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Sebastian
Hometown
Austin, TX
Diagnosed
hATTR amyloidosis in 2022
Started treatment
January 2023
Time to diagnosis
Four years
Family history
Hereditary (Father, uncle)

Patient Ambassador

Sebastian I.

"Knowing what was coming was a gift. It meant I got to start the next chapter on my own terms."
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Sebastian had always known something was waiting for him. His mother had been diagnosed in her fifties; her brother before her. He grew up watching the language of the illness around the dinner table and decided early that, when his turn came, he would rather meet it walking forward than be ambushed. He chose to be tested at thirty-four. The result was not a surprise, exactly, but it was still a result, and the difference between knowing-in-theory and knowing-on-paper was larger than he expected. For a week he didn't tell anyone. He went to work. He made dinner. He let the news settle into the corners of his life until he could see the shape of it. Then he started planning. He picked a care team he trusted. He told his husband, then his sister, then a small circle of friends who had earned the right to know. He wrote down what he wanted treatment to look like, and what he didn't, and he gave that document to two people he loved. He says the act of writing it down was the closest thing to relief he felt that year. Sebastian still works in design. He still travels when he can. He talks openly now, on a podcast he produces with a friend, about what it means to live in advance of an illness rather than in reaction to one. He calls it a gift, knowing what was coming, and he means it — not because the disease is any kinder for being expected, but because he got to choose how to enter the room.

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