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Re: chromosonal testing?

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I think many of us did or do. Back when my son was first tested in 1999 -2000

most of our reports in this group if you check the archives came back negative

with the testing -but today most of the children are showing chromosomal

abnormalities/additions or deletions - which right now tells us just that -but

nothing else. Not sure if it's better to think there is nothing or know there

is something but not know what it means?!!

I suspect if we went back and tested our kids from back then with the testing

they have available today the same results would apply. The bottom line is

still securing the appropriate therapies and placement- until we learn more

about how the testing can help us help our children.

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Yes, this was done a couple of weeks after our daughter's birth. It was a FISH

test that came back abnormal. Although that is the reason behind our daughter's

delays, this sadly does not help craft an intervention plan!

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Has anyone looked into/applied for a Pepsi Refresh grant to help with the

research funding for apraxia? I ask as a local family helped to win a second

place grant worth $250,000 for AHC affecting 600 children worldwide. You can

see the article on http://www.wral.com/news/local/noteworthy/story/8706377/.

Just thought it might be worthwhile to look into.

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The genetic testing done at birth showed nothing, but normal.She's 9yo now. when

the issues started at 3mos old and it was strongly suggested we follow up with

an actual genetics specialist, than her deletion was discovered. than a couple

years ago they took blood again since the technology had changed and improved so

much in the five years since her first test. It gave them a better picture of

her deletion and the doctors have said he has seen kids with her type of

deletion that have speech issues.

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Hi- I'm not sure what you mean when you said that " the results of Genetic

testing could be used in ways to harm a child " ....

Genetic testing involves a simple blood test.... I have never heard of any

" Harm " coming from this! Results are confidential....

My feelings are that it is important to try to figure out as much as we can

about our kids.... Genetic testing can be just one more piece of the puzzle of

our kids!

We had it done- and I would suggest it to anyone!

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My 2 year old daughter was recently diagnosed by FISH with 22q13 Deletion

Syndrome. Symptoms include neonatal hypotonia, absent to severely delayed

speech, and global developmental delays. Only 600 people worldwide have been

diagnosed since 1998.

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Wow, its sad you have such a doom and gloom outlook on genetic testing when

you've never done any! No longer fight? Our genetic testing provided plenty of

answers to not just her family, but at least two of her doctors!! My 9yo

daughter had brain surgery at 10mos old. The Neurosurgeon expected to send us on

our way and say have a nice life. Three months later, he was doing surgery again

and once more three months after that! Thats surgery 3x at 10mos, 13mos and 17

mos old! Her bones were not healing right in her skull the way they were

supposed to and he never understood why! We did all the genetic testing and

found she does have a deletion associated with albright hereditary

osteodystropy. I know plenty of AHO parents who didnt just give up when they got

an AHO diagnosis--it gave them power to find new answers and help other parents,

like me in the same situation. It also helped her Neurosurgeon explain why, in

the name of all things good, her burr hole never healed the way he thought it

would! So if he has new Pediatric patients who have any form of AHO, than he

knows that the healing process is different for those kids. It also told him to

be very cautious when it came to her Chiari Malformation surgery which he did

Sept 2010. He knows now that he needs to watch how her bones heal and did only

what had to be done, where other kids with Chiari have a much more involved

surgery. IF it wasn't for the genetic testing, she may not have healed as easily

as she has so far! If he had done the surgery that most kids with Chiari have,

it would have changed the range of motion in her neck.

So some of us have lots of faith in genetic testing,some do not get a definitive

reason for thier speech delays but some of us do. It did not mean the end of the

road and we just sit back and say oh well, we have a reason, I guess we can stop

all treatment,therapy and doctors!Huh?? It also helped her genetics doctors in

NYC to give answers to other parents who might have a new baby wiht the same

kind of deletion. It also helped her Ped Endocronologist explain some of the

issues we went to him for. So, some of us get plenty of answers with genetic

testing.

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Hi Elena,

Please don't be sorry! We all have challenges, some hit us at once and some

over a life time, but we all deal with them and keep on moving forward.

I understand your points. Maybe if we got this diagnosis when my daughter was 6

months old, MAYBE I wouldn't have pushed her so hard in PT and OT. And getting

this diagnosis was devestating for my husband and I on so many levels. Our

optimism went from 100% to nearly nothing in an instant. I got the diagnosis

news 3 weeks ago and what has it done for me? It made me get my a** in gear and

now I push harder to get her to communicate whether it be verbally, written,

cards, computers - whatever it takes! I am glad we did the genetic testing.

My daughter started PT at 6 months due to torticollis and hypotonia. She

started OT about a month later. When she was 18 months old we started speech

and she was kicked out after about 5 months because she wasn't progressing.

" Bring her back when she starts to progress on her own " ....So between this

speech therapist and another OT we had, I've learned how to pick a good

therapist and we're currently looking for one specializing in augmentative

communication in our area.

I do believe that our genetics doctor did metabolic testing and I will double

check next week when I get some other test results back. I always remind myself

that all doctors " practice " medicine. I will seek alternatives to the main

stream doctors. I do believe a tailored diet can help a lot of medical issues

for everyone. It's been proven in my family time & time again.

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FISH stands for Fluorescence in-situ hybridization. My understanding is that

they shine a light on the chromosomes and this reveals a deletion or

rearrangement in the chromosome. If you're pregnant and planning to have a CVS

or amniocentisis, this FISH test would be requested in addition to these tests.

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We worked very closely with her Ped Endocronologist and saw him more often than

the genetics doctor. Yes, genetics is just information that adds to the puzzle.

but he didnt find out she had genetic differences and send us on our way, it

made the genetics doctor more curious to find out what her issues were caused

by! We saw the head of the department and he'd parade 6-7 residents and anyone

else who was around, past my daughter to show them what he had found in her

genetic make-up and how it related to her physical features. He also had quite a

few conversations with teh Ped Endo about what that doctor had found in his own

bunch of bloodwork. I took a stack of lab papers to both of them. We saw the Ped

Endo for other issues that turned out to be nothing. He did test all the

vitamins and none of it was high, and all were in good range. The only one that

was off was her Vit D and we've been giving her extra Vit D since. He also said

no one knows what a " normal " level of Vit D really is so lots of people show up

with low Vit D, esp in the winter months. So we've been discharged from the Ped

Endo but still see the genetics once a year since he didnt just say, oh we have

your answer, please go away now! I can guantee he is not done trying to fiqure

her out! Neither have her parents!

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Great way to put it ,

I just wanted to add that yes there are if you check the archives a number of

cases where the father or mother (typically the father for some reason) has the

same chromosonal abnormality and while the child has speech and other delays the

father is normal functioning. Also to add to this as I said just about all of

us around 6 to 10 years ago at least if you check the archives went through

genetic testing with our children -extensive testing I may add as in our case-

and we found out nothing. I don't believe as parents we would all of a sudden

go from as a group all of us being very interested in testing to becoming

negative toward it if that is what I am hearing other than the testing is giving

an abnormal reading but not providing any answers for most. So upsetting the

parent perhaps in how the results are presented..and without answers which I'll

explain more about that below.

Yes I agree that the testing is important just to see if there are any possible

answers. But- and this is for me the real point -if it means nothing in the

sense they can only tell you that your child has an abnormal reading but not say

what it means -and especially when the parent who is normal functioning has the

same " abnormal " reading -yes -I think that kind of information can make a parent

feel bad for no reason.

One developmental pediatrician once told me that if a child has high tone in the

extremities and low tone in the body that in itself it CP, but most " good "

doctors won't use that diagnosis on the evaluation and instead will just put the

high and low tone because " they know they will greatly upset the parent for no

reason because CP is not progressive and can be very mild and in the case where

there is nothing to be gained from the knowledge a good doctor will know the

diagnosis CP will upset the parentso will just provide the information in a way

that won't upset the parent. "

So from what I'm hearing today's chromosonal testing probably falls into that

same boat. Yes all should get their child tested -but the way they present the

findings should be more sensitive to the parents- especially when one of the

parents has the same abnormal finding.

Perhaps there are ways as in the case of CP where the news can be presented in a

way that provides info without upsetting anyone. The fact this topic is

creating such strong feelings means there are parents that are upset. And think

about it, we're thinking of our children and many of us including me have not

been tested recently. ....chances are if I was to again be tested today I'm

abnormal and so are most of you reading this is you have a child with autism or

apraxia.

I remember most of us being so relieved to find out there was " northing " wrong-

and yet again if the quality of the testing today was available then I'm sure

that would not have been the case. I too wish that if the improved the testing

that it would provide more answers on how we can better help our children, and

perhaps in another decade or two or more from now we will have more answers.

So in short -yes a " normal " looking individual can have the same " abnormal "

findings as one with today's apraxia or autism etc. And that means????

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CVS and amniocentesis would not have shown that my son had the 10q23.31

deletion.... the FISH test did show this.

[ ] Re: chromosonal testing?

FISH stands for Fluorescence in-situ hybridization. My understanding is that

they shine a light on the chromosomes and this reveals a deletion or

rearrangement in the chromosome. If you're pregnant and planning to have a CVS

or amniocentisis, this FISH test would be requested in addition to these tests.

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> > > Anyone ever do chromosonal testing?

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