January 2015 Moms

Pretty scared (potential autoimmune issue)

I just had a meet-and-greet with a potential pediatrician (who is now definitely going to be our pick) and I'm kind of freaked out right now.  Like really, really, really, really freaked out right now.

I mentioned off hand that my Dad's family has a history of autoimmune type issues (Lupus, Hashimotos, etc.) and that my brother in particular was born without a functioning immune system.  This has always just been part of my story, and I don't remember the scary bits - just the happy ending (his immune system started functioning when he was 5 years old, and he now has a low-normal functioning immune system as a happy adult in his mid-20's).  Mostly my thinking was that if my son has repeated illnesses, I want this looked into more than it would be for someone who doesn't have a family history.  I wasn't really concerned.

Well, that was all the pediatrician needed - she started asking probing questions about my brother's issue, and I realized I knew very little. She threw out a few terms and diagnoses, and I was quickly saying, "I don't really remember, I was just a kid."  She said, "Well, it sounds like SCIDS but it probably isn't because so few kids survived from that in the 80's..."

So I called my Mom...

Turns out my brother had SCIDS.  He's one of only around 300 babies who were diagnosed with that condition in the late 1980's, and he's one of the 1-in-10 who survived.  Yikes... I never really knew all that...

So it seems it may or may not be an X-linked chromosomal issue.  And if it is, I have at least a 50% chance of being a carrier.  And if I'm a carrier, my son has a 50/50 chance of inheriting this condition.

image

The prognosis is better now than it was when my brother was born, and there's ways to screen for it.  But now I have to research this - I have to find out if I can be tested as a carrier (and if so, will insurance cover it? How expensive?) and then I have to find out if my son can be tested, how soon after birth, whether insurance will cover it, and how much we'll have to pay? 

And then I will want to know what our first steps will be if he has it - it seems the most common early treatment (from my rudimentary initial internet research - damn you, Dr. Google!) is done within 3 months of birth for best results, and involves chemotherapy to kill off the baby's immune system (or what there is of it, anyway) and then a bone marrow or cord blood transplant.  For best results, from a sibling, which there are none.  So we'd be scrounging our families to find a donor, who would then have to travel a long way to come down here (assuming, of course, DH and I aren't matches - we each have only a 1-in-200 shot of being a match with a child).  Or we'd have to hope that there was an anonymous donor in the system that would match our son.

I'm panicked, no kidding.  Absolutely freaking out.  I'm trying to get my head on straight for how I can best tackle this now, but I really just want to curl up in a ball and sob about how unfair it all is, that I don't want to have to worry about my newborn potentially going through chemotherapy and a bone marrow transplant.

Sorry for being such an AW about an issue that isn't even an issue yet, but I'm just really scared and I feel like I need to calm down before I tell DH all this because he's also going to be really scared.  And I feel like it will be a big mess if we're both really scared together - I need a plan and more information before he gets home from work so I can tell him without really freaking him out.
************************SIGGY WARNING***********************

Me: 29      DH:  32
Off birth control March 2012 - Actively trying Sept 2012-April 2014
Unexplained Infertility
BFP on May 5th after Follistim & IUI #3
Ryan Henry - born 1/10/15, 7 lb 5 oz, 20 1/4 inches

NTNP for a sibling starting March 2015
Waiting on cycle to resume while EBF


imageimage

«1

Re: Pretty scared (potential autoimmune issue)

  • FX that everything is just fine, but in the event that it isn't you're already doing a great job getting ahead of it! 

    Tell DH what you know, and what you plan to do (investigate testing, etc). You're already on the right track, and I'm sure that he'll be impressed with the steps you've already taken! 


  • Loading the player...
  • Oh wow.  First thing I noticed is how prepared you sound!  It seems like you already have a plan in place for just in case, and that's amazing in my opinion.  I totally understand the shock of it being a possibility being very upsetting, but seriously you sound like you are one lady who has her stuff together!  I applaud you for that!  No matter what, I'm sorry to hear about that possibility.
  • I have no advice. Just lots and lots of thoughts and prayers -- this is overwhelming and anxiety producing. Don't forget to breathe. For this moment the baby is fine. When you feel calm enough, maybe consider composing a list. That always helps me and if you start to feel overwhelmed talking to your DH, maybe it will help steady you.

    image
  • I'm so sorry that you got this news. it sounds very frightening.

    It really sounds to me like the first thing you need to do is some testing. And you are totally on the right track with everything else. You have every right to be scared but also remember that nothing is confirmed yet. 

    FX that everything turns out ok and your baby wont have this issue. 

  • edited October 2014
    I'm so sorry you're dealing with this!

    This might be a really dumb question--but would baby's own cord blood help in the transplant, or does he need cord blood that has the immunity he needs?  

    My thoughts are with you and baby.  I hope it turns out to be nothing and you don't have to find out the answers to all the really scary questions.  

    Good luck!
    Not a dumb question - for some conditions, their own cord blood helps, but only when the condition was not present at birth.  So if they get cancer later or something like that.  If the condition is present at birth, as SCIDS is, their own cord blood will not help them.  However, delayed cord clamping may have some benefit in passing more of the prenatal blood (with my antibodies) into his body.

    It's typically about 2 months after birth that the child's own immune system has to take over, and so we have a teensy bit of time to test him as a newborn and then plan our attack if needed to confront this beast.  But his own cord blood will be useless to him if he has the condition.

    However, if he's healthy but a future child ends up with the condition, a sibling has a 1-in-4 chance of being a bone marrow match.
    ************************SIGGY WARNING***********************

    Me: 29      DH:  32
    Off birth control March 2012 - Actively trying Sept 2012-April 2014
    Unexplained Infertility
    BFP on May 5th after Follistim & IUI #3
    Ryan Henry - born 1/10/15, 7 lb 5 oz, 20 1/4 inches

    NTNP for a sibling starting March 2015
    Waiting on cycle to resume while EBF


    imageimage

  • Oh I'm so sorry.  Even the prospect of knowing something could be wrong is very scary and overwhelming. It sounds like you're 10 steps ahead, though, and that's good!  And that you already have a pedi who seems thorough and who you like/trust is great.  My fingers are crossed that you aren't a carrier and you won't have to worry at allllllll :)
    image
    image
    (Zoe Claire- born at 33.6 weeks- November 19, '14 - 5lbs 15oz)
  • I'm so sorry you got this info today. I guess the bright points to it are, we aren't sure baby has it yet, and yay for modern medicine these days if baby does. Doesn't make it any easier for you though, I'm sure.

    I worked at a cancer institute for a bit, and dealt with bone marrow and stem cell transplants. We were able to send kits to any family member that wanted to be tested (either by mouth swab or a blood kit they could take to any lab) to see if they were a match so that the family member wouldn't have to travel all the way just to give a sample. I'm sure the same thing can be done for you guys, if needed, so don't worry about that part. We've seen lots of matches with extended family, so there's a bright spot for you there as well.

    We're here for you!!!!
  • Oh wow, I am so sorry. That sounds really scary! I hope everything works out, its good you are going to be really prepaired with information. 
  • I'm so sorry you're going through this! No words of advice but lots of thoughts and prayers for you and the little one.
    image 
    Baby Birthday Ticker Ticker Anniversary
  • ((hugs)) Fx for testing that shows you are not a carrier and that your insurance will cover the testing.

    I'm so sorry that you have to deal with the added stress of this possibility.  But your pediatrician does sounds pretty fantastic and hopefully you can all work together to arrive at the best possible outcome.

    Sending you tons of T&P's
    BFP #1 09/26/2013 EDD 06/04/2013 MMC 11/01/2013
    BFP #2 05/15/2014 EDD 01/24/2015

    Pregnancy Ticker


  • I'm sorry - I hope you're not a carrier and that your DS doesn't have the disorder, but if so, I hope the right medical team and donors will be in place to treat it as effectively as possible. And FWIW, we will be vaccinating.
  • I'm sorry, that sounds so scary. It definitely seems like you found a good doctor for catching that though, so you can prepare yourself for the possibility. I would just stick with googling about testing for now, so you don't scare yourself too much(I know easier said than done). Sending positive thoughts your way. Hope you find out soon that you're not even a carrier, and baby will be just fine.
    Pregnancy Ticker
  • Wow, I am so sorry you're dealing with this. It sounds scary as shit and I know I for sure would react with similar panic and google research! I think arming yourself with knowledge is good, but now that you've done that I'd encourage you to try to take a small step back and focus on what you need to do first. If that's getting yourself tested then maybe put all of your energy into that right now. Best case scenario you get tested and you're not a carrier, if you are a carrier you can deal with that next step when it's time. 

    Sending lots of thoughts for you and hoping for a positive outcome. Deep breaths mama!
    Baby Birthday Ticker Ticker


    BabyFruit Ticker
  • I am so sorry you are dealing with that, I can totally understand why you would be freaking out.  Thinking of you and your little guy!
  • I'm so sorry that you're going through this right now! I'll be sending lots of good vibes and thoughts your way.

    You're already leaps and bounds ahead of most in your situation. Doing the research and having plans in place is a huge, huge step. And it's great you found a pediatrician who you trust and is knowledgeable about the whole thing. IF you have to deal with it, (a big IF!) you'll be prepared!

    The one bad thing about advancements is just this. They scare you to death. My DH's mom had a little girl with hypoplastic heart syndrome. As soon as we told our Dr.....more advanced tests and US's. His heart is fine! But of course they found all this other stuff in the meantime, a shortened humerus (we found out nothing), too much fluid in lateral ventricles in the brain.....scaring us to death. We've done the research and now are prepared in case the results turn out to be something. My point is that it may be nothing at all! They have to tell you the worst scenario just in case, but there's such a good chance that it's nothing and that your LO will be just fine!  We'll all be sending thoughts and prayers your way that it is nothing. Hang in there.

    Pregnancy Ticker

    Baby Birthday Ticker Ticker

  • Sending so many thoughts and prayers that this ends up being a non-issue, but I know that doesn't help right now. ((Hugs))
    image
    Our sweet girl is 3!


    Lilypie - (R7Ux)


  • So sorry you are going through this. I'm thinking of you and hopefully everything works out. Good luck!
    Me 31  <3  DH 34
    TTC #1 5/13 BFP #3 5/2/14 DD born 1/19/15
    NTNP #2 8/17 BFP 12/13/18 ED 8/21/19
    BabyFruit Ticker
  • So sorry you're going through this, but as everyone else said, you sound educated & prepared!  My advice would me to talk to your doctor about what test is available for screening, then call your insurance company to see if it is covered.  Even if you have to pay out of pocket, it may be worth it to get screened for peace of mind.  Then just wait for the results.  If you are not a carrier, you can relax!  And if you are, then move on to the next step (seeing when your baby can be screened).  So try not to freak until you at least get screened (I know, that is easier said than done!)
  • Ugh, so sorry to hear this. I understand your want to be calm for the sake of your husband, but it's ok to not have all the right answers right now.

    The good news is that you found an awesome doctor that caught on to this. Hang in there and as you come up with questions, write them down. It is so easy to forget by the time you are sitting down with the doc.

    Thinking of you!
  • hoooooooooooly crap that sounds scary.  :(  i'm so sorry you're going through this kind of fear right now.  it sounds like you and your LO's new pediatrician have a good plan in place.  yay for modern medicine.

    and yeah, with the table-flipping rage on vaccines.  totally justified.
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    photo gum-chewers.gif
    BFP#1 EDD 04.20.2010, SUNSHINE baby boy born 03.31.2010
    BFP#2 EDD 12.07.2014, natural mc 04.09.2014 at 5w3d
    BFP#3 EDD 01.14.15, RAINBOW baby girl born 01.16.2015


    photo quad_zps6309d559.jpg  image   

    Lilypie First Birthday tickers  Lilypie Kids Birthday tickers
    jan'15 january siggy challenge: baby fails
    image
  • Thanks all!  I told DH when he called (I can't lie to that man), and he wants to pay whatever price to have me tested.  I'm trying to get information from my doctor and insurance, but it's slow going.  Step one will be to have my brother pull his medical records so we can know more thoroughly what we're dealing with and what to look for, and also use it as proof of a family history to pressure my insurance to cover the testing.

    DH is also bringing home a pizza because he doesn't think I want to cook tonight.  A pizza on a stressful night is so much better than flowers!

    And thank you all so much for your support.  It's all pretty scary at the moment.  Remember all the people who freaked about a 1-in-200 chance for Downs Syndrome with the NT scan a few months ago?  Well, right now I'm facing a 25% chance that my son will have this condition, so 1-in-4.  And this would mean certainly hospitalizations, blood transfusions, and potentially chemo and a bone marrow transplant for my newborn.  I would sooooooo rather be facing a 1-in-4 chance of Downs Syndrome.  (And why the ever loving HELL didn't my parents talk to me more about this before?!  My Mom was under the wrong impression that both parents have to be carriers, so she thought it was a 'lighting won't strike twice' kind of thing.  Except it's X-chromosome linked so if I am a carrier, my son has a 50% chance of having it.)

    I keep trying to remind myself that still means 75% chance right now that he's fine.  But it's really fucking petrifying.
    ************************SIGGY WARNING***********************

    Me: 29      DH:  32
    Off birth control March 2012 - Actively trying Sept 2012-April 2014
    Unexplained Infertility
    BFP on May 5th after Follistim & IUI #3
    Ryan Henry - born 1/10/15, 7 lb 5 oz, 20 1/4 inches

    NTNP for a sibling starting March 2015
    Waiting on cycle to resume while EBF


    imageimage

  • Wish I could just give you a hug. (Super creepy? Oh well.)
  • honeybeee3honeybeee3 member
    edited October 2014
    I'm sorry. :( I completely understand why you're feeling so anxious, I would feel the same way. Pregnancy is already stressful enough as is - adding any more stress can be so hard. Luckily, there's still a good chance that everything's going to be perfectly ok with your LO - I sincerely hope that this is the case.

    Sending lots of good thoughts and hugs your way! <3


    Pregnancy TickerimageBaby Birthday Ticker Tickerimage



  • That is really scary news. It sounds like your doctor will be on top of it either way, so best of luck to you. FX he doesn't have it.
    Daisypath Happy Birthday tickers
    Daisypath Happy Birthday tickers



  • That is a lot to handle all at once. It sounds like you have a good plan, and it is better to be prepared now than find out after LO is born. I sincerely hope that LO comes out healthy with no concerns at all. We are all here for you, so feel free to vent, cry, or whatever it is that you need.
    image

     image
  • Wow, I'm so sorry you're dealing with this. I am glad though that the pediatrician seems ready to handle it and asked you all the right questions to assess your baby's risk. You also sound more than prepared to handle this. *hugs*


    ****************************************************
    TTC since August 2011 Me: 31 DH: 33
    May-September 2012: Monitored cycles with Letrozole
    October 2012: Cancelled IUI
    April 2014: IVF #1 w/ ICSI
    ER: 4/15 ET: 4/20 Beta #1 4/29: 54 Beta#2 5/1: 90 
    1st ultrasound: 5/13 (6w1d): HB 103 2nd Ultrasound: 5/22 (7w3d) HB 151
    *********************************************************

    image


  • I'm so sorry that you have to worry about this. I'm glad that you'll be able to get yourself tested. I hope that you get positive results and can forget all about this. Thoughts and FX for you!!
    ******************************************** siggy warning ******************************************

    image image

    image

    Married July 2011 * TTC #1 since 8/12 * Me: 29 DH: 29
    21 Cycles TI: BFNs
    DX: Stage 2 Endo, uterine polyps and paratubal cysts removed
    2/14: IVF #1 Lupron Protocol = 12R/10M/9F, no frosties; transferred one 3BB blast = BFN
    4/14: IVF #2 Antagonist Protocol = 18R/16M/15F/6 frosties; transferred one 4BB blast = BFP!!
    Beta #1 (5/12) = 232 Beta #2 (5/16) = 886 Beta #3 (5/20) = 3168
    EDD 1/18/15 It's a BOY 

    ~~~~~~ All Are Welcome ~~~~~~

  • Sorry you are going through this, lots of thoughts and prayers to you!
  • Very big hugs and my fingers and toes are crossed that all testing comes back good.

    I know how scary the what ifs can be with autoimmune issues. I've been periodically freakin out about passing on either my diabetes or Hashimotos to my LO. My only words of advice are to try and take things one day at a time.

    You have taken all the right steps and that is all you can do right now. Try and be kind to yourself. And if you need to freak out for a bit you are more than allowed to do that to. Just try to not let it consume you too much.

    Sending love and good juju!

     

  • So sorry that you're going through this. Having anxiety about your child's health is absolutely the worst. It seems like you are well informed, and will get all this figured out! Thoughts and prayers to you. TRY to relax!!
  • I'll be thinking of you, your DH and your LO.  
  • @southernyankeegirl‌ I am just seeing this post! What a scary situation, but one that I am sure you are so far ahead with your research and know how to get tested. I will be praying that you are not a carrier. I am so happy that the pedi picked up on the medical history and is taking it seriously. Please let us know what we can do. Feel free to vent any time!!

    BFP #1: 4/2/12 -- DD born 12/15/12. BFP #2: 4/1/14 -- CP. BFP #3: 4/28/14 -- EDD 1/10/15

    Jan 15  NOV siggy challenge: 

  • So sorry that you have to deal with this. Just remember that you have a deep well of strength to pull from. Hoping for the best!
  • Knowing potentials is a great first step. I would likely go ahead and talk to your doc about meeting with a geneticist type person to test your blood. That could take the worry out faster than waiting for your son to be born. I hope all turns out for you in a positive way. :)

    Still immune to tickers. Polite Canadian 99% of the time. SAHM of 7 soon to be 8. I read more than I post.
  • @southernyankeegirl, glad to hear things are looking up this morning. You got dealt a lot of information yesterday and have handled it really well. And Kudos to your husband for being so wonderful - Pizza was so thoughtful :) 
  • Thanks all... Feeling better after sleeping on this news. Your support and kind words have meant a lot. After more research, it seems my brother had a slightly less severe form of SCIDS - he had t-cells but not b-cells, which apparently is a significant difference (worst case SCIDS has neither). We could still be dealing with anything on the spectrum of severity, but DH now is using the term "chronic condition" which sounds a lot less scary. Sure, if our son has it, it will be a lot of work and quite frightening, but we are pretty well equipped to handle it. Thankfully I am already planning on being a SAHM and we have fabulous insurance, so that's two big potential concerns that we don't have to worry about. It does seem that my insurance won't cover my screening as it wouldn't affect my care, but they will cover LO's screening at birth once I provide my brother's medical records to prove family history. So we'll plan to have that test done at the hospital (or at our first pedi appointment a few days later) and just take it from there. Nothing to be done before then anyway. For now, just going to try to chalk it up to "what will be will be" and "things out of my control aren't worth time worrying about" and try to enjoy the rest of my pregnancy.
    Great news!  Did you find out how much the screening would cost out of pocket? 

    BabyFruit Ticker

     



  • Thanks all... Feeling better after sleeping on this news. Your support and kind words have meant a lot.

    After more research, it seems my brother had a slightly less severe form of SCIDS - he had t-cells but not b-cells, which apparently is a significant difference (worst case SCIDS has neither). We could still be dealing with anything on the spectrum of severity, but DH now is using the term "chronic condition" which sounds a lot less scary.

    Sure, if our son has it, it will be a lot of work and quite frightening, but we are pretty well equipped to handle it. Thankfully I am already planning on being a SAHM and we have fabulous insurance, so that's two big potential concerns that we don't have to worry about.

    It does seem that my insurance won't cover my screening as it wouldn't affect my care, but they will cover LO's screening at birth once I provide my brother's medical records to prove family history. So we'll plan to have that test done at the hospital (or at our first pedi appointment a few days later) and just take it from there. Nothing to be done before then anyway.

    For now, just going to try to chalk it up to "what will be will be" and "things out of my control aren't worth time worrying about" and try to enjoy the rest of my pregnancy.

    Great news!  Did you find out how much the screening would cost out of pocket? 


    No, I still don't know the exact name of the test. My insurance clarified that genetic testing would be covered when it affected the care of the patient, meaning they'll cover it for LO but not to see if I am a carrier.

    I don't think I want to know, because if I am a carrier then I know it's much more likely my baby has it. I would rather just wait and test him so I can keep convincing myself that I am not a carrier. I don't want to spend money just to worry more when there isn't anything more we can do besides test him when he's born.
    ************************SIGGY WARNING***********************

    Me: 29      DH:  32
    Off birth control March 2012 - Actively trying Sept 2012-April 2014
    Unexplained Infertility
    BFP on May 5th after Follistim & IUI #3
    Ryan Henry - born 1/10/15, 7 lb 5 oz, 20 1/4 inches

    NTNP for a sibling starting March 2015
    Waiting on cycle to resume while EBF


    imageimage

This discussion has been closed.
Choose Another Board
Search Boards
"
"