r/GirlDinnerDiaries • Blood Type: Gravy • 4h ago

Trigger Warning ⚠️ Devastated by son's diagnosis

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My 5 year old son has always been delayed. He's hit all of his milestones significantly later than most kids his age. He's in physical therapy, speech therapy, and occupational therapy. He was diagnosed with autism when he was 3. I was willing to accept this diagnosis. My husband was not. He said it just didn't seem to fit our son. So we started seeing a neurologist who, upon first meeting our son, immediately seemed to question the autism diagnosis. So, we decided to do some genetic testing.

When we found out we were pregnant with our son, we opted not to do any genetic testing or carrier screening when my OB clinic offered. We didn't have a lot of money, and we had no reason to believe anything ran on either side of our families. About a month ago, we got our son's genetic testing results back. He has Fragile X Syndrome. We were shocked. And the more we looked into Fragile X, the more devastated we became. It's an X chromosome linked disorder, meaning it (usually) comes from the mom's side. It's the most common genetically linked form of intellectual disability. Their body doesn't create the proteins needed to be able to learn. After reading stories from other families with Fragile X children and speaking to multiple genetic counselors, it's very likely that our son will never be able to get a job, be independent, have a family of his own.

Because I am a carrier of Fragile X ( I have one normal X and one affected X), each pregnancy has about a 50% chance of receiving my affected X chromosome. Males are much more likely to be severely affected. And just based on developmental and physical similarities, we believe his 1.5 year old brother also has Fragile X. We are getting him tested next week to be sure.

Then we started reading about how females who are Fragile X carriers have a chance of going through menopause early - like in their 30s (I'm early 30s). There's also a chance of developing Parkinsons-like symptoms (tremors, ataxia, memory loss) in my 50s.

And because we weren't dealing with enough already, we found all of this out when I was 16 weeks pregnant...with another boy. We have been scrambling to get in somewhere to do an amniocentesis to test if this baby has Fragile X. We are considering termination if he does have it. I feel so broken and so guilty. I have cried every day and I change my mind every hour. This baby was planned and wanted. But my husband and I don't come from big families. When we go, there will be no one left to look out for our children who will likely not understand what's going on. To subject a third child to a future where we can't guarantee they'll be looked after when my husband and I are gone feels cruel and irresponsible.

My mental health has been absolutely horrible. I feel like I'm already in a state of grieving. I no longer want to see my baby on ultrasounds. I don't want to feel him kicking. It just reminds me that he's there and that I may have to say goodbye to him. I guess I'm just looking for some words of comfort from internet strangers as we face this impossible decision.

Dinner is cajun sausage and beans made in the crockpot.

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u/Brief-Dress-4976 🍋 Bitter Baddie 🍋 4h ago

I’m so sorry. May I ask what made you all question the diagnosis? My oldest has autism and it just seems so…complex? I’m wondering if there’s more at play.

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u/VirgoVixenTX APPROVED✨ 4h ago

Honestly, children with demonstrated delays should always receive genetic counseling and rule out any genetic disorders as part of a full work up. I hate that the US healthcare system doesn’t have this as standard of care.

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u/Brief-Dress-4976 🍋 Bitter Baddie 🍋 3h ago

I fully agree! We cut so many corners here. She was diagnosed super early at 3 years-old. At first I was worried about San Filipo because she had some traits of that, too. They really should be testing for a multitude of things as autism is so similar to other diseases and disorders.

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u/KeimeiWins Foraging Bog Witch 2h ago

Yes, I gree. Insurance is starting to agree to some extent too. They denied the full panel but approved basic genetic testing for my daughter after her ASD diagnosis to rule out MTHFR and fragile x.

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u/DrustanAstrophel nom-nom-nombinary 4h ago

If you think there’s something else instead of or in addition to autism going on, if you’re able to get a referral for genetic testing for your kid I would absolutely recommend it. A friend of mine had her son tested when he was diagnosed with autism, and he turned out to have a genetic deletion as well (I don’t remember which, this was years ago). That knowledge helped their family understand him and how to help him better.

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u/3merZ Kid Crumbs Connoisseur 4h ago

Are you able to see a developmental pediatrician? I work at a large children’s hospital in an autism-specific clinic. Try to find something like that near you and request genetic testing with a dev ped appt. It is offered to many of our families when they get a diagnosis.

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u/Little_Emu2309 Blood Type: Gravy 2h ago

Hi! So my husband was the one that questioned the diagnosis from the very beginning. He did a lot of reading on autism and kept feeling like it didn't really fit how our son behaved. An example he used: our son will get upset when he has trouble expressing himself, but as soon as his need is met, he's fine. From everything he read, children with autism seem to have trouble regulating their emotions after getting what they want. Then he started reading about other disorders like ADHD, speech apraxia, anxiety...they all seemed to fit and not fit at the same time, if that makes sense. Also, many people that had worked with our son (early intervention specialists, multiple amazing workers from his daycare that specialize in special education) all independently said that our son just didn't act like the other children they've worked with that had autism. Genetic testing through his neurologist was a simple cheek swab and cost us about $1200 (they also tested my husband and myself). I hope this kind of answered your question. Please let me know if you have any more

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u/madame-maitre-d Overthinker 💭 49m ago

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u/[deleted] 4h ago

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u/Brief-Dress-4976 🍋 Bitter Baddie 🍋 3h ago

Exactly! That’s why I’m really curious to know what had them questioning the diagnosis. With it being such a wide spectrum, I’m wondering what would stick out.

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u/madame-maitre-d Overthinker 💭 4h ago

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u/Steelpapercranes hot girls have tummy troubles 2h ago

Confusingly, children with fragile X also get diagnosed frequently with ASD because ASD is just a set of symptoms and they often meet them all. There's nothing you can do except get genetic testing as well.