Where Risk and Hope Converge


	Where Risk and Hope Converge

debbyski

9-18-2007 7:18 AM

298 views

tags:

genetic, counseling

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<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://www.clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/7720c0b8-7eff-4214-83a0-8477ef495d95/4A9EDE91-0FBD-46A1-B550-48A364CC9B6F/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw" href="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw" style="font-size: 11px;">www.nytimes.com</a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><div align="center"><img src="http://content9.clipmarks.com/blog_cache/www.nytimes.com/img/04EE2A74-9CD1-4DD6-9930-EB49D2F9F3B4" alt="" /></div></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> The young couple, shy and flush with excitement about her first <A title="Recent and archival health news about pregnancy." href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/pregnancy/index.html?inline=nyt-classifier">pregnancy</A>, sit down with Daniela Iacoboni, a prenatal genetic counselor at North Central Bronx Hospital. They are from Mexico and speak no English.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> “Do you know why you’re here today?” Ms. Iacoboni asks in Spanish. </P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> They do not.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> “The results from your blood test showed positive for <A title="In-depth reference and news articles about Down Syndrome." href="http://health.nytimes.com/health/guides/disease/down-syndrome/overview.html?inline=nyt-classifier">Down syndrome</A>,” Ms. Iacoboni says. </P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> No response.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> Ms. Iacoboni asks them whether they know about chromosomes.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> They do not.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> But her job is made even more grueling because the women referred to her are overwhelmingly minority, poor and poorly educated. Their first languages might be Albanian, Bengali, Urdu, Korean or Wolof. </P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.nytimes.com/2007/09/18/health/18tren.html?th=&adxnnl=1&emc=th&adxnnlx=1190114194-Y3kgsYqR1IfEcrE3LD4jtw"><P> Some do not have partners. Earlier this morning, a 37-year-old patient who spoke only Mandingo sat with her head bowed, as her husband declared that because his other children were born healthy, there was no need to test this one. One patient is homeless; another became pregnant and <A title="In-depth reference and news articles about AIDS/H.I.V.." href="http://health.nytimes.com/health/guides/disease/aids/overview.html?inline=nyt-classifier">HIV</A>-positive after she was raped.</P></blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/4A9EDE91-0FBD-46A1-B550-48A364CC9B6F/blog/" title="blog or email this clip"><img src="http://content7.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>

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