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Advice for the Doctors Out There

Discussion in 'BBS Hangout' started by sw847, Aug 31, 2012.

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  1. diamondview

    diamondview Member

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    Hey mate,

    Some friendly advice from a doctor in Australia. Firstly, the tests your wife underwent are SCREENING tests for chromosomal abnormalities so it doesn't give you a definite answer. All it can tell you right now is the risk, so don't stress yourself too much about it at the moment.

    The only way you will know for sure is if you obtain some fetal tissue for testing. This is usually obtained by one of two methods - chorionic villus sampling (they take a very small sample of the placenta) or amniocentesis (small sample of the amniotic fluid). Based on your wife's age of gestation (17 weeks) she'll probably only be suitable for an amniocentesis.

    Now each of these tests have a small risk of miscarriage (less than 1%) but will give you definitive answer as to whether your baby has Down's syndrome. Based upon this knowledge you can proceed from there, but best to discuss all this with your doctor/obstetrician who will counsel you about what each test means and your options.

    Hope that helps and best of luck.
     
  2. hotballa

    hotballa Contributing Member

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    I found this ironic since the chances that their baby has down syndrome are also less than 1% according to the numbers their doctor gave to them
     
  3. sugrlndkid

    sugrlndkid Member

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    I have graduated medical school and waiting for my residency to start...
     
    1 person likes this.
  4. QdoubleA

    QdoubleA Member

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    No, while it is linked extremely highly to the age of the mother and seems to run in families, trisomy is the result of non crossing over and can happen to anybody at any time.
     
  5. studogg

    studogg Member

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    what's the point in additional tests

    this is your child - you will love them regardles

    let go and trust life
     
  6. Yung-T

    Yung-T Member

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    Don'T turn this into D&D, there are different approaches on this topic.
     
  7. studogg

    studogg Member

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    hmm.. not the intent, but won't lie your post pissed me off.

    i simply pointed out an alternative to spending a ton of money and worrying needlessly for the duration of the pregnancy

    very d&d of me
     
  8. Yung-T

    Yung-T Member

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    Not wanting to piss you off, but some people indeed want to know all the facts and possible gene defects, so you can't just tell him to not do anything and go the "life is life" way.
     
  9. studogg

    studogg Member

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    I can tell him anything I choose. Such is life freedom and the mercan way. I did not however, impose my will on him and say that my suggestion is the only way. I posed a question to him, for him to answer. Should he choose continued testing, that's his choice.

    You have inferred something completely different and have decided it to be inflammatory when it was meant as kind and thoughtful.

    Back off. I'm not a d&d poster.
     
  10. Yung-T

    Yung-T Member

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    Don't be oversensitive, I never attacked you.

    Don't know how I am completey different from the topic, but seeing the "Advice for the Doctors here" title I think your post is the less fitting one. He asked for advice on what tests to further run and you tell him to simply let it go, that's not what he wanted to hear in this case. I assume he and his wife are worried and want full closure.
     
  11. studogg

    studogg Member

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    you sure jump to many conclusions as to having precise insight as to what other people think.

    I've got an idea for you. how about we let the thread be about it's intent and quit arguing semantics.

    thanks for being the bbs police of post intent. keep it up. it will get you places in the interwebz
     
  12. sammy

    sammy Member

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    I'm sure he has insurance or pregnancy Medicaid. It won't cost much if anything for him.
     
  13. sugrlndkid

    sugrlndkid Member

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    seriously...the topic was about further mgmts and diagnostic tests that can be done for someone that was found to have a higher predisposition at having a child with Down's...

    the guy had a screen test that showed that he had a child at risk...the next orders of test...are other screening tests...such as Quad screens(they look at the mom's blood levels of proteins such as AFP, hcg, estriol and inhibin A) Abnormalities in those will lead to the next step, which is a diagnostic test...that is done either with Amnioicentesis or Chorionic Villus Sampling(CVS)...CVS is done before the fetus reaches 14 weeks gestation...Amnio is done for fetal ages older that 15 weeks. The amnio looks for karyotype(chromosome) abnormalities of the fetal DNA.

    Amniocentesis has a very small risk of inducing a miscarraige,, bc it is what we call an invasive procedure...inserting a very fine needle and puncturing the amniotic sac...they take some of the fluid and analyze it. The amnio looks for karyotype(chromosome) abnormalities of the fetal DNA. This is how they can confirm a screening test.
     
  14. Yung-T

    Yung-T Member

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    You don't really get the topic of this thread. He specifically asked on what further tests to take and pointed out that he is extremely worried. It's not about "police" and cut out the stupid last sentence, I'm just tryin to help here.

    Telling him to "let it go" doesn't help anyhow if you look at his post.

    diamondview and sugrlnkid with good answers here, that's the information he asked for.
     
  15. blink

    blink Member

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    Studogg, you sound like a dick, an inflammatory dick.
     
  16. Yonkers

    Yonkers Member

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    Exactly. Studogg ignored the entire purpose of this thread and tried to impose his opinion on others and then turned it around and made like Yung-T was doing it.
     
  17. HombreDeHierro

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    It's good to know months in advance. Gives the parents a lot of time to prepare for a special needs child
     
  18. CometsWin

    CometsWin Breaker Breaker One Nine

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    There's nothing wrong with trying to get the best information possible.
     

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