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18q- Chromosomal Anomaly
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A portion of the long arm of the 18th Chromosome is missing

Yet another crushing blow came to us one week into Ethan's NICU stay.  I had been taking clothes down everyday in the hopes that they would eventually let me dress him.  Being an x-ray tech, I was only taking clothes I knew would be x-ray compatible-no 'snappy jammies' or zippers.  Finally, the night nurse called home one night about 10:30pm to tell me she would be giving him a bath, and if I wanted to come down and help, I could dress him in some big boy clothes when we were all done!  I was thrilled!!
 
I bathed him around all his wires and CPAP nasal prongs, and washed his gorgeous curly strawberry blond hair and dried him all off, combed his hair and FINALLY dressed him!  This was really the first chance I had to see him in all his glory-to count all his fingers and toes, check out his long arms and legs, his cute little baby bottom, etc., etc...
Since his admission they had been saying he had 'dysmorphic features'; low-set ears, wide spaced nipples, a sacral dimple, 'curly toes', wider than normal mouth-all the stuff any parent thinks is just "newborn funnies".  These features had prompted genetics to get involved in Ethan's care, and thus have his chromosomes drawn and sent to be analyzed. 
 
I knew from his birth something was "not quite right", I even showed friends who visited me at the hospital a picture of his toes, swearing they were deformed (or the one attribute he inherited from his Aunt Kim Gunther!)  Everybody thought I was crazy, but having worked with kids for 4 years, you begin to notice the subtle differences they were seeing in my son. 
 
My fears were confirmed that night.  The doctor in the NICU came over to tell me the results of Ethan's chromosome test had come back that day, and he was missing a portion of the long arm of the 18th chromosome- WHAT!?@?#?@><!? 
he continued on with "developmental delay, feeding issues, chance of being autistic, hearing loss, vision loss, hypotonic extremities......"
and then he lost me.
 
As I drove home from the hospital that night, in the cool April air, with all the windows down, I sobbed so hard, I never thought I would make it home.
Did I pass this on to my son?
Did Brian pass this on to him?
Will he live?
If he does live-will he ever walk? Talk? eat? smile? cry? laugh?
Will he ever say Mommy or Daddy?
Will he know us? his brother and sister? his aunts and uncles? his cousins? his grandparents?
Will he see? hear?
Why?Why?Why?Why?Why?
What have I done wrong in life to deserve this?
I had two other normal (relatively) children-I had chosen not to do the AFP test-I could have known ahead of time!
And then it hit me-did it really matter?
If we had known ahead of time-what would we have changed?
NOT A THING!!!
I decided right then to find out all I could about 18q-, and how many other children were affected? to what degree?  can Ethan 'beat' this?
 
In my mission for knowledge, I found a wonderful message board of other 18q- parents from all over the world!  There are only about 1000 diagnosed 18q- kids worlwide, and I have soaked up all the information their parents have so generously shared with me.  If I have a question about something Ethan does or doesn't do-I don't call my ped. I get online-and I ask the experts!  The parents who have lived or are currently living the same way we are-day to day!
The parents who know that the first time their child reaches a milestone-it is nothing short of a miracle.
The parents who know that to hear their child say "mommy" for the first time will be the sweetest sounds any human has ever made!
The parents who know that to be the parent of a special needs child-takes a very special parent!
Ethan may never do the things our other 'typical' children do with ease, but he will be encouraged to do whatever he wants to!  To dream big and go for it with everything he has, and to know the whole while that we support him, love him very much and are with him every step of the way!

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click on picture above for special link....

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Ethan with his new glasses July 2007

Update February 2008
We have remained active with the 18q Registry and Research Organization in San Antonio, Texas.  Through it and a Yahoo! message board for 18q- families, we have made lots of wonderful friends.  There are quite a few families right here in our area, and I have been fortunate enough to meet them and learn from their past experiences with their 18q- kids!  Ethan's friends Remy, Emily and Sarah all live on the Kansas side, and their Moms have been wonderful to share with!  We have been trying to organize a picnic for all of our local families with a kid with any Chromosome 18 syndrome to get together and meet, but we missed the first one due to Ethan being sick-hopefully soon we can plan another one!  I also recently found that another KCPD officer has an older daughter with 18q-, and I have been in contact with her Mother too!  What a small world it truly is! 
Over the past few years, I have researched all the information the Registry has published and pushed to have certain testing on Ethan to see if he could be helped by any of it.  One of the studies showed a marked increase in the measurable and non-measurable IQ's of children who are 18q- and who are growth hormone deficient.  I pushed and fought and got the Endocrine Clinic to even see Ethan, then I really had to plead my case to them to even get them to do the growth hormone stim testing-but I eventually wore them down, and they gave in and tested him-against their better judgement and with absolute certainty that he would not be deficient......
THEY WERE WRONG!!
Ethan's Endo doc called me to give me the results of his stim test, and laughed saying most people don't want to hear that their children's test results were horrible-however in this case he knew I would be thrilled!  With a deficient diagnosis, the insurance would be picking up the tab for Ethan's growth hormone!  (which by the way is about $1500 a month!!)
We started him on Nutropin injections 6 days a week in May of 2006.  We really saw some improvements in Ethan's overall health -the GH seemed to keep him from being so sick all the time, so puny.  But last summer (July 2007) his dose was increased, and we began to see some negative side effects of the GH-horrible headaches with agitation.  Ethan's Endo doc had us stop the GH for a month and then start back up very slowly with a low dose and gradually moving up to his normal over many months.  We are not yet at his recommended dose, but hope to be there in the next couple of months! 
In the next couple of years we hope to be able to coordinate our schedules and have Ethan well enough to attend an 18q- Conference to be able to meet many more families and learn everything we can!