Tuesday, February 26, 2008

Myths about a diagnosis of Trisomy 21

The following article was published on a blog dedicated to sharing inspiring stories about children and adults with Down syndrome:

Myths about a diagnosis of Trisomy 21...

I get emails or phone calls very often from families who have a new diagnosis of T21. Sometimes it is their friends or relatives who make the first contact. Then soon, the parents are emailing or calling. This has brought me a unique perspective of the entire process of receiving the news of Trisomy 21, Down syndrome, in utero. I would love to share some of the things that are said to me, and clear up any confusion.

Myth number 1: My child will die young, as individuals with Down syndrome do not live longer than the mid 20's. Reality: This is simply not true. Individuals are living well into their 50's and even longer, now that proper medical care is being given to treat heart or other life threatening conditions. Many individuals are capable of employment, living independently, and enjoy many hobbies and activites. See our T21 individuals in the news.

Myth number 2: Your child will suffer. Reality: Again, this could not be further from the truth. Many people in the world require corrective surgery. If your child needs surgery for any reason, the medical care given to individuals with Ds is wonderful. You can expect your child to do beautifully, and continue to thrive. While as many as 30-50% my have a heart condition, only approximately 5% will require open heart. The care of that 5%, by qualified pediatric cardiologists, is remarkable. The remaining 25-45% will have other less invasive procedures, or just be monitored. The cardiac care these days is absolutely amazing!! All other corrective surgery is also incredible. Any medical conditions can be treated today, unlike years ago when treatment was unknown. With proper medical care, individuals go on to live happy and wonderful lives!

Myth number 3: The physicians have told me that my child's Down syndrome is worse than other cases. Reality: This is simply impossible to tell in utero. Or even right at birth for that matter. Even children with many surgical needs have gone on to do amazing things. Karen Gaffney is an amazing example of an individual who needed much corrective surgery, and has gone on to do amazing things. She is not unique, this happens all over the world. I have met soo many families who have seen their family member through medical care, and the individual goes on to do beautifully in every way.

Myth number 4: The physicians have told me my child has a mild case of Down syndrome. Reality: While there are many different abilities for individuals with Down syndrome, a physican can not tell in utero or at birth, how a child will fare. Most instances where an individual has a more difficult time learning or behaving, is indication of a dual diagnosis. Typical children have this exact possiblity. If a child needs corrective surgery, that does not mean they will have severe developmental delays. Individuals with Down syndrome benefit from loving homes, early intervention, inclusive education, appropriate medical care and positive public attitudes.

Myth number 5: Your chances of having a child with Down syndrome increases greatly after age 35. Reality: Yes, indeed your chances increase. But let's discuss the word greatly. When we see the estimated rates in the books, you may see that at age 20 it is 1/1231. At age 25 it is 1/887. At age 30 it is 1/685. At age 35 it is 1/274. And finally at age 40 it is 1/78. So, yes, your chance does increase with age. And boy, when you put it that way, it sure does look like it increases greatly. However, if you were to look at these numbers in percentages, they look a little more interesting. Age 20: .08%. Age 30: .15%. Age 35: .36%. Age 40: 1%. So as one physician said to us, "Leave the guilt at the door", because at age 39, our estimated risk was 1/100. That means it was a 1% chance of having a child with Down syndrome. That means we had a 99% chance of not having a child with Down syndrome. He went on to add, "Who would think to not have a child if you have a 99% chance of this not happening?" Now, to set the record straight, this was the way he put it. We say, "Wow, what a miracle. We had a 99% chance of not having this gift from God. Whew, that was close!" We don't ever want to imagine what our life would be like with our our beautiful daughter. So indeed, the numbers do increase. However, when you look at it from a percentage view point, it sure makes this drastic rise, that many professionals talk about, seem pretty insignificant doesn't it? You have a better chance of having other things happen to you. In fact, there are a lot of ailments we all have a greater chance of having than the chance of being blessed with a child with Down syndrome. One additional point to add to this; 80% of all children born with Ds are born to mothers 35 and under. Many think this happens only to older mothers, since there is an increase. However, as you can see, the great increase is not as great as is told, so with the decrease in women having children at older ages, this makes the number of children with Down syndrome being born more often to younger moms. Numbers are interesting aren't they?

Myth number 6: Bringing a child who has Down syndrome into your family will be harmful to your other children. Reality: Again, just not true! In fact it is just the opposite. Your other children actually have a higher chance of becoming more compassionate and accepting of other people. The benefits have been a best kept secret until Dr. Brian Skotko did a study on the affects of having a sibling with Down syndrome. Another unexpected blessing. Read here for more information. Dr. Brian Skotko's study.

Myth number 7: There is a higher divorce rate for families who have a child with Down syndrome. Reality: While divorce can happen in any family, the studies are actually showing it is currently lower in the families who have a member who happens to have Trisomy 21. Perhaps it has something to do with the many lessons they teach us about life. Click here to see more on this.

Myth number 8: This will ruin your life. Reality: Click on this link to see how this has affected the families who have chosen to write about their experiences. I am sure you will see that this has done anything but ruin their lives. It has indeed been a new journey for all of our families, and one that can require many graces at times. (Show me parenting that doesn't need more at some times!) But ruining our lives... that is simply not happening! An extra chromosome is all it is. The fear of that, is much more paralyzing than the reality. Enjoy your pregnancy! Enjoy your baby!


Hidden Treasures, The Trisomy 21 Journey

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