Question 2 -- MSJA Genetics

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Subject: Question 2

Author:
Fionna D.

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Date Posted: 18:19:17 12/15/03 Mon
In reply to: Sister Karen 's message, "Case Study: A Daughter's Tale" on 14:19:08 11/03/03 Mon

In some respects, Janet�s idea of �pre-Alzheimer�s� is positive because it allows a patient to look forward so that he can handle whatever comes his way in dealing with the possible disease, rather than denying his genes or wallowing in his self-pity. Of course, predetermination also limits an individual�s sense of identity, and a patient is certainly more than that from which he suffers: in Janet's case, I would expect that her attributes as a mother of two, a wife, and a dedicated daughter would outweigh her characteristics as a potential AD sufferer. I would try to remind the patient that he is never alone in his fight against any disease, and that he always has a listener in medicine. I would encourage him to communicate to me or his symptoms�any time he receives them�as soon as possible, and to subscribe to therapy, particularly kinds in which he shares his feelings openly. I would be sure to give my patient all the facts, and tell him what he may experience in the worst-case scenario. I would remind my patient that his taking initiative and coming to be tested is a major step in the right direction, because it proves that he has accepted the possibility of inheriting the gene and is ready to prepare for what must be done, whether it be mental or physical. If the patient were like Janet, I would also remind him that he does not necessarily have to develop AD; Janet�s 50 to 99 percent is not an absolute number.

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Replies:

Subject	Author	Date
Re: Question 2	Alyxa	09:34:24 12/16/03 Tue