As our family gathers around the table on Thanksgiving, I know we’ll once again take a moment to reflect on how far we’ve come and how many people have helped us reach this milestone. Gratitude will take on a deeper meaning for us, shaped by love, sacrifice, and the extraordinary…
The Journey of Beautiful Destinations — Richard E. Poulin III

Richard E. Poulin III is an American currently working as Head of Middle School for an international school in Bangkok, Thailand. He is also the president of the nonprofit organization Teach RARE. In 2018 his newborn daughter, Rylae-Ann, was diagnosed with the ultra-rare disease, aromatic l-amino acid decarboxylase deficiency. Richard shares his journey and aims to provide caregivers with strategies and tips to improve their family’s journey.
Every slight improvement adds up over time to something meaningful. For our daughter, Rylae-Ann, who lives with aromatic l-amino acid decarboxylase (AADC) deficiency, progress has never come from a single therapy or breakthrough. It’s been a collection of small, intentional steps. Recently, my wife, Judy, and I…

Within the community of people with aromatic L-amino acid decarboxylase (AADC) deficiency, we refer to the day of gene therapy as “Reborn Day” because it truly marks a new beginning. Our family celebrated our daughter Rylae-Ann’s seventh Reborn Day on Nov. 13. For my wife, Judy,…
Last week, Judy, my wife, and I had the privilege of attending the International Neurotransmitter Disorders Conference (INDConf), held Nov. 5-7 at Goodenough College in London. Nestled in the heart of Bloomsbury, the historic venue provided an inspiring setting filled with warmth, collaboration, and academic energy. The…
As parents of a child with aromatic l-amino acid decarboxylase (AADC) deficiency, my wife, Judy, and I have learned that balance is something we must constantly work to find. Between therapies, school, and everyday responsibilities, our family’s schedule can fill up quickly, leaving little room to breathe.
When our daughter, Rylae-Ann, was diagnosed with aromatic l-amino acid decarboxylase (AADC) deficiency, we quickly learned that caregiving required us to wear many hats. My wife, Judy, and I stepped into the role of nurse, teacher, therapist, advocate, and researcher. Like many caregiving parents, we often felt…
Each year, AADC Awareness Day brings together families, advocates, researchers, and supporters from around the globe. It’s more than just a date on the calendar (this; it’s a reminder of the strength of our community and the importance of sharing our voices. We invite everyone to join…
For many children with aromatic l-amino acid decarboxylase (AADC) deficiency, gene therapy holds opportunities for the future. It’s a chance for them to move, speak, and experience life in ways that once seemed impossible. I have often written about the life-changing benefits of gene…
When our daughter, Rylae-Ann, was diagnosed with aromatic l-amino acid decarboxylase (AADC) deficiency, the first thing the internet told us was devastating: She would die. At that moment, my wife, Judy, and I had two choices: We could accept those words as truth, or we could fight…
As a husband and father of a child with a rare disease, I’ve seen firsthand how being a caregiver can test a marriage. Our daughter, Rylae-Ann, has aromatic l-amino acid decarboxylase (AADC) deficiency, a rare genetic disorder that affects neurotransmitter production, causing hypotonia, developmental delays, and ongoing medical…
Starting something new is never easy for a child with aromatic l-amino acid decarboxylase (AADC) deficiency, especially when it involves doctors, clinics, and the unknown. Two weeks ago, we had a false start at a new physical therapy clinic. Anxiety got the best of…
As parents, Judy and I have learned that change can mean very different things to different children. For many, change brings excitement, curiosity, and growth. For our daughter, Rylae-Ann, change once meant fear, uncertainty, and overwhelming anxiety because of her rare neurotransmitter disease, aromatic l-amino acid decarboxylase…
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