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Jay & Pamela’s New Season Centers on Their Debate Over Having Children

Personal decisions about parenthood hinge on lifelong OI treatment, daily assistive needs and a roughly 50% chance of passing the condition

Overview

  • The TLC series returns with early episodes devoted to on-camera conversations in which Jay says he wants to start a family and Pamela expresses caution about becoming a parent.
  • Both were born with osteogenesis imperfecta type III, a rare brittle-bone disorder that the couple says has produced more than 400 fractures between them and ongoing chronic pain.
  • Medical history factors into the debate: Jay reports more than 20 surgeries over his lifetime while Pamela says monthly bone infusions as a preteen greatly reduced how often her bones break.
  • Experts and disability groups say people with OI can carry pregnancies, and when one parent has OI there is about a 50% chance of passing the condition to a child, a key concern for the couple.
  • The show also documents how power wheelchairs, grabber tools, ongoing care and mental-health work shape daily life and how representation of disability and identity informs their family-planning choices.