Thriving Rare
A New Book Offers Hope to the Rare Community… And Beyond
By Gina DeMillo Wagner
As a child, Becky Tilley often felt like she didn’t fit in or wasn’t as successful as other kids in most academic areas… except for one. “When I was younger, and I was in special needs English, even then I really loved reading and writing so much,” she remembers. “It was my favorite subject, the only subject I liked actually.”
Becky recalls looking for any excuse to read and write, such as writing letters to her family. As life went on, however, she lost sight of that strength. “Now it’s come full circle,” she says, “because I’ve returned to writing in adulthood.”
It began when Becky started blogging about her experience with Koolen-de Vries, a genetic syndrome involving the 17th chromosome. She learned as an adult that she has Koolen-de Vries along with two of her children. Once the shock wore off, Becky says that the diagnosis was helpful for her to make peace with her past, and writing helped her process all the joys and challenges of the condition. “I love to share hope and inspiration through writing,” Becky says. The more she wrote about her experiences, the better she felt and the more she wanted to share.
Her new book, Thrive Rare: Embracing the Uniqueness Within, was born of her desire to spread hope. “Originally it was just going to be for the rare community,” Becky says. “But then I thought about the things I battled with, especially as a child: Not fitting in, being bullied, going through insecurity, feeling like you don’t belong in the world, worrying that you can’t achieve anything. I thought, these are things that everyone battles with in some shape or form. It’s a universal struggle that we all have.”
Her book offers a mix of personal stories, quotes, life experiences, and advice to others who are facing any sort of adversity. “I thought, why not make it mainstream, speaking to the rare community while also raising awareness, and at the same time write things that the world can relate to?”
So that’s exactly what she did. Thrive Rare is packed full of encouragement for anyone who has ever felt like they don’t belong. We asked Becky to share some of her favorite takeaway messages from the book. Here are her top three:
“Leading by example is more powerful than just giving advice. Let your children witness the strength, assurance, and satisfaction that comes from being authentically yourself. Demonstrate, don’t just preach, the importance of embracing their unique qualities. Your shining light will inspire them to do the same.”
“A solid foundation of trust is crucial for establishing strong relationships, both with others and with yourself. Focus on nurturing self-trust and confidence in your own abilities and decisions.”
“Celebrating each and every accomplishment, no matter how small, adds joy to your journey and enriches your life.”
Want more inspiration? To purchase Becky’s book, click here.
To read more about her journey with Koolen-de Vries, click here.
Latest from Know Rare
From prenatal uncertainty and postpartum anxiety to therapy, grief, and hope, a mother shares her experience raising a child with a rare disease, navigating the healthcare system, finding community, and learning to embrace a different—but deeply meaningful—path as a parent.
A Danon disease study, led by researcher Dr. Barry Greenberg and published in the New England Journal of Medicine, wins an award! The study focuses on gene therapy as a potential treatment option for Danon disease. The study showed early signs that gene therapy may help the hearts of people with Danon disease.
A poster, presented at the European Hematology Association meeting in June, described a study that looked at tiredness (fatigue) in adults with immune thrombocytopenia (ITP). Researchers wanted to see if fatigue was related to bleeding or other health test results.
Lucky Shanmugan was recently featured in Porter Ranch Living, his local magazine, for Father’s Day: in his interview, Lucky talks about Osteogenesis Imperfecta, a rare genetic or heritable disorder of the connective tissue, and the incredible journey towards his official diagnosis.
Here are 9 things Chris Anselmo wishes someone had told him after his rare disease diagnosis.
A family’s hardships and resilience in finding answers and getting a diagnosis for their child, after numerous tests, brain biopsies, and hospitalizations. And the relief but also grief in finally putting a name to the rare disease that affects their child: BCL11B-related disorder.
The Danon Foundation boldly empowers people living with Danon disease, providing trusted information, resources and support to help navigate life, from diagnosis to treatment.
For many families, caregiving for a child with a rare or medically complex condition is a full-time job. The problem is, it’s a job with no training, no time off, and no clear job description. If you’re looking for the light at the end of the tunnel, you don’t have to search alone. Check out some of Paige’s favorite resources.
For most of celiacs, despite months on a strict GF diet, energy stays low and blood work reveals nutrient deficiencies. The lesson? A "gluten-free" label isn't a health guarantee—just a guarantee you'll pay more.
If you’ve been told you have seronegative NMOSD, there’s nearly 50/50 chance you have a different antibody causing your symptoms –MOG antibody.
Therapy Near Me is a nationwide mental health service based in Australia, providing easy access to psychologists, counsellors, behaviour support practitioners and social workers.
At the annual Kidney Week of the American Society of Nephrologists (ASN), the world’s largest kidney healthcare professional organization, new advances in research were highlighted. Over $35 million has been invested in research with the ASN, and there are many treatments in development for IgA Nephropathy (IgAN), with researchers actively investigating more than 20 different drugs.
When I was diagnosed with celiac disease, I thought avoiding bread and pasta would be enough. I quickly learned that living truly gluten-free is far more complex, and I'm sharing my experience to help newly diagnosed individuals understand what lies ahead.
Retinopathy is an eye problem that many people with Danon disease have. It can cause dark spots in the outer part of the eye, blurry or worse vision, and unusual test results on an eye exam. Sometimes these eye changes show up before heart problems, so an eye check can help find the disease early.
A heartfelt story about a mother who found purpose and strength among the tragedy of losing a child diagnosed with an ultra rare genetic disorder.
Kaya Girl Legacy, Inc. is a Florida-based nonprofit founded in memory of Kaya Humbert, a beautiful baby girl born with Sphingosine Phosphate Lyase Insufficiency Syndrome (SPLIS), one of 46 known cases worldwide. The foundation is dedicated to empowering families with knowledge about their genetic health and advocating for early access to genetic testing and rare disease awareness.
A prose poem by Jim Kuhn, a rare warrior living with Sarcoidosis, a rare inflammatory disease.
Rare Mom Laura shares how her family’s prep for Halloween turned into a burst of familial love and creativity, as they all worked together in designing and building a costume for Alden, her medically complex son.
Instead of starting with a newly discovered drug compound, PCOR is a type of research that starts by turning to patients and caregivers and asking, What matters most to you? What questions do we want answered? What symptoms do we wish were better managed? What keeps us up at night?
Four years ago, Michael Grivas’ life suddenly changed when he learned that he had Brugada Syndrome, a genetic disorder in which the electrical activity of the heart is abnormal due to channelopathy. Learn more about his story.
Fatigue is a very common and often debilitating symptom of IgAN. It is linked to disease progression and reduced kidney function, but other factors like inflammation, anemia, and mental health also play a role. In a 2025 study, the majority of patients with IgAN reported fatigue, and patients with more severe proteinuria and lower kidney filtration rates (eGFR) experienced worse fatigue.
Why is it so hard to accept help? Humans often associate help with weakness and loss of independence and control. However, if we reframe our thoughts, accepting help can be viewed as a form of empowerment: showing vulnerability and trusting someone to help us requires great strength.
There is so much mental load with having a rare disease. Rare Human Lindsay shares there are things she does not care about anymore, as she manages rare disease symptoms, specialists, and clinical trials.
Rare Human Lindsay shares her "silver linings." It's not 'what doesn't kill you makes you stronger,' instead it's what doesn't kill you makes you braver. She shares that she has found deeper connections with others, improved her ability to ask for and accept help, and not been as afraid of the word "no."
Journalist and rare disease advocate Lindsay Guentzel breaks down why clinical trials are a lifeline for the rare disease community. With only 5% of known rare diseases having an FDA-approved therapy, trials often represent the only path toward treatment, progress, and hope.
Lindsay was diagnosed with dermatomyositis a couple of years ago. Since then, she has undergone more than 350 doctor appointments, 250+ hours of infusions, 10+ ER visits, while juggling insurance approvals, rides, and her pain and fatigue.
Rare Human Lindsay is in the midst of her first clinical trial for dermatomyositis, a rare inflammatory disease that primarily affects the skin and muscles. So far, she has learned so much about the process and is eager to share some of her insights with the rare disease community.
Gina DeMillo Wagner is a professional writer based in Boulder, Colorado. Her work has appeared in The New York Times, Washington Post, Self, Outside, Modern Loss, Experience Life, and other publications. She's currently working on a memoir. You can follow her work on Instagram @ginadwagner