelming sense of pride in seeing so many survivors not just surviving, but thriving together. The participation from our virtual Q&A proved these topics are relevant around the globe.
The community of those with lived experience and medical professionals forged a powerful bond encompassing every person in attendance. We look forward to sharing more from this amazing conference and our child life program in the next two blogs, due out November 25 and December 9.
Daniel Oritz-Morales, Rb specialist in Mexico City, Mexico, recounts his time at One Rb World in both English and Spanish.
Special Thanks to Our Conference Sponsors
- Anonymous Donor Friends
- The Danhakl Family Foundation
- KnowTheGlow
- Ocular Prosthetics Inc.
- Kids Kicking Cancer TX
Additional Thanks To
- Sheraton Princess Kaiulani
- Encore Global Audio Visual
- Waikiki Trolley
- Ululani’s Shave Ice
- All Our Wonderful Attendees!
Pernille Axél Gregersen, M.D., Ph.D., Chief Physician at Aarhus University Hospital in Denmark, and Marissa D. Gonzalez, WE C Hope USA President, send their love to all our fabulous One Rb World sponsors and partners!
Support One Rb World 2026
The One Retinoblastoma World Conference was made possible with generous donations from individuals and foundations. To help support the next One Rb World Conference (September 12-14, 2026 in San Antonio, Texas), please consider making a tax-deductible donation.
One Rb World 2024 – Part Two
Part two of this three-part series looks back to the happenings from Day Two of the conference, including Rb around the world and scientific progress in Rb care.
Lorna Renner pediatric oncologist in Accra, Ghana, reflects on her experience at One Rb World 2024 from the SIOP World Congress.
Behind her, a poster highlights how integrating Child Life programming can improve healthcare experiences for children with retinoblastoma and their families. This poster was jointly presented by WE C Hope Child Life Director Morgan Livingstone and US Chapter President Marissa Gonzalez.
About the Author
Marissa Gonzalez resides in Southern California and is an event director. She is a founding board member, and current President of World Eye Cancer Hope USA, and was Event Chair for the One Retinoblastoma World Conference in 2017 and 2021. In her downtime, Marissa enjoys travelling and going to Disneyland.
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