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Re: Cost of antenatal testingFrom: DoctorJoe@aol.comWed Feb 28 08:40:34 2007
In a message dated 2/28/2007 9:06:13 A.M. Central Standard Time, agfolley@hotmail.com writes: do you think the father of a Downs would say I wish I new my son had downs so I could have aborted him??
>From my experience, there's a multi-level discussion that people keep 1) Normal babies -- some might get a bad rep but usually nothing happens (lots of angst over false positives which are later found to be normal). 2) Down syndrome babies -- many survive into adulthood with varying degrees of "disability" (and anecdotally, some are wonderful people, some have become TV stars and personalities, yada, yada, yada). 3) Other aneuploid babies -- most of whom die at least in infancy. The REAL debate is category #2, right? Category #1 is a no-brainer. If we didn't screen anyone, we won't "miss" normal babies -- they're ... well, they're normal. Category #3 is not such a problem, because the long term effect is zero in most cases because they're usually incompatible with life or at least die in early infancy. Sure, it's emotionally upsetting, but you can argue about that until the cows come home. But the real problem is the discussion of aneuploidy testing and referring exclusively (at least tacitly) to Down syndrome, which is NOT the only thing you find when you, e.g., do an amnio/karyotype or CVS. Logic needs to rule here, not misdirection and confusion. Is that clear? Or am I rambling? I need more Diet Coke -- it's early. Joe P. "Chuck Norris never wet his bed as a child. The bed wet itself out of fear."
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