Genetic counseling

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All the reports issued are confirmed for their receipt by telephone after 10 days, followed by fixing up of appointments for their counseling sessions on concurrence. Apart from routine genetic counseling sessions in the centre, we also reach out to the villages to offer genetic counseling to the affected families. We offer the following Counseling services in Individual or group sessions.

Genetic Counseling

It offers many benefits for families living with Duchenne or Becker Muscular Dystrophy. It can help parents in understanding the following

1. Cause and types of muscular dystrophy

2. Typical symptoms and course of the DMD/BMD

3. Chance for the disorder to happen again in the family

4. Family planning options

5. Importance of carrier testing

6. Understanding the genetic test results and guidance towards any other necessary follow-up testing.

Thus on the whole, genetic counseling can enlighten families on the importance of carrier analysis and pave way for effective reproductive counseling. It also helps families to deal with the disorder towards prevention.

Group Counseling

Counseling starts with an introduction on the contents of counseling and what is genetic counseling. Parents are informed about the disorder, causes, incidence, progression of the disorder, diagnostic techniques, and treatments available at present and genetic inheritance pattern. They are informed about the possible and probable carrier status, chance of sporadic cases, the need and importance of carrier testing and prenatal diagnostic techniques available at present towards the identification and prevention of such disorders. The significance of Multidisciplinary Care (MD Care) to maintain the quality of life of the affected children is also emphasized to the parents.

Individual Counseling

During individual counseling, the patient’s reports are explained to the parents and their family members. Doubts and queries are answered. Importance of carrier testing is re-emphasized. The family pedigree is discussed for better understanding and individuals who require carrier testing are discussed and identified, following which, blood sample is collected after obtaining informed consent from them.

Psychosocial Counseling

Counseling can help the affected and their families to cope better with the disorder. It can also enhance the quality of life. People are more likely to respond positively to every stage of the disorder after undergoing psychosocial counseling. It can reduce stress and the likelihood of developing mental health problems such as depression.

Reproductive Counseling

There are many different reproductive options for carrier families with a higher chance of having a child with Duchenne or Becker muscular dystrophy. During reproductive counseling, the parents are advised regarding the risks of having DMD/BMD child before or during pregnancy. They have also been informed about the availability of prenatal diagnosis that contributes towards the prevention of the disease.

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WHY

Public Health to us at MDCRC is about the community at large. The health of the community at different levels and when seen through different perspectives becomes a subject which is complete, holistic and is a melting pot for a plethora of technical disciplines. At MDCRC we do align with a goal of working for community health by working on modular projects related to Women and Child health, disease prevention, Health informatics, Community building and its associated research, Water resources, Arts, Indic Sciences, Cultural issues which are relevant to the contemporary generation. The style which we adopt is to focus on totally neglected aspects and form a working model towards a better situation. The need for this approach is to bring back the glory of humanity in general and which percolates to a healthier India.

The disorders in current focus are Orphan disorders, meaning disorders whose numbers are said to be less (in the Western diaspora) which neither doesn’t majorly impact the community’s currently used health metric nor does it provide a base for extensive drug research and its production. This view is only true until the numbers are low and also the way we look at Public health in general. There had been no concerted efforts in the domain of Orphan disorders in India. Mission of ours then, was to bring the science, the services pertaining to a particular problem statement and which thereby gives rise to an evolution of a model. This forges a way of approaching Health from a community standpoint thereby offering an impactful experience to all stake-holders. This is where the core culture MDCRC comes in where we believe that in Public Health domain in particular, the science and the associated services need to reach mankind at large without a number bias or number crunching.

With a background in Biochemistry and Genetics, Dr. Lakshmi, in 2006 had started working on genetic disorders with specific emphasis on community building.

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