Kapiolani's Wall of Hope displays images and stories of former patients in the hopes to support and inspire current patients and their families as they brave their own medical journey.

Keao Miyahira

Wall of Hope: Stories of Courage & Inspiration


“The only safe thing is to take a chance.” – Mike Nichols 

Keao MiyahiraWhen Keao Miyahira was 3 years old, he began to exhibit symptoms of Kawasaki disease, a rare illness that can harm the arteries that carry blood to the heart. 

Symptoms can include a fever, red eyes, body rash and a swollen, sensitive, bright-red “strawberry tongue.” 

His parents took Keao to Kapiolani Medical Center for Women & Children, where Pediatric Emergency Medicine Physician Dr. Loren Yamamoto diagnosed Keao within minutes, allowing treatment to begin as soon as possible. 

Keao received the standard treatment for Kawasaki disease – a six-hour IV infusion and scheduled aspirin treatment – before being discharged. However, he relapsed and had to be directly admitted to the medical center. 

“On our first admission, world-renowned Kawasaki disease expert Dr. Marian Melish was out of town attending a Kawasaki conference. On our second admission, Dr. Melish had returned, and she informed us that if Keao’s fever was not cured within a week, he could suffer life-threatening complications, like aortic stenosis,” says Keao’s father, Asa. 

Dr. Melish gave Keao’s parents a choice to retake the standard IV or try an experimental treatment, an IV infusion of Remicade used to treat autoimmune diseases. 

“We were very scared and worried, but Dr. Melish’s expertise in Kawasaki gave us confidence that Keao could be cured,” says Asa. 

The treatment worked, and today Keao is a happy, healthy 13-year-old who enjoys playing sports and is very active. 

“Our family is doing well and relieved that Keao has no side effects from Kawasaki disease,” Asa says. “Drs. Yamamoto and Melish were fantastic! You are in very good hands with Dr. Melish. We know so many other people like our son who have overcome Kawasaki disease and live very active and healthy lives today.”


Published on: October 31, 2017