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Living with primary immunodeficiency: How specialty care supports Nick's journey

August 31, 2026 |3 minute read

Portrait of two people featured in a story about living with primary immunodeficiency.

Key points

  • Diagnosed with primary immunodeficiency (PI) as an infant, Nick Stacken has spent decades pursuing his passions, including competing in Special Olympics.
  • Immunoglobulin (Ig) Therapy is often key to PI care, but ongoing support from pharmacists, nurses and caregivers can help patients build confidence and support their long-term health and personal goals.
  • CVS Specialty/Coram supports patients receiving Ig Therapy through specialized pharmacy services, in-home nursing support, patient education and personalized care.

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I am Nick Stacken's mom,

 

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and I'm his biggest fan.

 

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When he was first born,

 

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we knew that there would be issues

 

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because he started having seizures

 

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12 hours after birth.

 

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He didn't start getting sick

 

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until four months old,

 

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and then he didn't stop. 

 

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And it was terrifying.

 

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Because we didn't know 

 

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what was making my son sick.

 

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<font color=#000000FF>My name is Nick Stacken.</font>

 

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<font color=#000000FF>I play Special Olympics</font>

 

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<font color=#000000FF>for softball and bowling.</font>

 

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<font color=#000000FF>It's a lot of fun.</font>

 

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It's a lot of fun.

 

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I got friends on

 

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the team that I work with.

 

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It makes me proud to help them.

 

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My teammates are the greatest to have around.

 

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I love them as brothers and sisters. 

 

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<font color=#000000FF>When Nick was 13 months old,</font>

 

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<font color=#000000FF>he began getting medication</font>

 

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<font color=#000000FF>delivered to the house </font>

 

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<font color=#000000FF>and nurses coming in,</font>

 

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<font color=#000000FF>and it made a huge difference.</font>

 

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and it made a huge difference.

 

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Jackee is somebody who came in

 

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and within the second visit,

 

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Nick absolutely adored her.

 

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We have been blessed

 

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to have such phenomenal nurses.

 

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<font color=#000000FF>Immunoglobulin therapy is</font>

 

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<font color=#000000FF>is a lifesaver.</font>

 

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<font color=#000000FF>It's replacement</font>

 

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<font color=#000000FF>for something</font>

 

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<font color=#000000FF>that our body should create.</font>

 

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that our body should create.

 

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With Nick's case his medication

 

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is called to be given every week.

 

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So I see him every week. 

 

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Our relationship

 

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has evolved over two years to where

 

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now he trusts me. 

 

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<font color=#000000FF>When we started talking</font>

 

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<font color=#000000FF>about the Nationals being in Minnesota,</font>

 

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<font color=#000000FF>that Nick had qualified to apply</font>

 

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to be an athlete,

 

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which is a big step.

 

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And Jackee was the first one who said, 

 

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“Yeah, you can do that.”

 

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Mom teaches him his meds

 

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she knows them in and out.

 

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Me,  I cheerlead. I tell him he can do it. 

 

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But he has so many dreams.

 

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It's not those big moments

 

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where everybody imagines

 

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you're watching an athlete run past

 

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the finish line, and they won gold.

 

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It's not that.

 

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It’s all the little tiny things

 

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and the things Nick dreams about doing.

 

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It’s just awesome.

 

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Just do what you love to do. 

Nick Stacken loves sports. In fact, he’s been a Special Olympian in his state for two decades. Now his sights are set on participating at the national level.

For his mother and caregiver, Wendy Stacken, that future once seemed impossible.

"Nick was born with multiple health issues," Wendy recalls. "He kept getting sick. We'd take him to the hospital and we’d be back again hours later. It was terrifying." 

At 13 months old, he was diagnosed with primary immunodeficiency (PI), a group of rare disorders that impair the immune system's ability to fight infection. 

  • According to the Centers for Disease Control, people living with PI often face an increased risk of autoimmune diseases, certain cancers and other serious health complications.

The right therapy, the right support

Nick’s access to appropriate therapies and the support of trusting relationships, including with his in-home CVS Specialty/Coram nurses, have simplified his health care and supported his quality of life.

Since his diagnosis, a key part of Nick's care has been Immunoglobulin (Ig) Therapy, administered by his CVS Specialty/Coram nurses, which provides antibodies that help protect against infections. 

  • The therapy is important: Ig therapy has been shown to reduce hospitalizations by more than 50%, according to the Immune Deficiency Foundation. 

Yet for the Stacken family, Ig Therapy has only been one part of the equation. Wendy notes that the CVS Specialty/Coram nurses go beyond administering therapy. They help the family navigate treatment, monitor changes and stay connected with the broader care team. 

"Jackee, is like family," says Wendy. "She's been there to help us understand the therapy, answer questions and spot when something doesn't seem right.” 

Wendy also points to the reassurance of having 24/7 access to CVS Specialty pharmacist support when questions arise. "There have been many times I've had to call at three o'clock in the morning," she says. "And they answer." 

Supporting patients beyond the prescription

"For patients like Nick, getting on the right therapy can be life-changing - and in many cases, lifesaving. But it's often the trusted relationships around that therapy that help patients thrive," says Lucille Accetta, Chief Pharmacy Officer and Head of CVS Specialty, who notes stories like Nick’s illustrate the broader goal of specialty care. "When patients, caregivers and care teams build trusted relationships over time they gain more than access to treatment. They gain the confidence, continuity and peace of mind that helps make everyday milestones possible.”

Today, Nick is 31 and thriving. He continues to pursue new goals and opportunities, including his aspiration to compete in the Special Olympics at the national level — a possibility that once seemed out of reach for his family.

How CVS Specialty supports patients with Ig Therapy

For people living with primary immunodeficiency and other conditions treated with Immunoglobulin (Ig) Therapy, managing care can be complex. 

CVS Specialty's IG Center of Excellence—one of more than 30 condition-specific Centers of Excellence—brings together pharmacists, nurses and CareTeams with specialized training and experience supporting patients on Ig therapy. 

CVS Specialty/Coram support includes:

  • Personalized education and support for patients and caregivers, helping them understand treatment, administration options and what to expect throughout therapy.
  • End-to-end coordination of Ig Therapy, from onboarding and benefits verification to medication delivery, nursing support and ongoing patient education.
  • Nursing support and training, including in-home infusion services and patient training for those who may be able to self-administer therapy at home when appropriate.
  • 24/7 access to specialty pharmacists who can answer questions and provide clinical support when patients and caregivers need it.
  • Digital and high-touch support options tailored to individual preferences, including refill management, delivery tracking and proactive outreach

At the heart of the model is a simple goal: helping patients and caregivers spend less time navigating the complexities of care and more time focusing on what matters most to them.

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