31/05/2026
Behind every diagnosis is a family learning to navigate a new world.
As part of our Behind the Diagnosis series, we share the story of Jacolene Schoch and her son Bernard, who lives with Prader-Willi Syndrome (PWS).
Bernard was finally diagnosed at the age of two through genetic testing, after numerous scans and even a biopsy failed to provide answers. For his family, the diagnosis brought both clarity and the beginning of a new journey.
Now nine years old, Bernard is a strong-willed boy with a caring and nurturing heart. He enjoys puzzles, helping with meal preparation, and has an impressive memory that often surprises those around him.
Life in the Schoch household, where Bernard is lovingly supported by his parents Jacolene and Victor Schoch - who has been their rock since day one - follows structured routines - something that is essential for children living with PWS. Like many families on this journey, their days include school, homework, playtime, and the careful planning that helps Bernard feel secure. Some days go smoothly, while others bring unexpected challenges.
One of the biggest hurdles has been learning how to manage food-seeking behaviour, emotional meltdowns, and repetitive routines. Bernard struggles with change, and finding the right balance of medical support, including medication, was an emotional rollercoaster for the family.
In the early years, Jacolene also faced judgement from people who did not understand why Bernard could not simply be given treats or extra food. Setting boundaries and advocating for her son was difficult at first, but over time it helped build the strong support system their family relies on today.
Amid the challenges, there have been moments of incredible joy.
When Bernard took his first steps, his family was overjoyed - especially because some doctors had believed he might never walk independently. Today he continues to surprise them with his determination, his problem-solving abilities, and his growing independence. He is even learning to swim, something his family once thought might never be possible.
Jacolene hopes people will understand that Prader-Willi Syndrome is far more complex than simply constant hunger. It affects children both emotionally and physically, and every child with PWS experiences the condition in their own unique way.
Her message to other families walking a similar path is simple:
Hang in there. Even when it feels hard and doubt creeps in, you are doing a good job. Try to take it day by day, and appreciate the good days when they come.
Because on this journey, those good days matter more than words can say.
If you are a parent living with PWS and would like to share your story, please reach out via DM or email.
🌐 praderwilli.org.za
📘 facebook.com/pwsasa
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