Here's why this boy has a kidney that's 3 times older than he is.
"He's a success, even with all his side effects. He's a success, because he's still here."
Meet Tony Salerno. He's 13. Well, most of him is 13.
"If someone asks me how old I am, I can tell them, ‘Well, part of me is 50, and the other part of me is 13,'" jokes Tony.
Tony just got a new kidney from his dad, so while he's really a 13-year-old boy, his new kidney's almost four times as old.
He needed a kidney because the treatments that saved his life also did a lot of damage. At 2.5 years old, he was diagnosed with neuroblastoma, a type of nerve-based cancer.
Baby Tony in the hospital. Photo courtesy of Karen Salerno.
At the time, the rate of survival for someone Tony's age was about 30%, but, thanks to rigorous treatment, he was pronounced cancer-free at age 3.
However, the intense treatments, which included five rounds of chemotherapy, two stem cell transplants, and total body radiation, did a number on his little body. Though he is still cancer-free 10 years later, Tony is dealing with a number of health problems as a result.
"I have to take a lot of pills at every meal," says Tony. "I have to get nightly injections and a weekly injection."
He has some high-frequency hearing loss from the chemo and cataracts in both eyes. His brain's processing speed is slightly slower than normal, which means he takes more time on tests and assignments. That said, he's no less intelligent than the other kids in his class. "I'm smart," retorts Tony.
His adult teeth have only 20% of the root structure they should. Therefore, eating things like corn on the cob can be tough. He also has only one kidney because the radiation destroyed the other one.
It sounds like a lot for anyone to handle, much less a 13-year-old, but Tony keeps walking tall.
Tony with his Superman T-shirt. Photo courtesy of Karen Salerno.
"I've nicknamed him 'the Mayor' because when he walks into a room, whether it's filled with adults or kids, he acts like he's running for office and wants to talk to everyone," Tony's dad, Tony Sr., writes in an email.
Tony's in Boy Scouts. He is often outside, hanging with friends and learning from nature. When he's inside, he's usually playing video games or watching movies with his family.
One New Year's Eve, they were watching "Back to the Future" and Tony's mom, Karen, remarked on Michael J. Fox's short stature. Tony's also always going to be short because the chemo affected his growth. Seeing someone else who's small be so cool definitely gave him a boost.
In the midst of managing symptoms and living the life of an average 13-year-old, Tony got news that his remaining kidney was failing. He needed a transplant.
Karen was ruled out as a donor candidate because her blood type wasn't compatible, but Tony's dad met the long list of criteria.
Tony's parents. Image via NorthwesternMutual/YouTube.
"My biggest worry next was that they would find something wrong with me," writes Tony Sr. "And I'm not a perfect match, but I'm the best match we found."
In November 2016, Tony's doctors said he'd probably need the transplant within one to three years. However, just a month later, his numbers weren't looking so good, and they decided to schedule the procedure for summer 2017. Tony had his transplant on Aug. 1, and his family is happy to report that it was a success!
Tony felt a little "weird" about getting a part of his dad, but his dad lightens the mood with jokes.
Tony at a Lego exhibit. Photo courtesy of Karen Salerno.
"Mostly I kid him that he better take care of it, because I will be watching, and that he gets to celebrate not only his birthday, but his kidney's birthday on my birthday," writes Tony Sr.
Joking aside, it's not easy for his parents to see Tony struggle, especially when he's just trying to live a normal kid's life.
Tony goofing in a hammock. Photo courtesy of Karen Salerno.
Tony Sr. writes that it's hard to watch him "encounter his limitations alongside his friends and schoolmates." Life after cancer, especially when you're also a growing boy, can be a roller coaster, and sometimes they just feel like they're along for the ride.
But with a son like Tony who has beaten so many odds and, despite his limitations, keeps on truckin', it's not all scary.
Of course, things would not look nearly so bright if it weren't for the extraordinary medical support Tony's had over the years.
Tony with Dr. Michael Hogarty at the Children's Hospital of Philadelphia. Image via NorthwesternMutual/YouTube.
The Children's Hospital of Philadelphia in particular really impressed Tony's parents.
"From a scientific perspective, the things they can find out about him without having to do invasive, exploratory surgery are amazing," remarks Karen.
In fact, Tony's case was involved in initial immunotherapy work at the hospital — a less invasive treatment that involves boosting disease-fighting cells to enable them to target the cancer better. Much of their research wouldn't be possible without funding from companies like Northwestern Mutual.
In the midst of seeing other kids who aren't as lucky as Tony, these less-brutal treatments give his parents hope.
Tony with the family dog, Spike. Photo courtesy of Karen Salerno.
He's still got a long road ahead of him, but with his family and doctors by his side, Tony has the best possible support.
What's more, thanks to the research that's been done on his case, many other sick kids may have an easier time recovering. That's a major win for all families going through this. It's also why Tony's dad believes this simple truth with all his heart:
"He's a success, even with all his side effects. He's a success, because he's still here."
There's a reason why some people can perfectly copy accents, and others can't
Turns out, there's a neurodivergent link.
A woman in black long sleeve shirt stands in front of mirror.
Have you ever had that friend who goes on vacation for four days to London and comes back with a full-on Queen's English posh accent? "Oooh I left my brolly in the loo," they say, and you respond, "But you're from Colorado!" Well, there are reasons they (and many of us) do that, and usually it's on a pretty subconscious level.
It's called "accent mirroring," and it's actually quite common with people who are neurodivergent, particularly those with ADHD (Attention Deficit Hyperactivity Disorder). According Neurolaunch, the self-described "Free Mental Health Library," "Accent mirroring, also known as accent adaptation or phonetic convergence, is the tendency to unconsciously adopt the accent or speech patterns of those around us. This linguistic chameleon effect is not unique to individuals with ADHD, but it appears to be more pronounced and frequent in this population."
Essentially, when people have conversations, we're constantly "scanning" for information—not just the words we're absorbing, but the inflection and tone. "When we hear an accent, our brains automatically analyze and categorize the phonetic features, prosody, and intonation patterns," writes Neurolaunch. For most, this does result in copying the accent of the person with whom we're speaking. But those with ADHD might be more sensitive to auditory cues. This, "coupled with a reduced ability to filter out or inhibit the impulse to mimic…could potentially explain the increased tendency for accent mirroring."
While the article explains further research is needed, they distinctly state that, "Accent mirroring in individuals with ADHD often manifests as an unconscious mimicry of accents in social situations. This can range from subtle shifts in pronunciation to more noticeable changes in intonation and speech rhythm. For example, a person with ADHD might find themselves unconsciously adopting a Southern drawl when conversing with someone from Texas, even if they’ve never lived in the South themselves."
People are having their say online. On the subreddit r/ADHDWomen, a thread began: "Taking on accents is an ADHD thing?" The OP shares, "My whole life, I've picked up accents. I, myself, never noticed, but everyone around me would be like, 'Why are you talking like that??' It could be after I watched a show or movie with an accent or after I've traveled somewhere with a different accent than my 'normal.'
They continue, "Apparently, I pick it up fast, but it fades out slowly. Today... I'm scrolling Instagram, I watch a reel from a comedian couple (Darcy and Jeremy. IYKYK) about how Darcy (ADHD) picks up accents everywhere they go. It's called ADHD Mirroring??? And it's another way of masking."
(The OP is referring to Darcy Michaels and his husband Jeremy Baer, who are both touring comedians based in Canada.)
Hundreds of people on the Reddit thread alone seem to relate. One comments, "Omfg I've done this my whole life; I'll even pick up on the pauses/spaces when I'm talking to someone who is ESL—but English is my first language lol."
Sometimes, it can be a real issue for those around the chameleon. "I accidentally mimicked a waitress's weird laugh one time. As soon as she was out of earshot, my family started to reprimand me, but I was already like 'oh my god I don’t know why I did that, I feel so bad.'"
Many commenters on TikTok were shocked to find out this can be a sign of ADHD. One jokes, "Omg, yes, at a store the cashier was talking to me and she was French. She's like 'Oh are you French too? No, I'm not lol. I'm very east coast Canada."
And some people just embrace it and make it work for them. "I mirror their words or phrase! I’m 30. I realized I start calling everyone sweetie cause my manager does & I work at coffee shop."