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Myriam
Balanced Translocation
1;16 Twelve years ago I
had a normal female child and then I didn't know I had a problem. I got
divorced and married again. My new husband and I wanted to have a baby.
We lost three babies in the first trimester of the pregnancies so the
doctor decided to study the chromosome information on the fetus. He discovered
a trisomy 16. After that we had studies done on all the family and found
that I have a balanced translocation (1,16) as do my mother and a second
cousin. The geneticist traced back the origin of my problem and it seems
to have started with my grandmother. When she was born her parents owned
a gold and uranium mine. It seems her mother was in contact with radiation
when she was pregnant.
Since we know this
we have been very careful about my pregnancies. I'm now 19 weeks pregnant.
With prenatal testing and a high definition ultrasound we know the baby
does not have trisomy 16, although he could still have a balanced translocation
like myself. We will know that only after the baby is born because my
geneticist, gynecologist, my husband, and myself decided that he could
live an almost normal life with the translocation and the risks of the
amniocentesis too great to have one done.
Update:
June 2001
I haven't been
in touch for a while. I just got the spring news. I'm glad Your
surgery was successful. Let me remind you a little of my story.
My name is Myriam I have this balanced translocation 46XX t(1;16)
q(21.3;2.3) I had a daughter and then lost four pregnancies to Chromosome
16 disorders, mainly trisomy 16. That is when I found out about
my genetic condition. Now I also have a two years old son. Both
of my children are genetically normal and don't even have my translocation.
I never sent you a photograph of them before, I have one on my computer
now and I'm sending it to you

She is Yentl
and is 14 years old, he is Julian and, as I said before, is 2 years
old. I think it is good for others with chromosome 16 disorders
to know that, even if I don't know how it happened, my children
are free from my problem.
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Emily
Translocation Hi, I'm Emily's mom.
Emily has a chromosome 16 translocation. This was just discovered this
year, after having had chromosome analysis done twice at earlier ages,
which were reported as normal. Due to better technology, the translocation
was picked up with the testing done in February, 1999. Emily's translocation
is questionably balanced, but further testing is being done to determine
if there could be a microdeletion, which will hopefully explain Emily's
problems. Part of the short arm of chromosome 16(13.3) is translocated
to chromosome 15. Emily is a very special girl and has taught us more
about life than we could've ever imagined. She's a wonderful gift from
God and we are lucky to have her in our family. Since Emily is 11 years
old, I think it would be better if the story is told as I think she may
tell it herself, if she could. Here goes....
Well, first of all,
I was born October 21, 1988 as planned, since I was a repeat scheduled
c-section. My mom was huge and had lots of amniotic fluid, so they (the
nurses) drew a pumpkin on my mom's tummy. That was a big surprise when
the sterile cover was pulled back. I was smiling at everyone!!! My mom
says they watched me for any gastrointestinal problems, because of the
amount of fluid, but everything checked out OK in the hospital. I weighed
7lbs. 11oz., and looked as healthy as could be. But, starting at 6 weeks
old, I started going down the tubes. I won't bore you with all of my details,
but I will tell you the highlights. I had a gallstone, but no one could
determine why. The docs took out my gallbladder when I was 9 months old.
I continued to have elevated liver enzymes, which no one could figure
out. I had constant ear infections which led to tube placement. Then over
2-3 years, I had three liver biopsies. I had one open liver biopsy and
two needle biopsies. The reports showed that I had mild portal fibrosis.
One of my doctors sent us to Cinn., Ohio for further evaluation. I was
put in a study using a drug called ursodeoxycholic acid. It was to help
my liver. I'm not sure if that did it or what?, but my liver enzymes have
been normal for a while now, and I'm off the medication.
When I was three
years old, I started having complex partial seizures. They made me sleepy
and the neurologist thought I should begin on seizure drugs. So, after
having an allergic reaction to Tegretol, I began on Dilantin. It did help
some, but I would have break through seizures about once a month or so
and they came in clusters. That was a drag, because I would be sort of
out of it for days. Once I had to miss Special Olympics because of the
seizures.
Well, the worst is
yet to come. When I was four and a half, I started regressing terribly,
especially behaviorally. My seizures were worse. My mom, dad and brother
(who by the way is wonderful and has put up with a LOT!!!), looked
awful
most of the time. I remember feeling like my environment was my worst
enemy. I could not stand riding in a car, wearing clothes, or much
of
anything for that matter. I didn't mean to, but I bit, scratched and
kicked my mom and others. I also ripped the skin off of my hand from
biting it
so much. To say the least, my mom and dad were pretty worn out. I ended
up in the hospital three different times. My mom took me out of school
because the stimulating environment was way too much. I could not even
recall my grandparents names anymore. It was the worst time of my life.
But, thank goodness, in 1994 the doctors after numerous drug trials,
put
me on Naltrexone. I was already on 30mg of Valium a day(and I still am,
but my mom thinks we could attempt to start to get me off), but the
Naltrexone
seemed to help my mind think clearer again and I stopped some of my abusive
behaviors gradually. I had to go to a residential school for 11 months
that was 3 hours away in 1995. I did OK there, but my family missed
me
horribly. I was only 6 years old and weighed about 35 pounds. I was incredibly
strong for a 6 year old. After about 6 months, my mom asked the school
system what they could offer me. Before I left there really wasn't
a class
for me and no one really knew what to do with me. I really wore out the
teachers and therapists. So, the school system set up a classroom for
me and I had a teacher and an assistant all to myself. I'm still in
the
same classroom, but now there's 2 boys in there also. My mom says she's
glad there are other children, because I need to learn to share some
of
the attention. I have to admit, I'm the "queen" of attention getting.
I am still on the Naltrexone and I am on a lot. Some days I can still
get a little out of hand, but I usually "chill out" for a while in the
bathtub, or have someone rub my feet with lotion. That seems to help.
I take 3-4 baths a day. The tub is like my best friend!!! I haven't had
a seizure that I know of since September, 1994, so I am now off of my
Dilantin. My gums are back to normal size and I think I look pretty good!!!!
After going through
that period of deterioration, the doctors decided to diagnose me with
autism. My mom thinks that I have atypical autism?? Since I have this
diagnosis, my family gets help with taking care of me. I have trainers
that come in the evenings after I get off the school bus. I started
riding
the bus and I love it. My trainers work with me and try and get me to
do things by myself. Sometimes, I have them figured out and can manipulate
my way out of things I prefer not to do. Sounds like most kids, uh?
I
have wonderful teachers at school and I am beginning to have some "buddies" from
another classroom come in and read to me and the others. We enjoy having
them come. I have a wonderful big brother that I aggravate a lot,
but he puts up with me pretty well. He probably wouldn't want to admit
it, but he really knows a lot about me and could care for me if he had
to. He does say, however, that when he gets older, the medical field
is
out of the question!!!!! I think he's had enough.
With lots of assistance,
I have been doing pretty well for a while now. The doctors are looking
closer at my chromosomes and to see if anything can be learned from all
of my unusual characteristics. My family says I'm very special and that
hopefully someone else will be helped with the information they learn
from me. Thanks for reading my story and I sure hope you enjoyed it.
Love, Emily.....
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