Tuesday, January 10, 2017

A Phone Call

Most of you probably remember that we were able to get assistance in getting full exome sequencing done for David in the summer of 2015. We went in very optimistically after doing extensive testing for more than 13 years in hopes of finding an answer for David's apparent genetic disorder. We came away from that disappointed that there were no findings. It was just another hope crushed with nothing else to look forward to.

With time, I came to terms with the fact that we had no answer. I have been asked numerous times what David's purpose is. And I can tell you that a huge part of his purpose is to teach love, compassion, and differences to the rest of the world. I think we're doing that slowly but surely with every page view this blog gets.

This past fall our genetic counselor called me to tell me that as part of the testing process, the company we went through offers a "free" one year reanalysis on the sequencing. She asked if we wanted them to proceed with that. I said "sure" and promptly gave myself reminders that in the genetics world, one year is not enough time for research to discover many new things. We'd gone through extensive testing through all of David's life and had never gotten an answer that entire time. This time I had truly not even given another thought to the fact that they were re-running these tests.

Until today.

At 9:35 this morning, my phone rang. I could see it was from Carle Hospital. I assumed it was the neurology office calling me about a few pharmaceutical needs that had come up for David. I was very surprised to hear the voice of our genetics dr of the last 14 years.

He said "My nurse just gave me the paperwork from the reanalysis and they found something." It took me at least a minute to process those words and another minute to get Michael to get a piece of paper and get that this was big. If you've ever been to a genetics appointment, you know that it's a complicated world where symptoms and features spill into so many different categories it makes your head spin. And if you've ever seen OUR geneticist, you know that he is a fountain of information and knowledge, thinks out loud, is extremely blunt, and speaks to you like a colleague. And is wonderful.
He said "David has You-Hoover-Fong Syndrome. It is extremely rare. There are only 6 other published cases world-wide. Three of those cases are siblings. I fully agree with these findings."

Say what?!?! So many emotions. Shock. Disbelief. Grief. Excitement. Wonderment. Confusion. So. Many. Emotions.

He was on the phone with us for a good 30 minutes. This syndrome affects the telo 2 gene and was just discovered in May '16. There is not a lot found about it on the internet. Believe me. I've been searching for things a good portion of the day. But the synopsis fits David to a T.

Here is the information describing many of the symptoms:

YOU-HOOVER-FONG SYNDROME; YHFS

INHERITANCE
- Autosomal recessive
GROWTH
Other- Poor overall growth
HEAD & NECK
Head- Microcephaly Ears- Hearing loss (1 family) Eyes- Cortical visual impairment (in some patients)
CARDIOVASCULAR
Heart- Malformations of the great vessels (1 family)
CHEST
External Features- Pectus excavatum
SKELETAL
Spine- Kyphoscoliosis
MUSCLE, SOFT TISSUES
-Hypotonia
NEUROLOGIC
Central Nervous System
- Global developmental delay, profound
- Abnormal balance
- Movement disorder
- Abnormal movements
- Ataxia
- Spasticity
- Lack of independent ambulation (in most patients)
- Absent speech
- Normal brain imaging
MISCELLANEOUS
- Onset at birth
MOLECULAR BASIS
- Caused by mutation in the telomere maintenance 2, S. cerevisiae, homolog of gene (TELO2)


Now I know that is just a lot of medical jargon most of you probably don't know. I didn't know it until I started this journey with David. But they are all terms used to describe him. Every single time we go to a specialist. I have so many notes from doctors with these terms in there. The only thing that David doesn't have from this list is the heart malformations. It's scary how much it relates to him.

Some other news to go along with this HUGE revelation is that Michael and I are both carriers. We are so blessed to have Kyle be a typical child. Because we now know that our chances of him having this syndrome was 25%. We also know that Kyle is probably a carrier. And it will be between him and his wife to eventually figure out how they want to use this to approach the way they will have children. She would also have to be a carrier. Which the dr assured Michael and I that would be rare. But I also know that Michael and I found our way to each other and rare or not-we're both carriers.


My good friend, who has been on a genetic roller coaster of a journey as well, said to me today "Knowledge is power." She is so right. While this news really changes nothing. It changes everything. We have a name. A real, genetic name for something we've always known was there, but it haunted & eluded us until today. David will be part of something larger than what I thought his original purpose was. Not only is he teaching the world all those things I mentioned earlier, he will hopefully be able to provide some information for further research on this syndrome. Because to be only 1 of 7 known people world-wide to be diagnosed with this means that he will be published and be able to help find more answers to questions regarding YHFS.

There is so much more I could write, but it would be rambling. So I will leave you with this:
It's the same face and the same child who left for school this morning without a diagnosis. He is the same child. He just has new information added to his long repertoire of "stuff".  He will still go to bed as David and he will still wake up as David. I need to remember that before he becomes a case number in a research study. Before he is just a bucket of  "symptoms" to a researcher. He is a boy who just happens to have something called You-Hoover-Fong Syndrome. And while we're grateful to have a name for his symptoms, that's all it is. A name for his symptoms. Because his name is David Webb.

#YOUHOOVERFONG #TELO2gene You hoover-Fong

9 comments:

  1. Wow! What a wonderful surprise. Shocking for all after all of this time I'm sure! I pray this new info helps in his care and beyond! ❤

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  2. While my situation is totally different, I understand the knowing what is going on. I have partial seizures (they are controlled by medicine) and the Physicians Assistant told me, after tests, that they didn't kniw what caused them. When I talked to the Neurologist, he tild me that it was a result of something that happened at birth, that birth is also hard on the baby, not just mom. So even though it really makes no difference in my life, it's good to know what caused this & that I don't have to worry about my kids having these.

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  3. I knew David was destined for greatness. And who better to help him along on his journey but you all.

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  4. Natalie, This is amazing we found this. Our son is one of the 6 (now 7 with David + probably more by now) cases of You-Hoover-Fong Syndrome in the John Hopkins University report. We would love to contact you. What is the best way to go about this? So looking forward to talking.

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    1. Chad-We are so excited to find another family! Please email me at mndw1@frontier.com. We are SO looking forward to chatting as well!

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    2. Hi Natalie. Please read my comment below. My children, Meg, Matt and Nick, are three of the six.

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  5. Hello, thank you so much for sharing your story. My Brother was diagnosed yesterday with You-Hoover-Fong. We are extremely overwhelmed and are looking for families who we can talk to. If you get this message please, please get in touch. My email address is carrieftaylor@aol.co.uk. We live in the UK. Thank you so much for sharing!

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    1. Please read my comment. I would love to hear from you too.

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  6. Hello! Thank you for sharing your story. David is so handsome. He looks a lot like my oldest son, Matthew. My name is Jill Fox and my three children were the first to be diagnosed with You-Hoover-Fong syndrome. Dr. Julie Hoover-Fong is my kids geneticist. I would love to connect with other families who have received the diagnosis. You can email me at cjfox3@gmail.com or contact me on fb (Jill Bee Fox).

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