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      Get Smart on the Web   09/16/2016

      Be informed on better ways to stay safe on the web -- Source: Mozilla
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loli

Just some advice please!

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Okay, Im a shy person with anxiety so I hate talking to people at the best of times.. so I'm looking for some advice.

How do i bring our relationship up with our doctor in regards to getting genetic testing.. ect.

I always wanted testing no matter who i marry (theres a blood disorder in my mothers family. Boyfriend is from my fathers side) but i just dont know how to go about it.

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loli,

It's going to be the same as any other embarrassing type of issue you will discuss with your doctor. I don't want to be crude in any way, but you have to kinda be light-hearted about it too. Like, "Doc, I got this funky itch going on." You know, you don't REALLY want to talk about it, but you really HAVE to.  :huh:

From your profile, and your other thread you've started, I see you're form Australia. I suppose you know, that it's perfectly legal in Australia to marry your cousin, so, having one as your BF, and being in a motherly way from said relationship isn't going to be some sort of crime either. Here, in the US, doctor/patient conversations have a long history of being pretty much confidential, in the same way as conversations with a lawyer or financial adviser, or any number of other professional services would be. More recently, it has been codified in what is known here as HIPAA. I won't bore you with the full name of this Act, but there are patient privacy provisions in it. I will assume Australia has something similar, whether or not the protections are as strong, and codified. There is considerable debate about just how strong the protections we have here are in keeping the Government from having access under our Act. Regardless, I'm still going to assume your conversations with your physician are going to be kept in the strictest of confidence. Being so sensitive an issue for you to broach, if I were in your shoes, I would first find out his (or her) stance on the matter of confidentiality. "Doctor, I have an issue I would like to discuss with you, but due to it's sensitive nature, I want to be sure it is held in the strictest of confidence..." I would say that he (she) will say "So long as it is nothing illegal, our conversation will be confidential." or some such statement. From there, you just wade off into it.

I have an other idea for you, if you would be so inclined. Your doctor may or may not be up to speed on the genetics of the risks cousin couples are looking at. Not a problem. We have plenty of that information here. Feel free to go to the main page, click the menu button, go to the genetics section, read it well, and then copy any and all of the information you wish. An informed patient is a good patient, so long as you are not going to try to "second guess" your doctor's opinion. Unless your doctor is a geneticist, their going to send you to a specialist anyhow. But, if you've got the information in hand, it's going to be easier for them to make the decision to recommend you to one. You will let the doctor know that you know there is an increased risk, and that you are not so concerned about that as you are the fact that there is this known issue on the OTHER side of the family. Your doctor will then probably say "Good on you to have looked into this as you have, and seeing as how I'm not a specialist, let's get you set up with someone who is..." When you see a geneticist, have as much information as you at all possibly can have about this blood disorder, and it's prevalence, and extent thereof, in your mother's line, in hand with you when you go. From there, they will be able to determine your risks. That's what they do. I'm sure there are probably some rather complex calculations involved, so, it could take them a while to have a definitive answer, and there could be blood tests and the like involved. The time involved could vary. You don't mention if you are pregnant now, but, whether or not you are will probably affect the urgency, and therefor, length of time and urgency of any such testing.

At any rate, do remain calm, and realize it's just another trip to the doctor, that's going to lead to trips to another doctor.  :wink:   

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there's a talk show on youtube that we have shared somewhere on this board of a couple who live in austrailia... and it also has a couple of doctors on the show. anyway, the show is all about cousin relationships. one of the doctors in that show states that the number of pregnant women who come in having their cousins child would surprise a lot of people, but to the doctors, they've seen it so many times it doesn't even make them blink.

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here loli, here's a direct link to the video. it's a show called insight. have you heard of it? 

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ok i went thru the video. check out dr. greg jenkins when he starts talking at about 30 minutes into the video. roughly 20% of the couples he sees are first cousins.

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