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Support thread for Chromosomal/Genetic testing and diagnoses

500 replies

glimmer · 20/01/2011 17:50

Hey all,

My daughter, 15 months, is currently tested for genetic abnormalities, because she is not gaining weight (failure to thrive). It will be a few months before we get the initial results back but my understanding is that this might just be the first set of test and the we might be in for assessment over the next several years. Is anybody else interested in a support thread for those waiting for results, those who have gotten them back and are adjusting to the findings and those who are willing to share their stories and knowledge?!

OP posts:
gingegirl · 15/03/2011 21:28

sorry glimmer just read she is 15 months!!
have you heared of russell silver syndrome? i know it is very rare but worth looking up!

gingegirl · 15/03/2011 22:03

sorry again glimmer hadnt read the full thread and didnt realise you had diagnosis for your dd!!!!
have read it all now though so im up to speed!! how are you all doing now?

glimmer · 16/03/2011 04:47

Hi gingegirl,
no problem. It's hard to keep track of everybody.
We weren't really expecting a diagnosis, but got one within two weeks. As I said, everything is backwards for us.

Regarding pulmonary artery stenosis. There seem to be a few conditions that are linked to this. Our friends daughter has a pulmonary artery stenosis and she has Noonan's syndrome.

We discussed the pros and cons of a diagnosis somewhere here. I think it's great to get help and be able to put a name on it, but a diagnosis doesn't change anything and I feel that labeling somebody can be detrimental.
I wish I wouldn't have a diagnosis, because I am waiting for delays to show up rather than enjoying my little girl. I have to get passed this phase, where I label her more than anybody else and I am not proud of it!

OP posts:
gingegirl · 16/03/2011 22:12

glimmer, im sure you are not labeling her!!!!
it is such a hard thing coming to terms with having a "disabled" child!!! i hate that term so much, but i suppose this is something we all have to deal with!!!
i suppose having i diagnosis does mean you are waiting for things to happen that you know are going to happen, i can totally see where you are coming from!!!
did you always suspect something wasnt quite right with your dd?
i have known from day 1 with my son! and no one else really could including my husband! but i think he just didnt want to know maybe? i would rather deal with things head on!!!

1980Sport · 17/03/2011 12:17

Hi Gingegirl - I don't think there is any right or wrong way, but in my limited experience it?s worth keeping in touch with the Paeds/Geneticists, we phone every couple of weeks. We're not rude or abrupt or anything. We just phone and say 'any news, any results, it is worth coming in to see you blah blah?' Both our development paed and geneticist have remarked that we are very 'proactive' we think that?s code for 'pain in the ass' but it seems to work. Another m'ner sent us a really good diagram of the tests for Angelman Syndrome, which really helped us when the Geneticist was explaining which tests DS had had as he called them by different names. The Unique charity are worth getting in touch with if you haven't already - they have really good, easy to understand guides to the various tests, they may have one for the testing involved in Williams. I haven't come across anyone else on MN with a DC with Williams, you could maybe start a thread asking.

Hi Glimmer - (I think I'm back!) Wink its brilliant news that your DD isn't showing many of the symptoms, never forget that the Drs don't know everything, esp regarding these rare conditions. Many years ago parents with children with Downs would've been told, 'Oh they'll never do this that and the other' but many go on to lead full and independent lives. I know exactly how you are feeling regarding a dx - until a few weeks ago we were full expecting an Angelman dx and preparing ourselves for the fact that DS would be non verbal but now with no dx we feel that everything is still possible. I think if they do find out the cause of the delay with this new research project I'll just view it as that ? an explanation for the GDD. I think this is all just part of the process of coming to terms with things ? you will get past this stage!

As for other people - I'm also at that tricky stage. People are beginning to notice - I get that oh what age is he and I say 27 months and I can see them thinking bloody hell he's behind I started with he's 27 months but he's got developmental delay now I just don't bother - the most important people know. I'm struggling with questions from children though - in the last week, two children about 4/5 have said 'whats wrong with him?' any advice from anyone on how to deal with this would be gratefully appreciated. I was going to say oh he?s just special but was worried at that age I?d get oh am I not special back.

Hi Bigcar ? did you get the funding for the school place? Sorry, if you?ve already posted I must have missed it. The Microarray is being done as part of this research project so we?ll not get any results for a year but we are investigating having it done privately in the meantime as our trust area don?t do it. So hopefully we?ll be able to have that done in the next couple of months.

Shaz298 ? do you know the name of the research project Luuk is going to be involved in?

Right, I?ve gone on long enough. Hope everyone else is well x

glimmer · 18/03/2011 16:03

Thanks for your supportive posts.
I am sure that I just have to work through things and I will be much more at peace a year from now.

I personally think DD is delayed in expressive speech and especially pronounciation (she doesn't say any consonants). We will see a speech therapist at some point. But - she has nine words and that was considered withing the normal range at her age.

1980 - we have started a baby-signing class and she has really taken to it. Actually she is making the sign and then repeating "the word" (or the vowels of the word).
I think it has been really helpful for her to understand that there are different ways of expressing yourselves besides a frustrated vocalisation.

I think it would be good to develop some strategies
to response to strangers. Sometimes, I just let them believe she is younger than she is. That might work for you, 1980? The Downs society suggest to say thinks like "xxx needs a bit more time to eat" etc.
So that might work as a response for children?
Rather than responding to the global question, you could say "DS needs a bit longer to learn to walk" or whatever he is doing right now? I guess it's always easier after the fact :-)

OP posts:
1980Sport · 18/03/2011 20:52

Glimmer - great that the signing is going well! I'm going on a makaton course soon. I've tried a bit with not much success but I'll keep at it.

DS is fairly big so I couldn't get away with the he's younger I'm developing a thicker skin but some strategies for kids would be helpful. I met a five year old out last week - why can't he walk? he just hasn't learnt yet. why not? well he's just taking a bit longer than usual. but he can't talk either, what's wrong with him? (this went on a bit and I was thinking please someone help me here!!) but she was also brilliant with DS, went and got a feely book, sat with him for nearly 30 minutes and went through it with him, which he loved!

gingegirl · 19/03/2011 00:24

glimmer,i have had that exact same experience!!!
"how old is he then? 23 months and still not walking! ohh hes so small, why isnt he talking yet then?"
my oldest also gets the same from friend at school!
"my sister is younger than your brother and shes much cleverer than him!!!" i hounestly felt like slapping her!! but my daughter just replied " so what?" and i just thought she is sooo right!!! "so what!"

imawigglyworm · 28/03/2011 11:42

Just thought i'd say hi again I think I posted at the begining of the thread but have spoken to a few of you on other threads.
My ds3 is still undiagonsed he has GDD, microcephaly, feeding and sensory issues and no speach to name a few but on a plus side he started crawling 2 weeks ago (very proud mummy!)
Last week he went for a full skelatal survey as his chromosone tests came back negative. Paed and geneticist dont really have any idea whats wrong although Paed has mentioned Kabuki which some of the symptoms sound familar to DS but thats been the case for a lot of the conditions theyve mentioned.
Fingers crossed that we will get some results soon cause I hate the waiting.

I also get the whys he not doing this or that but when I say about his problems I usually get oh he will probably catch up hes just a slow learner. Grrrr!

Gotta cut it short cause physio has just rung to say she will be early for DS appointment so need to get him up and fed.

growlybear · 28/03/2011 20:09

Hi all sorry just feeling it a bit at moment.DD blue lighted to hospital after suffering cluster of fits.All a bit horrid really should be used to it by now.Had to use new rescue medication as well which made her really sleepy.I was so scared for her.:(

ilovesprouts · 28/03/2011 20:17

hi can someone tell me what microarry testing is as my sons doc at cdu never heard of it

ilovesprouts · 28/03/2011 20:23

also my ds2 is 4.3,got gdd? ,hes has blood tests,gene and mri scan all come back ok hes got no/poor concentration non verbal still in nappys,hes on meltonin 3mg that i mix in yogort

TheNinjaGooseIsOnAMission · 28/03/2011 22:00

tis bigcar btw Smile

oh no growly Sad not sure you ever get used to that? Is she ok now?

ilove, somewhere further up the thread someone posted an explanation, iirc microarray can also be known as comparative genome hybridisation (cgh) it's a very detailed chromosome test, results usually take a while to come back.

imawigglyworm, yay for crawling, brilliant Smile

1980Sport · 28/03/2011 22:48

Just a quickie (feeding DS2) Unique has a brilliant leaflet on microarray CGH - I'll try and put a link on tomorrow and write a bit more!

Growlybear :( hope things have settled a bit!

growlybear · 29/03/2011 14:17

Hi all things have settled a bit thank goodness.I'm up half the night checking on dd-all a bit disconserting but at least she is over the worst.

1980Sport · 29/03/2011 22:58

Array leaflet

Hope this works!

ilovesprouts · 30/03/2011 08:57

thnks just sent email asking for a leaflet

gingegirl · 02/04/2011 19:33

please tell me if im wrong, the fish test is done on one chromasome and the microarray is on them all??? is that right?

1980Sport · 03/04/2011 08:41

Yes pretty much - but the microarray is not just a bigger version of the FISH if that makes sense.

1980Sport · 03/04/2011 08:41

Ps - happy mother's day everyone x

fanjoforthemammaries7850 · 03/04/2011 09:22

Our microarrays took 4 months to come back, DD's took 6..

glimmer · 03/04/2011 09:29

Growly, I am so sorry to hear. I was hoping the meds had started to work.
There are some thing we will never "get used to". Thinking of you.

Gingegirl - "So what?". Brilliant! There is no other word! Will try that one.

TheNinjaGooseIsOnAMission - great name. How are you?

Wiggly - fab news on the crawling. Must be great to see her more mobile.

Ilovesprouts - second what the other ones have said. In the microarray they
compare whole gene sequences with that of a chromosomally "normal" person
and can detect differences, e.g. duplication or deletions of sequences. It is too "coarse" to detect single gene disorders. I think it's great when you do not have a particular suspicion as in DDs case. The (slight) downside is that they almost always find something, which is in most cases is not clinically significant, because there are also variants on "normal". Has your DS has had a karyotype (sounds like it)? In our case things showed up clearly in a karyotype, but it is so rare that the geneticist didn't suspect this particular disorder. The micro-array revealed further issues, and then they tested us and since we have them as well, they figure they are non-clinical and they are-rewriting the books :-) Good luck.

I continue to have ups and downs. I know that I should be thankful that DD is not worse (first delays are starting to show up, especially in language), but I just don't want this to happen to me. I know this is not very mature, and get on and do the right thing anyway (e.g sign language works very well), but I admire parents who find the whole SN enriching. Doesn't help that DH is out of work and I have to be the bread winner when I want to be with DC.

Hope yoi are well.

OP posts:
ilovesprouts · 03/04/2011 14:02

i got a lealflet abought array gch ,got to wait to see dr hobbs from leeds ,was due to see her last xmas ,so will take leaflet wen i see her and ask if he can have the array gch test :)

used2bthin · 03/04/2011 14:40

Hi all, can I join you even though am in a slightly different position- my DD had a diagnosis for a genetic condition two weeks after birth, it has been tricky to manage and have had some scary moments but its liveable with and shouldnt cause developmental issues. So I went through the process, wanting to read about it and talk about it all the time, up all night researching through to not wanting to discuss it, feeling resentful sometimes of others who had healthy children. DD is now four and a half and gradually it has been sinking in that her "delays" are in fact a learning difficulty around speech and language, memory probs etc. Last year we had a paed assessment and she said DD has profound difficulties and we are going through statementing at the moment and some tests for epilepsy and heart stuff. I feel desperate for a diagnosis in some ways but I think it is because I want a cause-or to know it wasn't anything I did/didn't do.

Plus DP just had genetic testing to see if he carries the condition she has.

So in some ways I have been through the process but in others this is different, partly because I feel less motivated or something, less optimistic I don't know, think I was living on adrenaline with the medical stuff as it was so stressful and now this just feels like very different worry but it is familar too, the wanting to know all about it stuff especially.

I'm wondering if I have to ask for more testing? Or should see the geneticist again to see about the developmental stuff as they have only done stuff relating to her condition before.

growlybear · 03/04/2011 15:12

Hi glimmer sorry your still having ups and downs.I think we all have those in differant ways and sometimes its good to admit when your having more downs than ups-means your human.I am certainly having more downs than ups but then dd smiles at me and makes it better.Sure is scary when those first delays start showning because you just don't know what to expect.It was the same when my dd went through regression i just didn,t know how far it would go.x