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"If we do not lay out ourselves in the service of mankind, whom should we serve?" - John Adams

WHAT IS GENOMIC COUNSELING?


Genomic counselling is a specialized branch of medicine aimed at helping individuals, couples and families understand and adapt to the medical, psychological, familial and reproductive implications of the genomic contribution to specific health conditions.

The suspicion of a genomic disorder in a newborn, a family history of cancers, a positive result from a prenatal genomic screen for Down syndrome, a child diagnosed with Autism— these are a few examples of scenarios that confront patients with complex information to be understood and assimilated, and with an array of conflicting emotions. These - as well as other- scenarios oftentimes require difficult decision-making that involve many technical, ethical and highly personal questions. Genomic counseling plays an invaluable role in this process by offering specialized services within a clinical setting.

Genomic Counselors help individuals address the scientific and emotional issues that arise in such situations and actively help them make informed decisions based on their own values and individual circumstances.

WHAT DOES GENOMIC COUNSELING INVOLVE?


RISK ASSESSMENT

Interpretation of family and medical histories to assess the chance of disease occurrence or recurrence

EDUCATION

About the natural history of the condition, inheritance pattern, testing, management, prevention, support resources and research

INFORMED CHOICES

Counselling to promote informed choices in view of risk assessment, family goals, ethical and religious values

SUPPORTIVE COUNSELING

Support to encourage the best possible adjustment to the disorder in an affected family member and/or to the risk of recurrence of that disorder

HOW TO PREPARE FOR GENOMIC COUNSELING?


Genomic Counseling appointments are quite a bit different as compared to your typical doctor’s appointments. They typically last anywhere from 45 minutes to an hour, and are designed to be an opportunity to ask questions, raise any concerns/fears you may have, and learn more. You can get the most out of your genomic counseling appointment if you gather as much information as possible about your family history beforehand, if possible. Helpful information includes:

MEDICAL RECORDS

This includes doctors' notes and pathology reports. These are important in order to confirm a clinical diagnosis or rule out a suspected diagnosis. Your medical records are extremely helpful in guiding genomic assessment and/or testing.

FAMILY MEMBERS & THEIR HEALTH

This includes each person's current age or age at the time of diagnosis or death, and cause of death. This list should include blood relatives only (parents, siblings, children, aunts, uncles, nieces, nephews, grandparents, and cousins) on both sides of your family.

MAJOR DISEASES IN FAMILY

Make a note of any cancers, heart disease, mental illness, known genomic conditions, birth defects, mental retardation, infant/sudden deaths, any miscarriages or fertility issues. Don’t forget to complete a health history questionnaire before your appointment.

Even though having family history details is very helpful, you should not avoid genomic counseling or be worried about having a useful appointment just because you do not know a lot about your family history. Our Genomic Counselors will consider as much information as available and help you understand your risks, available testing options, implications to your health as well as that of your family.

WHEN TO REFER TO GENOMIC COUNSELING?


Appropriate for healthy individuals wanting to understand their genomic predisposition to conditions such as diabetes, heart disease, and other multifactorial conditions.

  • Family history usually includes older adults with Type 2 Diabetes, hypertension, dyslipidemia, sporadic (one-off) cases of cancer, etc.
  • The purpose of Genomepatri Genomic Counseling is to help individuals understand what their DNA says about their chances of developing multifactorial conditions in the future
  • The aim of Genomepatri Genomic Counseling is to:
    • Provide education about symptoms of at-risk conditions for the purpose of being proactive through awareness
    • Put together a prevention-focused plan that includes diet and lifestyle-based strategies for risk reduction
    • Recommend standard of care tests for targeted monitoring in order to facilitate life-saving early intervention and timely treatment

MEET OUR GENETIC COUNSELORS!


Pooja Ramchandran
Director of Genetic Counseling

She has been practicing clinical genetic counseling in India since graduating from Johns Hopkins University in 2008. She is a much sought after expert in a niche profession and, being the first genetic counselor in the country with a formal degree in genetic counseling, she is committed to establishing the genetic counseling profession in India.

Dharti Adhia
Genetic Counselor

She is specialised in Genetics and has been working as a genetic counselor at Mapmygenome India Ltd for more than 2 years now. She has a research background in the field of reproductive biology and diseases. Also worked as an Oncology counselor at INHS Asvini- Mumbai and board certified Genetic Counselor.

Neeraja Reddy
Board Certified Genetic Counselor (ABGC)

Neeraja Reddy is certified genetic counselor (American Board of Genetic Counseling). She received her Master's in Genetic Counseling from Brandeis University in 2015. After her graduation, she joined the University of Pennsylvania where she helped establish the Penn Telegenetics Program.

...and more!


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