For a little girl nearing six, the hardest part of her birthday may be the empty space around the candles. Annalise “Mae” Ward is approaching another milestone while an infection keeps her separated from the children who would normally celebrate beside her. Her family is trying to make the day meaningful even as another period of quarantine closes in around their young daughter. For Mae, the celebration may look very different this year.

Annalise Mae Faces Her Sixth Birthday in

Mae’s mother, Madison, says friends and others are afraid of catching the infection her daughter is fighting. That fear is understandable after watching Mae become violently ill, including vomiting as she struggled to reach the bathroom, yet Madison says understanding the reason does not make the isolation easier. Instead, it leaves a mother trying to protect her child while also watching another childhood moment unfold without the companionship she hoped Mae would have. That hurts.

The latest setback is C. diff, a highly contagious bacterial infection of the colon that can cause severe diarrhea, abdominal pain and potentially life-threatening complications. Madison says the family caught Mae’s latest infection early, but doctors have placed the six-year-old on another 21 days of quarantine, a difficult stretch that arrives just before her birthday. For a child already familiar with hospitals and medical uncertainty, the timing adds another layer of disappointment and difficult.

Mae’s childhood has already included cancer and more than 100 overnight hospital stays. More recently, she could not start kindergarten alongside classmates she had already met, turning an exciting new chapter into another experience shaped by medical circumstances. Now, with her sixth birthday approaching, the same illness that has frightened people around her is once again limiting the simple joy of gathering with friends. For a child already familiar with hospitals and medical uncertainty, the loss is deeply personal.

Madison has not dismissed those fears; she understands why people hesitate. She says she would not blame them, because seeing Mae become so sick can make the infection frightening, and she hopes no other family ever has to face the same situation. Still, behind that understanding is a mother's wish for something ordinary: for her daughter to have children around her, laughter nearby and the feeling that her birthday is a celebration rather than another day defined by quarantine. Still, Madison wants Mae to experience joy, friendship and the simple excitement of being celebrated.

At three in the morning, Madison was awake thinking about how to make Mae’s birthday special despite the circumstances. Money was tight enough that the family would not have enough for a birthday gift until after the celebration, but Madison emphasized that the most meaningful things are not necessarily those that can be bought. What she wants most is for Mae to feel loved, remembered and encouraged while she remains separated from other children. For Madison, that simple wish matters deeply.

That is why Madison hopes people will send Mae birthday cards, notes and drawings. A child could create a picture, a stranger could write a few encouraging words, and each message could become a small reminder that physical distance does not mean emotional isolation. The family has provided an address for those who want to send their wishes: Annalise “Mae” Ward, 1113 8th St., Columbus, IN 47201. Every message can remind Mae that she is remembered beyond quarantine.

Behind the birthday cards lies a heavier concern for Mae’s future. Madison says doctors have warned that if the C. diff infections keep returning, Mae could eventually need a transplant. For now, her family hopes those possibilities never become reality and asks others to keep them in their prayers. As Mae turns six, her story is about resilience and love surrounding her and her caring family.