Given a 3% chance of surviving a rare form of leukemia at age 1, Garin Karsten of Fredonia today is a sports-loving fifth grader who wants to be a Marine
Garin Karsten of Fredonia was all smiles April 10 as he celebrated his 12th birthday.
So were his parents Stacey and Robert, who feared milestones like this wouldnât happen when Garin was diagnosed in June 2002 with Langerhanâs cell histiocytosis, a rare form of leukemia
that can attack multiple organs.
At least five different high-dose chemotherapies, intravenous and oral, were tried without success on the 1-year-old, who continued to smile and charm everyone who met him, his parents
With each relapse, his chance for survival decreased 30%, his mother said.
Garin was near death and given only a 3% chance of survival until he received a bone-marrow transplant June 19, 2003, at Childrenâs Hospital of Wisconsin in Milwaukee.
âIt feels like he has two birthdays â the regular one and the one in June,â his mother said.
âThe day after his transplant, just looking at him, the life was there again. I could just tell.â
Garin â a fifth-grader at Ozaukee Elementary School in Fredonia who swims, bikes, plays soccer, baseball and basketball, fishes and goes on fossil-hunting trips with his father and
grandfather â doesnât remember much about his early-life struggle, but heâs heard the stories and does everything he can to promote organ donations.
He participated in the 2010 National Transplant Olympic Games in Madison and goes to Rainbow Camp for two days each summer for children who are transplant recipients. His photo was
featured on a large Childrenâs Hospital billboard erected at the Wisconsin-Illinois line and appeared in hospital brochures. Not only did Garin have to fight for his life, impressing medical
teams with his spunk, but his parents fought their health-insurance carrier and Medicaid in vain to get them to cover the $500,000 bone-marrow transplant.
Although his transplant doctors testified at an appeals hearing in Port Washington that the boy would die without the transplant, coverage was denied â by the insurance carrier because the
disease was not listed as eligible for a bone-marrow transplant and by Medicaid because it was considered experimental.
âThey didnât have success stories because a lot of people donât get that far because of the quick relapse time,â Mrs. Karsten said.
Garinâs parents worked with the Childrenâs Organ Transplant Association, a national organization that helps families raise money for childrenâs transplants. About $35,000 was raised, Mrs.
Karsten said. The hospital performed the transplant at no additional cost to the family, she said, but the account remains open for future fundraisers to pay for transplant-related expenses.
Garin has been cancer-free for almost 10 years. The Karstens hope his success story will make it easier for other children who need the transplant to have it covered by insurance.
Garin was an active baby who enjoyed playing with his half-brothers Tyler and Alex, now 22 and 18.
His mother had noticed a symmetrical rash on his neck and groin but it wasnât until his grandmother called that Garin was acting strangely that they became concerned. The couple now
know the rash is an early symptom of the disease.
Mrs. Karsten took her son to his pediatrician, who noticed the childâs liver was enlarged and ordered blood tests that showed his white blood cell counts were extremely high.
âHe came back in the room and said, âYou go home, pack for a couple of days. Iâm calling Childrenâs Hospital that you will be there within the hour,ââ Mrs. Karsten said.
After Garin was diagnosed with Langerhanâs histiocytosis, chemotherapy was started. He was in the hospital for 18 days.
âThe first year, we spent every holiday at the hospital,â Mrs. Karsten said. âGarin always wanted to be in a room where he could watch the (Flight for Life) helicopters. One time, the crew got
him and took him to the helicopter.â
Garin was put on the waiting list for a bone-marrow transplant.
His parents were matches, but not perfect ones. Four potential donors who were exact matches were found.
The bone marrow came from Kevin, a 36-year-old man who lived in Mississippi and had been on the donor list since 1993.
Garin, who had been in the hospital since May, was released in mid-July when his white blood cell count was in the normal range.
Initially checked every day for possible rejection or infection, Garin was slowly weaned to where he now has an annual check-up.
Garin has matter-of-factly dealt with complications that have arisen from the treatments, his parents said.
Small for his age, the boy has given himself a daily growth-hormone injection for four years.
Two years ago, Garin started falling and it was discovered he needed metal plates to stabilize his knees.
âI was mad because I had to miss soccer camp,â Garin said.
The plates were removed in November.
Last year, Garin had cataract surgeries in both eyes and now wears glasses.
Kevin contacted the family a year after the transplant when he was given their name and phone number. Garin has developed a long-distance relationship with the man who saved his life
and hopes to go fishing with him someday.
âHe said he doesnât have children and he feels like Garin is a son,â Mrs. Karsten said. âWe joke that if a blond, blue-eyed boy shows up on his doorstep, he wonât be able to deny him.â
Garin now has two DNAs.
âIf itâs a hair test, he has our DNA, but if itâs a blood test, he matches Kevin,â Mrs. Karsten said.
Looking to the future, Garin said he wants to join the Marines.
âI want to protect the country and my family,â he said.
Image Information: State pins from other athletes were collected by Garin Karsten at the 2010 National Transplant Olympic Games in Madison. Photo by Sam Arendt