When the holidays approach, we scour department stores to find an outfit our 4-year-old daughter, Rylae-Ann, can wear so that she looks great in our seasonal family photos. She accommodates us by wearing all of the clothes we want her to, but we struggle during bathroom breaks and at…
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.
In November 2019, my wife, Judy, carried our 18-month-old daughter into National Taiwan University Hospital for an experimental gene therapy. Rylae-Ann couldn’t hold up her head, sit independently, speak, or control her movements. She experienced dystonia and oculogyric crises in which her eyes rolled upward and became…

In a sea of more than 7,000 rare diseases, it is remarkable to have a day to call our own. In 2020, the AADC Family Network established AADC Deficiency Awareness Day, which is now held annually on Oct. 23. Over the past three years, our community has gathered virtually…
Our first Christmas Eve as a family was spent in a park. My wife, Judy, and I sat on a bench, trying to comprehend what was happening to our daughter, Rylae-Ann. In December 2018, we had a clue what she had, but we had no idea what…
Once we finally knew what our daughter, Rylae-Ann, had, we also learned that genetically, she wouldn’t be able to move. She would most likely be bedridden, and there was no treatment. However, when she laughed, her body moved, her eyes opened, and I caught a glimpse of my daughter, who…
Rylae-Ann was born by an emergency cesarean section. As Mom was stitched up and came off the anesthesia, I remained with a crying, screaming baby. As a new dad, I didn’t have a clue. I instinctively snuggled up to her and began to hum softly into her ear. Three months…
In September 2021, a post came across my Facebook news feed about a freelance writing position for AADC News. My wife, Judy, and I were still very much isolated due to our daughter’s condition, but I couldn’t help but click the link. After applying, I spoke with Matt Lafleur, the…
It may be an ill-formed sentence someone blurts or deliberate malice. Either way, any negativity expressed about our daughter, spoken or unspoken, goes straight to our hearts. My skin is thick, and I calculate my responses. Is defending my daughter over a statement that has no direct effect on our…
Today, our daughter, Rylae-Ann, sits at a piano and explores the sounds she can make, then jumps off the stool and heads to the xylophone to grab a mallet, which makes the magical sounds flow out. Music therapy was a strategy my wife used with her special…
After work a week ago, on a Monday, it was straight home. We grabbed our packed suitcases and headed for the airport. We arrived with an hour to spare, but then we had time to let the anticipation sink in about speaking in front of several hundred doctors. My wife,…
At 5:30 a.m., I quietly sneak out of bed, wash, dress, and straighten my tie. As I finish getting myself ready, my wife and daughter wake up to start their morning routine. With kisses all around, I make my way out the front door and escape to my world away…
Once Singapore’s warm, tropical sun had set, a cool breeze became noticeable. With only the palm trees swaying above my head, I could think clearly. I used to reserve this time for high-intensity sports. Now I use it to reflect on the day and plan for tomorrow. My evening walks…
When I don’t know how to do something, I’m the type of person to go figure it out. YouTube has taught me skills ranging from fixing a leaky faucet to trail running. My wife and I applied the same method when it came to speech therapy training. Speech seemed like…
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