Michelle and I, and the Michelle Kuri Foundation


Over the course of her life there were many times Michelle endured pain and suffering, times when she came close to death because doctors and nurses could not “read” the signs she presented. No one should have to suffer as Michelle did. Children and adults who cannot speak for themselves, who cannot tell a doctor or nurse what hurts, how much it hurts, and where it hurts, deserve to be treated with dignity and quality care. They deserve an advocate who can speak for them. They deserve an advocate who can educate the medical community how to interpret the signals these sufferers send. The Michelle Kuri Foundation promises to be a voice for the voiceless, to educate professionals and caregivers how to care for those who have no words with which to express themselves. I know about this need because of my life with Michelle. I cradled Michelle in my arms. After all the months of wondering why my baby never cried or smiled, I finally had an answer. The doctor told me: “Your daughter has severe cerebral palsy. She will always be like an infant, a rag doll.” I held my baby closely and told her, “You will be my 'forever baby’. I will never leave you, Michelle.”


I accepted the reality that Michelle would never achieve the milestones proud parents capture in photos and videos. There would be no first words, no first steps, no first “I love you, Mommy.”


Michelle was blessed because despite the severity of her cerebral palsy because she never experienced any of the seizures, illnesses, or infections that are the hallmarks of cerebral palsy. Since she never experienced any of that, she also never had to endure any medication side effects that are common with medications prescribed to control seizures, illnesses, or infections. Although she could not talk and could not walk, Michelle became a vibrant spirit, a delightful young woman. Always upbeat, some described her as the life of the party.


Michelle never weighed more than 75 pounds, yet she was very healthy and strong. When she was 29 years old, her body began to deteriorate because of spasticity and aspiration of food. Problems with her lungs, stomach, and intestinal tract plagued her for the rest of her life. By age 36, Michelle’s easy going manner changed. She began crying out, stiffening up, and breaking into sweat whenever she was lifted and carried. I understood that Michelle was in agonizing pain, but how could I convince the doctor that Michelle needed care that I could not give her?


We saw many doctors many times only to be dismissed by doctors who labeled my concerns as trying to “micromanage their decisions.” Finally, an MRI revealed that the Herrington Rod used to straighten Michelle’s twisted spine had dislodged; it was piercing her hip bone! Without revealing the extent of damage to Michelle’s frail hip bone, the doctor told me what no mother can ever bear to hear: “There is nothing more that can be done.”


I moved heaven and earth to find another doctor to help manage Michelle’s pain. Increasingly heavy doses of pain medications offered no relief, only unacceptable side effects. Again I heard the words: “Nothing more can be done.”


After nearly a year, during which there had been no effective pain management, the unthinkable happened. Michelle’s leg became unmoored from the injured hip socket. Dangling limply from her body, she went into shock. We took her to the hospital where morphine eased her pain while Michelle fought for her life.

Frayed by the demands of caring for Michelle, my husband, Jack, and I were desperate for answers. None were ever forthcoming. It seemed as if all the healthcare providers turned a deaf ear to our pleas. Now, hospice care facilities informed us that given Michelle’s condition, “it was time.” Still, they said that their facility could not provide end of-life care because cerebral palsy is not considered a terminal illness and her primary care doctor would not authorize it. We were to take Michelle home.

The car trip home took a heavy toll on Michelle. She cried constantly from the pain. Rabbi Barry Block, our family’s rabbi along with the Director of Golden Manor, a senior’s nursing home, arranged for hospice care from Methodist’s VISTAS Hospice Care on a Friday. On the following Tuesday, Michelle’s life came to a peaceful end.

I am aware of the needs of patients like Michelle because of my personal experience. I have prepared myself academically so that together with our Board of Directors who include doctors and specialists in the field create the educational programs and materials that can be implemented as core curricula in medical schools around the country teach doctors, nurses, home health caregivers, and incoming medical students how to effectively communicate, understand, and above all, love and be empathetic with nonverbal patients. The foundation also plans to offer workshops for primary caregivers and parents to learn self-preserving skills that will teach them that there is a good life to look forward to, that there is time for self-care, respite, and that they too deserve to be treated with dignity and admired for their courage, hard work, and enduring loyalty and love for the child/adult they are caring for. I invite all to share in this work, which is the mission of The Michelle Kuri Foundation.

—Elisheva Placeres Nawrocik
PhD in Psychology