For most of Donald’s life, nosebleeds seemed ordinary. His mother had them. His siblings had them. No one knew they were signs of HHT—until a routine chest X-ray revealed a lung AVM, and later, his younger sister died from a brain AVM at just 26. Donald’s story is one of grief, gratitude, screening, and the life-saving power of awareness.

For Dr. Miles Conrad, HHT care is built on more than procedures and treatment plans. It is built on trust, careful listening, and the small moments of expert guidance that can change a patient’s path. In this final Visible Together story, Dr. Conrad reflects on what patients with HHT have taught him, why expert care matters, and why this moment of innovation deserves urgent support.