Communication Challenges for Children with DIPG

<!doctype html> <html lang="en" > <head> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta name="facebook-domain-verification" content="0epqm549tnvewd7cfxil45ao1n9ruo" /> <meta name="facebook-domain-verification" content="8yaukrz7l0xr4etse5ex7dh64i1pd5" /> <link rel="stylesheet" integrity="sha384-+d0P83n9kaQMCwj8F4RJB66tzIwOKmrdb46+porD/OvrJ+37WqIM7UoBtwHO6Nlg" crossorigin="anonymous" href="https://use.fontawesome.com/releases/v5.0.10/css/all.css"> <link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Chivo:400,400i,700,700i"> <link rel="stylesheet" href="/dipg.org/styles/bootstrap.css"> <link rel="stylesheet" href="/dipg.org/styles/bootstrap-theme.css"> <link rel="stylesheet" href="/dipg.org/styles/styles.css?v=1.15"> <link rel="stylesheet" type="text/css" href="//cdn-images.mailchimp.com/embedcode/classic-10_7.css"> <style type="text/css"> #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif;} #mc_embed_signup form{padding: 0;} #mc_embed_signup .button { display: inline-block; background-color: #f28e07; color: white; border-radius: 5px; margin-bottom: 20px; text-transform: uppercase; text-decoration: none; text-align: center; transition: all 0.1s ease-out 0s; -webkit-transition: all 0.2s ease-out 0s; } </style> <script integrity="sha256-3edrmyuQ0w65f8gfBsqowzjJe2iM6n0nKciPUp8y+7E=" crossorigin="anonymous" src="https://code.jquery.com/jquery-3.3.1.slim.min.js"></script> <script src="/dipg.org/scripts/bootstrap.min.js"></script> <script type="text/javascript"> function googleTranslateElementInit() { new google.translate.TranslateElement({pageLanguage: 'en', layout: google.translate.TranslateElement.InlineLayout.SIMPLE}, 'google_translate_element'); } </script> <script type="text/javascript" src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script> <script type="text/javascript"> function changeGoogleStyles() { if(($goog = $('.goog-te-menu-frame').contents().find('body')).length) { var stylesHtml = '<style>'+ '.goog-te-menu2 {'+ 'max-width:100% !important;'+ 'overflow:scroll !important;'+ 'box-sizing:border-box !important;'+ 'height:auto !important;'+ '}'+ '</style>'; $goog.prepend(stylesHtml); } else { setTimeout(changeGoogleStyles, 50); } } changeGoogleStyles(); </script> <link rel="canonical" href="https://dipg.org/treatment/patient-care/communication-challenges/" /> <link rel="apple-touch-icon-precomposed" sizes="57x57" href="/dipg.org/images/favicon/apple-touch-icon-57x57.png" /> <link rel="apple-touch-icon-precomposed" sizes="114x114" href="/dipg.org/images/favicon/apple-touch-icon-114x114.png" /> <link rel="apple-touch-icon-precomposed" sizes="72x72" href="/dipg.org/images/favicon/apple-touch-icon-72x72.png" /> <link rel="apple-touch-icon-precomposed" sizes="144x144" href="/dipg.org/images/favicon/apple-touch-icon-144x144.png" /> <link rel="apple-touch-icon-precomposed" sizes="60x60" href="/dipg.org/images/favicon/apple-touch-icon-60x60.png" /> <link rel="apple-touch-icon-precomposed" sizes="120x120" href="/dipg.org/images/favicon/apple-touch-icon-120x120.png" /> <link rel="apple-touch-icon-precomposed" sizes="76x76" href="/dipg.org/images/favicon/apple-touch-icon-76x76.png" /> <link rel="apple-touch-icon-precomposed" sizes="152x152" href="/dipg.org/images/favicon/apple-touch-icon-152x152.png" /> <link rel="icon" type="image/png" href="/dipg.org/images/favicon/favicon-196x196.png" sizes="196x196" /> <link rel="icon" type="image/png" href="/dipg.org/images/favicon/favicon-96x96.png" sizes="96x96" /> <link rel="icon" type="image/png" href="/dipg.org/images/favicon/favicon-32x32.png" sizes="32x32" /> <link rel="icon" type="image/png" href="/dipg.org/images/favicon/favicon-16x16.png" sizes="16x16" /> <link rel="icon" type="image/png" href="/dipg.org/images/favicon/favicon-128.png" sizes="128x128" /> <meta name="application-name" content=" "/> <meta name="msapplication-TileColor" content="#FFFFFF" /> <meta name="msapplication-TileImage" content="/dipg.org/images/favicon/mstile-144x144.png" /> <meta name="msapplication-square70x70logo" content="/dipg.org/images/favicon/mstile-70x70.png" /> <meta name="msapplication-square150x150logo" content="/dipg.org/images/favicon/mstile-150x150.png" /> <meta name="msapplication-wide310x150logo" content="/dipg.org/images/favicon/mstile-310x150.png" /> <meta name="msapplication-square310x310logo" content="/dipg.org/images/favicon/mstile-310x310.png" />  <script async src="https://www.googletagmanager.com/gtag/js?id=G-Q0R8XL81SP"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-Q0R8XL81SP'); </script> <title>Communication Challenges for Children with DIPG</title> <meta property="og:title" content="Communication Challenges | DIPG.org"> <meta property="og:image" content="https://dipg.org/media/2476/dipg_og.jpg"/> <meta property="og:url" content="https://dipg.org/treatment/patient-care/communication-challenges/"> <meta property="og:site_name" content="DIPG.org"/> <meta property="og:description" content=""/> <meta property="og:type" content="website"/> <meta name="description" content=""> <meta name="keywords" content=""> </head> <body class="dIPGorgContentPage DIPG_org">  <script> !function(f,b,e,v,n,t,s) {if(f.fbq)return;n=f.fbq=function(){n.callMethod? n.callMethod.apply(n,arguments):n.queue.push(arguments)}; if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0'; n.queue=[];t=b.createElement(e);t.async=!0; t.src=v;s=b.getElementsByTagName(e)[0]; s.parentNode.insertBefore(t,s)}(window, document,'script', 'https://connect.facebook.net/en_US/fbevents.js'); fbq('init', '3593378404060214'); fbq('track', 'PageView'); </script> <noscript><img height="1" width="1" alt="" style="display:none" src="https://www.facebook.com/tr?id=3593378404060214&ev=PageView&noscript=1" /></noscript>  <header id="masthead"> <div class="wrapper"> <nav> <div class="container"> <div class="pencil-nav"> <a href="/search" class="contact" style="padding-right: 5px;"><i class="fa fa-search" aria-hidden="true"></i></a> <a href="/contact" class="contact"><i class="fas fa-envelope"></i></a>  <a class="btn" href="https://p2p.thecurestartsnow.org/dipg" target="_blank" role="button"><i class="fas fa-heart"></i>  Donate</a> </div> <div class="row"> <div class="col-md-3"> <a href="/"><img class="logo" src="/dipg.org/images/dipg-org-logo.svg" alt="DIPG.org"></a><br> <p class="title">The DIPG / DMG Resource Network</p> <div id="google_translate_element" style="margin-top: 15px;"></div> <button type="button" class="navbar-toggle collapsed" data-toggle="collapse" data-target="#navbar"> <span class="sr-only">Toggle navigation</span> <span class="icon-bar top"></span> <span class="icon-bar middle"></span> <span class="icon-bar bottom"></span> </button> </div> <div class="col-md-9 col-sm-12"> <div id="navbar" class="navbar-collapse collapse"> <a class="btn show-mobile" href="/updates/" role="button"><i class="fas fa-envelope"></i>  Sign-Up for Updates</a> <ul class="nav navbar-nav navbar-right"> <li class="nonselected"><a href="#" class="dropdown-toggle " data-toggle="dropdown" role="button">Facts <span class="caret"></span></a> <ul class="dropdown-menu"> <li class="nonselected"><a href="/facts/what-is-dipg/">What is DIPG</a> <ul> <li class="nonselected"><a href="/facts/what-is-dipg/function-of-the-pons/">Function of the Pons</a></li> </ul> </li> <li class="nonselected"><a href="/facts/what-is-dmg/">What is DMG</a> </li> <li class="nonselected"><a href="/facts/dipg-vs-dmg/">DIPG vs DMG</a> </li> <li class="nonselected"><a href="/facts/symptoms-of-dipgdmg/">Symptoms of DIPG/DMG</a> </li> <li class="nonselected"><a href="/facts/diagnosis-and-imaging-of-dipg/">Diagnosis and Imaging of DIPG</a> <ul> <li class="nonselected"><a href="/facts/diagnosis-and-imaging-of-dipg/history-of-imaging/">History of Imaging</a></li> <li class="nonselected"><a href="/facts/diagnosis-and-imaging-of-dipg/conventional-imaging/">Conventional Imaging</a></li> <li class="nonselected"><a href="/facts/diagnosis-and-imaging-of-dipg/advanced-imaging/">Advanced Imaging</a></li> <li class="nonselected"><a href="/facts/diagnosis-and-imaging-of-dipg/biopsies/">Biopsies</a></li> </ul> </li> <li class="nonselected"><a href="/facts/clinical-course-for-dipg/">Clinical Course for DIPG</a> </li> <li class="nonselected"><a href="/facts/causes-of-dipg/">Causes of DIPG</a> </li> <li class="nonselected"><a href="/facts/dipg-survival-rate-and-prognosis/">DIPG Survival Rate and Prognosis</a> </li> <li class="nonselected"><a href="/facts/a-cure-for-dipg/">A Cure for DIPG</a> </li> </ul> </li> <li class="nonselected"><a href="/statistics/">Statistics</a></li> <li class="selected"><a href="#" class="dropdown-toggle " data-toggle="dropdown" role="button">Treatment <span class="caret"></span></a> <ul class="dropdown-menu"> <li class="nonselected"><a href="/treatment/overview/">Overview</a> </li> <li class="nonselected"><a href="/treatment/clinical-trials/">Clinical Trials</a> <ul> <li class="nonselected"><a href="/treatment/clinical-trials/active-clinical-trials/">Active Clinical Trials</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/clinical-trial-phases/">Clinical Trial Phases</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/compassionate-use-and-expanded-access/">Compassionate Use and Expanded Access</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/side-effects/">Side Effects</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/consent-and-assent/">Consent and Assent</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/questions-to-ask/">Questions to Ask</a></li> </ul> </li> <li class="nonselected"><a href="/treatment/radiation-therapy/">Radiation Therapy</a> </li> <li class="nonselected"><a href="/treatment/radiosensitizers/">Radiosensitizers</a> </li> <li class="nonselected"><a href="/treatment/surgery/">Surgery</a> <ul> <li class="nonselected"><a href="/treatment/surgery/treating-hydrocephalus/">Treating Hydrocephalus</a></li> </ul> </li> <li class="nonselected"><a href="/treatment/chemotherapy/">Chemotherapy</a> </li> <li class="nonselected"><a href="/treatment/ced/">CED</a> </li> <li class="nonselected"><a href="/treatment/steroids/">Steroids</a> </li> <li class="nonselected"><a href="/treatment/car-t/">CAR-T</a> </li> <li class="nonselected"><a href="/treatment/emerging-treatments/">Emerging Treatments</a> </li> <li class="nonselected"><a href="/treatment/patient-care/">Patient Care</a> <ul> <li class="nonselected"><a href="/treatment/patient-care/health-care-team/">Health Care Team</a></li> <li class="nonselected"><a href="/treatment/patient-care/general-care/">General Care</a></li> <li class="nonselected"><a href="/treatment/patient-care/nutrition-and-feeding/">Nutrition and Feeding</a></li> <li class="nonselected"><a href="/treatment/patient-care/skin-issues/">Skin Issues</a></li> <li class="nonselected"><a href="/treatment/patient-care/fatigue/">Fatigue</a></li> <li class="nonselected"><a href="/treatment/patient-care/breathing-issues/">Breathing Issues</a></li> <li class="nonselected"><a href="/treatment/patient-care/seizures/">Seizures</a></li> <li class="nonselected"><a href="/treatment/patient-care/sleeping-issues/">Sleeping Issues</a></li> <li class="nonselected"><a href="/treatment/patient-care/ports-and-catheters/">Ports and Catheters</a></li> <li class="nonselected"><a href="/treatment/patient-care/complementary-and-alternative-medicines/">Complementary and Alternative Medicines</a></li> <li class="nonselected"><a href="/treatment/patient-care/practical-care-issues/">Practical Care Issues</a></li> <li class="selected"><a href="/treatment/patient-care/communication-challenges/">Communication Challenges</a></li> <li class="nonselected"><a href="/treatment/patient-care/caring-for-your-children-and-yourselves/">Caring for Your Children and Yourselves</a></li> <li class="nonselected"><a href="/treatment/patient-care/other-helpful-tips/">Other Helpful Tips</a></li> <li class="nonselected"><a href="/treatment/patient-care/making-difficult-decisions/">Making Difficult Decisions</a></li> <li class="nonselected"><a href="/treatment/patient-care/parents-advice-for-other-parents/">Parent's Advice for Other Parents</a></li> </ul> </li> </ul> </li> <li class="nonselected"><a href="#" class="dropdown-toggle " data-toggle="dropdown" role="button">Research <span class="caret"></span></a> <ul class="dropdown-menu"> <li class="nonselected"><a href="/research/overview/">Overview</a> </li> <li class="nonselected"><a href="/research/genomics-and-proteomics/">Genomics and Proteomics</a> </li> <li class="nonselected"><a href="/research/animal-models/">Animal Models</a> </li> <li class="nonselected"><a href="/research/stem-cells/">Stem Cells</a> </li> <li class="nonselected"><a href="/research/dipgdmg-registry/">DIPG/DMG Registry</a> </li> <li class="nonselected"><a href="/research/symposium/">Symposium</a> </li> </ul> </li> <li class="nonselected"><a href="#" class="dropdown-toggle " data-toggle="dropdown" role="button">Support <span class="caret"></span></a> <ul class="dropdown-menu"> <li class="nonselected"><a href="/support/dipg-dmg-support/">DIPG / DMG Support</a> </li> <li class="nonselected"><a href="/support/talking-with-your-child/">Talking With Your Child</a> </li> <li class="nonselected"><a href="/support/sibling-support/">Sibling Support</a> <ul> <li class="nonselected"><a href="/support/sibling-support/coping-support/">Coping Support</a></li> <li class="nonselected"><a href="/support/sibling-support/if-treatment-stops-working/">If Treatment Stops Working</a></li> <li class="nonselected"><a href="/support/sibling-support/grieving/">Grieving</a></li> </ul> </li> </ul> </li> <li class="nonselected"><a href="/blog/">Blog</a></li> <li class="nonselected"><a href="/faq/">FAQ</a></li> <li class="show-mobile"><a class="" href="/search">Search</a></li> <li class="show-mobile"><a class="" href="/contact">Contact</a></li> </ul> <div class="neon show-mobile text-center"><script src="https://thecurestartsnow.app.neoncrm.com/forms/share/UE9QLUZPUk1TSEFSSU5HLUNPREU0Nw=="></script></div> </div> </div> </div> </div> </nav> </div> </header> <main> <div class="container"> <div class="row content"> <aside class="col-md-3 hide-mobile"> <nav class="sidebar-nav"> <ul> <li class="nonselected"><a href="/treatment/overview/">Overview</a> </li> <li class="nonselected"><a href="/treatment/clinical-trials/">Clinical Trials</a> <ul> <li class="nonselected"><a href="/treatment/clinical-trials/active-clinical-trials/">Active Clinical Trials</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/clinical-trial-phases/">Clinical Trial Phases</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/compassionate-use-and-expanded-access/">Compassionate Use and Expanded Access</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/side-effects/">Side Effects</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/consent-and-assent/">Consent and Assent</a></li> <li class="nonselected"><a href="/treatment/clinical-trials/questions-to-ask/">Questions to Ask</a></li> </ul> </li> <li class="nonselected"><a href="/treatment/radiation-therapy/">Radiation Therapy</a> </li> <li class="nonselected"><a href="/treatment/radiosensitizers/">Radiosensitizers</a> </li> <li class="nonselected"><a href="/treatment/surgery/">Surgery</a> <ul> <li class="nonselected"><a href="/treatment/surgery/treating-hydrocephalus/">Treating Hydrocephalus</a></li> </ul> </li> <li class="nonselected"><a href="/treatment/chemotherapy/">Chemotherapy</a> </li> <li class="nonselected"><a href="/treatment/ced/">CED</a> </li> <li class="nonselected"><a href="/treatment/steroids/">Steroids</a> </li> <li class="nonselected"><a href="/treatment/car-t/">CAR-T</a> </li> <li class="nonselected"><a href="/treatment/emerging-treatments/">Emerging Treatments</a> </li> <li class="nonselected"><a href="/treatment/patient-care/">Patient Care</a> <ul> <li class="nonselected"><a href="/treatment/patient-care/health-care-team/">Health Care Team</a></li> <li class="nonselected"><a href="/treatment/patient-care/general-care/">General Care</a></li> <li class="nonselected"><a href="/treatment/patient-care/nutrition-and-feeding/">Nutrition and Feeding</a></li> <li class="nonselected"><a href="/treatment/patient-care/skin-issues/">Skin Issues</a></li> <li class="nonselected"><a href="/treatment/patient-care/fatigue/">Fatigue</a></li> <li class="nonselected"><a href="/treatment/patient-care/breathing-issues/">Breathing Issues</a></li> <li class="nonselected"><a href="/treatment/patient-care/seizures/">Seizures</a></li> <li class="nonselected"><a href="/treatment/patient-care/sleeping-issues/">Sleeping Issues</a></li> <li class="nonselected"><a href="/treatment/patient-care/ports-and-catheters/">Ports and Catheters</a></li> <li class="nonselected"><a href="/treatment/patient-care/complementary-and-alternative-medicines/">Complementary and Alternative Medicines</a></li> <li class="nonselected"><a href="/treatment/patient-care/practical-care-issues/">Practical Care Issues</a></li> <li class="selected"><a href="/treatment/patient-care/communication-challenges/">Communication Challenges</a></li> <li class="nonselected"><a href="/treatment/patient-care/caring-for-your-children-and-yourselves/">Caring for Your Children and Yourselves</a></li> <li class="nonselected"><a href="/treatment/patient-care/other-helpful-tips/">Other Helpful Tips</a></li> <li class="nonselected"><a href="/treatment/patient-care/making-difficult-decisions/">Making Difficult Decisions</a></li> <li class="nonselected"><a href="/treatment/patient-care/parents-advice-for-other-parents/">Parent's Advice for Other Parents</a></li> </ul> </li> </ul> </nav> <p><strong>Feeling overwhelmed?</strong><br />Considering signing up at <a href="https://dipgwarrior.org" target="_blank">dipgwarrior.org</a> so we can point you in the right direction.</p> <a class="btn secondary" href="https://dipgwarrior.org" target="_blank" role="button" title="Learn More">Learn more</a> <hr /> <h2>Sign-Up For Updates</h2> <div class="col-md-12"> <div id="wufoo-m1dv0k7b0bt96w5"> </div> <script type="text/javascript"> var m1dv0k7b0bt96w5; (function(d, t) { var s = d.createElement(t), options = { 'userName':'thecurestartsnow', 'formHash':'m1dv0k7b0bt96w5', 'autoResize':true, 'height':'342', 'async':true, 'host':'wufoo.com', 'header':'show', 'ssl':true }; s.src = ('https:' == d.location.protocol ?'https://':'http://') + 'secure.wufoo.com/scripts/embed/form.js'; s.onload = s.onreadystatechange = function() { var rs = this.readyState; if (rs) if (rs != 'complete') if (rs != 'loaded') return; try { m1dv0k7b0bt96w5 = new WufooForm(); m1dv0k7b0bt96w5.initialize(options); m1dv0k7b0bt96w5.display(); } catch (e) { } }; var scr = d.getElementsByTagName(t)[0], par = scr.parentNode; par.insertBefore(s, scr); })(document, 'script'); </script> </div> </aside> <article class="col-md-9"> <h1>Communication Challenges for Children with DIPG</h1> <p>Many children with DIPG have trouble communicating at points during their treatment. These communication problems can stem from many causes such as: swelling from the tumor, weak muscles in the neck that help the tongue and mouth to form letters, or from the tumor irritating or damaging certain cranial nerves that control the vocal cords. Some children with DIPG have speech that is difficult to understand. Speech therapy may help. Children may recover their speech over time if loss of speech is due to a reversible cause, such as swelling. Sometimes speech does not improve much, even with therapy. This can be quite frustrating for you and your child. Remember to be patient and let your child have extra time to try to communicate with you. Here are some helpful hints to improve communication.</p> <ul> <li><strong>Speech therapy:</strong> Ask your doctor or nurse practitioner if he or she thinks speech therapy would be helpful and, if so, to help you arrange the therapy.<br /><br /></li> <li><strong>Picture boards:</strong> Your speech therapist can help you make a picture board to identify common things that your child may be trying to communicate. You can also do this as a family project. Find pictures in magazines, print pictures from online, or draw pictures of common things your child may want to communicate, such as being hungry/wanting food, being thirsty/wanting a drink, wanting to go to bed, wanting to go to the bathroom, wanting to play, wanting to watch TV or a DVD movie, having pain, feeling nauseated, etc. Some speech therapists have picture boards that are already made for different ages of children. You can teach your child to point to the picture of what he/she is trying to communicate. There is an iPad application (app) called Picture Board that is available for free download from the Apple store.<br /><br /></li> <li><strong>Voice communication devices: </strong>There are computer programs or hand-held electronic devices that allow your child to push a picture of what they want and the computer "speaks" the word or phrase. These may not be available in your hospital, but you can ask about ways to order them. There is a useful iPad application (app) that can be downloaded for free called “Talk Assist” for those children who can type text that is then converted to speech; and another free application called “Small Talk, Conversational Phrases,” which provides a vocabulary of pictures that subsequently talk in a human voice.<br /><br /></li> <li><strong>Pencil and paper:</strong> Have pencils (or markers or crayons) and paper readily available for your child to write down what he/she is trying to communicate. Save the common cards so they can be used over again. If your child cannot write but can read, consider writing common phrases out on 5 x 8 cards for your child to use to communicate what he/she needs or wants.<br /><br /></li> <li><strong>Take your time and allow your child to take their time:</strong> Difficulty communicating is very frustrating for most children. Try not to rush your child or ask him/her over and over to repeat what he/she is trying to say. Begin to use picture boards or the written cards early, when your child is not having much difficulty communicating, so that it is natural to him/her when he/she is no longer able to speak clearly.</li> </ul> <footer class="footnotes"> <p> Content used with permission from the <a href="https://www.acco.org/" target="_blank">American Childhood Cancer Organization</a>. Hoffman, Ruth, editor. <em>Understanding The Journey: A Parent’s Guide to DIPG</em>. American Childhood Cancer Organization, 2012. Print. </p> <p>Contributing Author: Deborah Lafond, DNP, PNP-BC, CPON, CHPPN</p> </footer> </article> </div> </div> </main> <footer id="footer"> DIPG.org is proud to be a part of <strong>The Cure Starts Now Cancer Resource Network</strong>:<br /><a href="https://thecurestartsnow.org" target="_blank">The Cure Starts Now</a> | <a href="https://curecancer.org" target="_blank">CureCancer.org</a> | <a href="https://dipg.org" target="_blank">DIPG.org</a> | <a href="https://medulloblastoma.org" target="_blank">Medulloblastoma.org</a><br /><br />10280 Chester Road, Cincinnati, Ohio 45215 | 513-772-4888<br />Copyright 2022 The Cure Starts Now. All Rights Reserved.<br /><br />Special thanks to the <a href="http://dipgregistry.org" target="_blank" rel="noopener">DIPG Registry</a> and <a href="http://dipgcollaborative.org" target="_blank" rel="noopener">DIPG Collaborative</a><br /><br />Image Courtesy the Waneka Family and C. Roese Ramp Photography<br /><br /> </footer>  <script type="text/javascript"> ;(function(o,l,a,r,k,y){if(o.olark)return; r="script";y=l.createElement(r);r=l.getElementsByTagName(r)[0]; y.async=1;y.src="//"+a;r.parentNode.insertBefore(y,r); y=o.olark=function(){k.s.push(arguments);k.t.push(+new Date)}; y.extend=function(i,j){y("extend",i,j)}; y.identify=function(i){y("identify",k.i=i)}; y.configure=function(i,j){y("configure",i,j);k.c[i]=j}; k=y._={s:[],t:[+new Date],c:{},l:a}; })(window,document,"static.olark.com/jsclient/loader.js"); /* Add configuration calls below this comment */ olark.identify('7666-621-10-1019');</script>  </body> </html>

CINXE.COM

Communication Challenges for Children with DIPG