This is a tough one. When my kids were younger I did try to shield them from the severity of this disease. They helped me with chores more than their friends as a part of being in the family, not really realizing how much I needed their help. Now they are older and they can see and appreciate my limitations. They know that I need rest and help with the household chores, but I have tried to keep their lives as normal as possible. But as a result, they can cook, do laundry, clean some of the house, decorate for holidays,etc. some life skills their peers may not have yet. I have not discussed the prognosis of this disease with them yet. As I have had TM with brain stem involvement a few times since the COVID pandemic, I am thinking that I need to prepare them but I really don’t know how to do that either. Take my approach for what it was. I’m 51 now with kids aged, 20, 18 and 15. They were 7,5 and 2 when I was diagnosed. So I have been able to see more of their lives than predicted back then, for that I am grateful. I was able to give them fairly normal childhoods. I am happy for that. It’s a huge burden to bear, and I am glad they didn’t need to bear it yet.