In December of last year, a message appeared on the Lexington Mavens, a Facebook group where local women share things like gardening tips, missing pet notices, and recommendations for math tutors or podiatrists. 

“Mavens, a friend of mine is a producer on This Old House and they’re looking for their next project!” the message read. “They’re looking to document a whole house renovation starting in early spring in the greater Boston area.”

Michelle Werner was intrigued. She and her husband, William Lester, had recently purchased one of Lexington’s coveted mid-century modern homes, which they intended to renovate. Over the years, the original, glassy 1960s architecture had become obscured by a mismatched addition with vinyl siding and an overly-prominent 3-car garage. 

But the family’s renovation plans were more than just aesthetic. Three years ago, on his 10th birthday, their son Caffrey was diagnosed with Duchenne muscular dystrophy, a rare genetic disorder that leads to progressive muscle degeneration, and is eventually fatal. Caffrey, now 13, still has the ability to walk, but can no longer climb stairs. The family expects that he’ll need a wheelchair within the next year or two. 

William Lester, Michelle Werner, and their children, Caffrey, Marlowe and Warwick. Credit: This Old House/Anthony Tieuli

After the diagnosis “you can imagine — it was a period of reflection for all of us,” Werner said. A pharmaceutical development executive who had worked mostly on cancer treatments, Werner decided to shift her focus to rare diseases. “I’m in drug development, so I looked for what’s the latest and greatest work on this disease,” she said. “The reality was there were no clinical trials, the standard of care hasn’t changed in decades.” One reason, she said — “rare diseases don’t get nearly the attention that more common diseases do. Millions and millions of patients are being underserved.”

Werner took a new job at a biotech firm in Cambridge that researches tRNA therapies — a new kind of genetic medicine that could eventually help treat all sorts of genetic diseases. Lester became Caffrey’s primary caregiver, and the couple started a nonprofit, Rare Disease Renegades, which Lester runs. They moved their family from NJ to Lexington for Werner’s new job, and chose their new home, with its main living spaces all on one floor, with Caffrey in mind. 

Werner responded to the Facebook post, not really expecting to hear back. Two days later, she got a call from Sara Ferguson, the producer for This Old House. She was intrigued by the both the architecture and the accessibility challenges. This Old House needed to get moving right away in order to meet their production schedule — and needed to work fast. This might have complicated matters for some families, but it was perfect for the Werner-Lester family, who were themselves eager to have the house ready for Caffrey as his needs change. 

On a bright afternoon in early September, trucks and vans lined the street in front of the house. Jenn Nawada, the show’s landscape design expert, walked across the future patio while a cameraman trained his lens on her. Construction workers, producers and assistants danced around each other trying to do their jobs while staying out of the shot. They were shooting episode 9 of the 16-part series about the Lexington house, and Lester and Werner had offered to show me around. 

Construction and production crews at work on the house. Credit: Lauren Feeney

We passed under a diagonal roof overhang, a classic feature of mid-century architecture that wasn’t original but had been added to accentuate the angular lines of the home. Inside, the house had been basically gutted and new spaces had been framed out — an open-plan kitchen and living area, adjacent ground-floor bedrooms for Caffrey and his parents, and extra-wide doorways between rooms. 

“We don’t want him to feel isolated or treated differently,” Werner said. “It can be a very isolating thing, because you feel like the world isn’t designed for you.” 

With the help of accessibility consultant Jackie Dobson, architect Sandra Jahnes of Ruhl | Jahnes in Watertown has designed the new house to include features like lower light switches, automatic faucets, accessible cabinets with touch-release doors and drawers — even an elevator to bring Caffrey to the rec room downstairs. There’s also a hydrotherapy pool, which is a great way for people with limited mobility to get some exercise.

In addition to raising awareness about rare diseases, Lester and Werner hope that the show can provide an example and inspiration for other people needing to remodel their homes to make them more accessible. But they also recognize that what they are able to do for Caffrey wouldn’t be possible for many people. 

“Something we’ve become aware of throughout this journey is how expensive accessibility is,” Werner said. A device that lifts a person to bed or the toilet can cost more than $10,000 to install, Lester said. The latest custom power wheelchairs can cost around $30,000, and a minivan conversion to accommodate a wheelchair can cost $100,000. “We’re fortunate,” Werner said, “but it’s disheartening to think about how hard it is for others.”

This Old House doesn’t fund the renovations. Their job is basically to document and showcase the work. But they do require that participants use their regular general contractor, Charlie Silva, which turned out to be one of the greatest benefits to the Werner-Lester family. Construction work is notoriously slow and unpredictable, but television production is generally the opposite — schedules are tight and the show must be ready by the air date. “The experience of working with This Old House has been phenomenal,” Werner said. It’ll be less than a year from that initial post on Facebook to when the first episode airs on PBS on September 28th, and the entire project should be finished in time for the finale in February. 

The house has other impressive features, including geothermal heating and solar electricity, but “there is an accessibility angle in every episode,” Ferguson said. “Caffrey is mentioned in every episode.”  

Though Caffrey appears in the show, “he’s a reserved kind of kid, he doesn’t seek out the limelight,” Werner said, but “he’s excited about the house and excited to move in.” 

Werner too is excited to move in, and excited to be living here in Lexington. “It’s inspiring to live here in the Boston area with so many biotech startups,” she said. Asked if she thinks the work that her company is doing could have an impact for Caffrey, “we have to be optimistic,” she said. “I do think we are living in an age where there is much more focus on genetic diseases than there has been. I’m optimistic that there are new innovations on the horizon. We are certainly in a race against time. But for future generations I believe we’ll be in a better place, and I’m optimistic that could also be true for our son.” 

Tune in to This Old House: Lexington Modern on Sept 28 at 8:00 pm on GBH. 

Lester and Werner will be hosting a charitable event at their house on October 26. Guests can check out the renovations and meet the cast of This Old House. All proceeds will benefit Rare Disease Renegades. 

Join the Conversation

35 Comments

  1. We have two nephews with Duchenne’s, and our very pleased this is coming into the limelight. May you all live prosperously and enjoy the moments!

  2. The new MA energy code appears to be am implement to people wanted to build or renovate in that State.

    1. I am curious too about the total budget was and were there donations or grants received to help with costs related to their son’s condition.

      1. We did not receive any donations or grants to help with the cost of the renovation. However, we did hold a fundraiser for our non-profit, Rare Disease Renegades, in October and donations from that event will go towards accelerating science related to our son’s condition.

        1. One of the best TOH projects, the hosts helping us look thru the young man’s eyes using the lens of accessibility. Thanks, Werners, for sharing.

  3. Why is TOH never sharing project costs. When they started years ago that was part of the presentation.

  4. We have been regular fans of this old house for more years than I can remember. We have extensively renovated several homes and love this show.

  5. Surely someone knows the cost of the rehab. It’s been been asked but not answered anywhere. Could it be over a million?

  6. My question has to do with your son’s diagnosis of Duchenne’s. If he is still walking at age 11, it sounds more like he has Becker’s MD. Has the diagnosis changed between the 2?

  7. I would love to know the manufacturer of the therapy pool–what wonderful technology this is that could be applied to so many conditions and people of all ages.

  8. It would be very helpful to know what the total project costs are from the standpoint of people that might need to look into the same type of disability needs in a home.

  9. TOH is lacking in transparency by not including the cost of work done on not just this project but all projects. On this Lexington project, numerous people are requesting the cost of this project and instead of providing it, the question is blatantly ignored. The cost of all projects completed in TOH should be disclosed but they obviously are afraid of losing viewers when these cost are out of reach for most people. If your not going to address the question then state the reason why at the very least!!

  10. Thank you Lester Werner family for sharing your journey. I have a niece and nephew with a rare genetic disease called Late Onset Tay Sachs. It is a horrible disease and slowly takes away all their muscular abilities. My sister and her husband have had to pay for some much “basic” equipment which like you mentioned costs thousands of dollars. This program highlighted that the smallest of conveniences we able bodied folks take for granted come at a high cost for others. All people, including those with disabilities, deserve a quality of life which includes being able to use a toilet, shower, a kitchen etc. and I am grateful that you highlighted the modifications that are needed. Blessings to your family and thank you Ms. Werner for battling on the front-line for those with genetic diseases.

  11. I would also love to know the cost of this sort of renovation. I imagine the family paying for their improvements would want their costs to remain private. I would! I respect that completely. It is an amazingly complicated project! My wife and I have really enjoyed watching all of these professionals using their skill sets!

  12. Since TOH is using the latest and most technologically advanced products. It is easy to understand why they don’t reveal the costs to purchase, install, and modify environments to accept the new products. Considering a new combination toilet/bidet featured on a current Ask This Old House, how many current bathrooms have a 120 VAC outlet near their toilet? Considering the Electric Code, I would wager they are rare. Add the cost of an electrician running a new circuit to the $2,700.00 cost of the combination bidet/toilet plus the plumber to install it. Does $4;000.00 scare you?

  13. I, too, appreciate the desire for privacy; however, it would be helpful if the cost of some of the individual projects were disclosed rather than the total cost of the renovation. For families needing this type of assistance, this could be very helpful.

  14. I grew up on Loring Road in Lexington. Our home was built in 1960 as well and I was curious to know what part of Lexington this house is located in.

    Amazing project and congratulations.

  15. With all the code work needed for MA laws, plus the accessibility work, this was easily a $2M+ renovation project. Just the heating/cooling/solar panels was $100K+

    But it’s a 50 year investment and it’s their money so good on them.

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