Re: Cost of antenatal testing

From: Joe Cutchin (forcep@intercom.net)
Wed Feb 28 09:15:31 2007


With coconut rum. That works early.

DoctorJoe@aol.com wrote: > 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
> forgetting in this situation (the situation of aneuploid screening):
>
> 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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