RACHEL FISHER ALTHIZER – 2024 Courage to Shine Award Recipient


My name is Rachel Althizer. I’m 32 years old and I was bon with classic bladder exstrophy. I was born in New Berm, a small town in Eastern North Carolina in 1992. My medical journey began with an emergency ambulance ride to a larger hospital immediately after birth. I underwent immediate closure, reclosure, bladder neck reconstruction, and an osteotomy. At age four, I had major surgery to create a neobladder using my intestines and a mitrofanoff using my appendix. Since then, I’ve been healthy and fully continent, with only a few procedures and surgeries.

After a childhood filled with competitive soccer, school and typical teenage drama. I earned a bachelor’s degree in psychology and a master’s degree in social work. My husband and I have been married since 2020 and live in our hometown where we see our parents, siblings, nieces and nephews frequently.

Throughout my life, I’ve developed a passion for helping and connecting with others. I’ve had the privilege of attending the International Bladder Exstrophy Collaborative Workshop in India twice, in 2023 and 2024. The doctors, nurses, Pam, and everyone involved in the workshop make a significant difference in every single patient’s life , from life-changing surgeries to simply taking the time to explain bladder exstrophy.. I hope my parents, and patients that they can lead fulfilling lives despite being born with bladder exstrophy.

I serve on the Bladder Exstrophy Patient Advisory Board, which aims to connect and provides resources for adult BE patients. I’m honored to be part of this community and look forward to connecting with more patients and families.

Damon Little


Damon Little Damon Little is a National Gospel and Grammy Winner Artist, I (Thomas Exler) ran into his at the United Ostomy Associations Conference.  During his childhood he has many surgeries and live with a colostomy for years. Damon Little: http://www.damonlittle.com/ Damon Little / Be Alright-2019:  Courage To Shine™, Turning Adversity to Triumph, Courage to…

Kylee Hunter Morgan – You Can Call Me “Smiley Kylee”


You Can Call Me “Smiley Kylee”  By Kylee Hunter You know your life will be interesting when one of the first words out of the doctor’s mouth at your birth is, “I think that’s a bladder”. My name is Kylee Hunter, I’m almost 18, and I was born with bladder exstrophy, a rare birth defect that…

12th Annual California Bladder Exstrophy Support Team Campout – August 3 – 5, 2012


12th Annual California Bladder Exstrophy Support Team Campout Friday August 3 – Sunday August 5, 2012 Campground by the Lake, South Lake Tahoe, California, USA By Thomas Exler This past August 3-5  2012, 15-20 families living with bladder exstrophy, came  together  in South Lake Tahoe, California, for the 12th Annual California Bladder Exstrophy Support Team (B.E.S.T.)…

4th Annual ABC Great Lakes Chapter Campout – July 20-22, 2012


4th Annual ABC Great Lakes Chapter Campout Friday July 20 – Sunday July 22, 2012 Eby’s Pines RV Park & Campground, Bristol, Indiana, USA In late July 2012, Alice Ambrose of Michigan, along with her husband Brad Ambrose were honored to again be the hosts for the 4th Annual ABC Great Lakes Chapter Campout, at Eby’s…

Misty Blue Foster & Jamie Holmes Featured in eBook Honoring the Best of UroMed Hometown Heroes


Misty Blue Foster and Jamie Holmes, two of Courage to Shine Role Models of the Month, have had their stories published by UroMed Hometown Heroes Blogg converted along with 14 others into eBook: Courage: Stories of Hometown Heroes which can be purchased on Amazon.com at  http://www.amazon.com/Courage-Stories-Hometown-Heroes-ebook/dp/B007WU2RX4/ref=sr_1_1?ie=UTF8&qid=1335785891&sr=8-1 UroMed Launches E-book on Hometown Heroes Overcoming Disabilities MAY 2, 2012 LEAVE A…

ENRIQUE ESCAJADA – Courage To Shine™ – Role Model of the Month for March 2012


Enrique Escajeda of California has been named the March 2012 – Courage to Shine – Role Model of the Month. In his honor we have reprinted his story below from January 26, 2012 ———————————————————————– Enrique Escajada – Aerialist Overcomes Adversity to Fly Published on January 26, 2012 Aerialist Overcomes Adversity to Fly by Enrique Escajeda Hello,…

Family Campouts for Bladder Exstrophy


Family Campouts for Bladder Exstrophy By Thomas Exler Each year there are two family campouts for Bladder Exstrophy held in the USA, one in South Lake Tahoe, California and the other one in Northern Indiana In August of 2002, I was invited as a guest speaker to attend the 2002 California Bladder Exstrophy Support Team…

THOMAS EXLER – Founder & Chairman of Courage to Shine™


Hello my name is Thomas Exler, from Pittsburgh, Pennsylvania, USA

Climbing the stairs at a waterfall in Iceland in May of 2011

For many years now, I have had been given a great opportunity to meet so many amazing people from all over the world, not in spite of, but because I was born with a rare birth defect called bladder exstrophy.  My life has had numerous blessings because of it, and on the whole the blessings have gratefully outweighed all the negatives I have had to personally endure

A “You Can” Attitude Helps Children with Disabilities Find the Courage to Shine


http://uromed.wordpress.com/2012/01/27/a-you-can-attitude-helps-children-with-disabilities-find-the-courage-to-shine/ From UroMed Hometown Heroes – Originally posted on January 27, 2012 When parents learn that their children have a medical issue like bladder exstrophy, often their dreams for those children cease, and the parents suffer along with the children. However, on the front page of the Courage to Shine website, we can show parents what their children…

Life’s Great Possibilities Await For People With Disabilities Who Find The Courage To Shine


http://uromed.wordpress.com/2012/01/26/the-great-possibilities-in-life-for-people-with-disabilities-who-find-the-courage-to-shine/ From UroMed Hometown Heroes – Originally posted on January 26, 2012 Exler: Courage to Shine, a new project we created, was originally created to be an awards program to honor outstanding people, especially those with bladder exstrophy. We wanted to honor accomplishments in society and in the greater world. As we developed the idea, we thought that a better…

Courage Is The Key To Overcome Fear With Thomas Exler


http://uromed.wordpress.com/2012/01/25/courage-is-the-key-to-overcome-fear-with-thomas-exler/ From UroMed Hometown Heroes – Originally posted on January 25, 2012 I’m often asked, “Why is a support group so important for an individual who has a physical challenge to overcome?” The only way to get courage is to face your fears and overcome them. The benefits of courage are success, happiness and bravery. Most people run away from fear….