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View Full Version : Newborn screening--check up on your state



oliviasmomma
07-20-2006, 03:04 PM
I alluded to this in an earlier thread, but our DD has a metabolic disorder that was detected in her newborn screen. I am usually not much of a worrywart about things like rare diseases--we didn't do any of the prenatal testing for down's, cycstic fibrosis, etc--and I wouldn't advise anyone else to be too stressed either. Yet, I came across this article, and since everyone here has been so helpful to me and my various questions, I feel it is so important to pass this on. (I posted about this in another forum on this website, but judging by the lack of activity on that board I don't think it gets much traffic.) Anyway, the following article has information about newborn screening and which states test for what.

http://www.marchofdimes.com/aboutus/15796_20475.asp


If your state does not do much of the testing, you can order the tests on your own--the entire batch of 29 costs 20-100 dollars. The thing about these metabolic disorders is that they are often fatal unless diagnosed. Once diagnosed, they are highly and often easily treatable. Children with the disorders often go without any symptoms until it is too late. Because the disorders are pretty rare, and not widely understood, children who experience a crisis are often misdiagnosed and mistreated. For example, my daughter has a disorder called MCAD. She cannot metabolize fats, so as a result, she must rely on the glucose in her bloodstream for energy rather than on her fat stores. What this means is that she cannot fast for very long--during the day she eats something every 3-4 hours and we wake her at night for feedings. When she has stomach flu, she has to have IV glucose administered until she can keep foods down. If we did not know about her disorder and she had the flu, we would treat her like everyone else does--try to get her to sip some fluids, mostly not worry too much about it, let her sleep & rest for a while, etc. MCAD kids often die because of this treatment--they die unecessarily because a simple glucose iv saves their life! Of course, it is not standard procedure to give iv's to kids with the flu, so the doctors are not doing anything wrong--but they don't know how to treat it if they don't know the disorder exists.

Anyway, I know this is long and a little rambling, but after reading many stories about kids with metabolic disorders who don't make it, I am both grateful our daughter was diagnosed and on a mission to make sure that all children receive this testing. It is cheap, it saves lives, and makes a huge difference!

**Edited to add a link that works!

pb&j
07-20-2006, 03:28 PM
Thanks for posting this! In my state (VA), there was only testing for 9 of these disorders when DS was born, but they've since expanded to 29. We had the extra testing done a couple of months ago - we had to pay out of pocket, but it was only $25. We were so fortunate that DS's screen came up clear - the peace of mind was well worth the small cost.


-Ry,
mom to Emma, stillborn 11/04/04
and Max, 01/05/06

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shilo
07-20-2006, 03:34 PM
thanks for posting this. i had a good friend who lost a sibling when we were young to a metabolic disorder in his first year of life (I am pretty sure he had M-CADD too).

when sam was born, the state of california only tested for 5 or7 i think. we chose to have the extended panel done at my ob and pedi's suggestions. we used the 'Pediatrix' brand screening which tests for 50 inherited and congenital disorders - it cost $85 out of pocket which was re-imbursed by our flexible spending account. my pedi did the test on when sam was 6 or 7 days old, once my milk was in and he was less dehydrated, so the heelstick and test took about 2 minutes and he was barely phased by it (fussed for about 20 seconds). as the article you posted points out, california is one of the states that just came up to standards and now tests for more than 20 disorders... unfortunately (for us) the legislation went into affect 2 months after he was born.

thanks again,
lori
Sam 5/19/05 How lucky I am that you chose me.

Lovingliv
07-20-2006, 04:10 PM
Oliviasmom,

Thanks for sharing this information with everyone! These disorders are so rare, and some have never heard of them. Thanks for the education!

kellyotn
07-20-2006, 09:31 PM
Thanks for posting your story. Very glad your little girl is fine!

JenDC
07-20-2006, 10:21 PM
Thanks for posting your story. If people want to do additional testing for metabolic disorders, there are several places that you can order tests. We got ours from Baylor University Medical Center in Texas. The blood samples were taken at the hospital along with the state-mandated ones, and the testing only cost us $25. We did it because Michigan tests for fewer than 10 disorders.

Jen
mom to Shoshana Danielle 3.29.06