- Genomic Counseling
"If we do not lay out ourselves in the service of mankind, whom should we serve?" - John Adams
WHAT IS GENOMIC COUNSELING?
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?
Interpretation of family and medical histories to assess the chance of disease occurrence or recurrence
About the natural history of the condition, inheritance pattern, testing, management, prevention, support resources and research
Counselling to promote informed choices in view of risk assessment, family goals, ethical and religious values
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?
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.
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!
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.
Dr. Risha Nahar Lulla
Principal Genetic Counselor Board Certified
Dr. Risha Nahar Lulla, M.Sc (Glasgow), PhD (Delhi), is reputed to be India’s First Board Certified (Senior level) Genetic Counselor with over 10 years of experience in the field of medical genetics. She is the Principal Genetic Counselor at Mapmygenome, Hyderabad (previously with KIMS hospitals, Hyderabad and Sir Ganga Ram Hospital, New Delhi).
Priya has been working as a genetic counselor with Mapmygenome for over a year. After completing her post-graduation in Medical Biotechnology from Manipal University she worked at Apollo Gleneagles Hospital, Kolkata before joining our team at Mapmygenome. Priya is available for counselings over phone and Skype, and in person in Kolkata.
Dr. Arun H Shastry
Head of Medical Operations
Dr. Arun H Shastry, MBBS, PhD(NIMHANS), CGC is a clincian-scientist and and serves as the Head of Medical Operations. With a background of clinical knowledge, a vast experience in molecular genetic and gene analysis, Dr. Shastry drives the clinical utility for various genetic diagnostic tests.
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.
I was fortunate to have Dr. Risha Nahar Lulla as my Genomic Counselor. The entire consultation with Dr. Risha for over an hour to brief me about the details of my report was extremely informative and helpful. She was warm, kind and patient enough to elaborate on all aspects of my report. She counseled me and suggested proactive steps & preventive care that can be taken care of to avoid the probable risk conditions which I can be predisposed to, due to genomics. She is focused, methodical, attentive, and empathetic. She settled all my concerns, queries and clarifications. I highly recommend her services as a Genomic Counselor. Stay happy & blessed Dr. Risha Nahar!Madhu P (Clinical Research Manager at CHL Group of Hospitals)
I am happy to write this commendation for Dr. Risha Nahar Lulla. I had the good fortune of using mapmygenome genompatri service and as part of the offering they provided me an hour consultation with Dr. Risha to brief me about the details of the my genome report. She was kind enough to elaborate in detail all the aspects of the report and also took enough care to suggest proactive steps & preventive care to deal with some of the probable risk conditions in future. She is very attentive, curious and empathetic towards consumers. I highly recommend her service and wish her best of fortune in all her endeavors. Best Regards, Dinesh ChandrasekarDinesh Chandrasekar DC PhD(h.c)
[Director,Solutions & Innovation@Hitachi Consulting
Innovator Design Thinker Digital & IoT Evangelist Speaker Author]
I had the opportunity to receive counselling from Dr. Risha Nahar Lulla on the results of my DNA tests. Dr. Risha Nahar Lulla is very professional, is providing very thorough and articulated explanations that are easy to understand for people with no medical background. She is giving very good advice and is adapting her answers specifically to my own case. I had a very good interaction with her.Francois Therin [Director at IMT (Institute of Management Technology) Dubai]
I have known and worked with Dr. Risha Nahar Lulla for about a year now , while she is associated with Mapmygenome. (dot) com. She has been of immense help for all clients needing genomic counselling in my routine & high risk Obstetrics practice. As my particular interest is of Recurrent Pregnancy losses, Dr Risha has Couselled for genomic disorders leading to losses. Some of the rarer genomic syndromes, she has helped research. With her vast knowledge & experience in the field of genomics , Dr Risha is an asset for any organisation .Pratibha Narayan
[Senior Consulting Obstetrician & Gynecologist]
very professional and committed to her subject. pleasant personality ...a joy to interact withChinmayee Ratha [Lead Consultant- Fetal medicine at Resolution Fetal Care Centre]
I was taken Genitc counseling with Dr. Risha Nahar Lulla and she analyzed in micro level in each condition and suggested further in detailed report. She supported to get my medical approval in professional way. She is one of the best doctor i ever seen in genitics regarding knowledge, experience, response, support and flexibility etc. I am strongly recommending her for any genitc issues.Hanumanthu Bethini [Transformer Engineer at Siemens W.L.L]
Dr. Risha Nahar Lulla is a great Genomic Counselor & Consultant Genomicist. She counselled me with my WGS data analysis interpretation. I highly recommend her and MapMyGenome.Siavosh Zarrasvand [Application Security & Software Engineering]
Dr. Risha Nahar Lulla is extremely knowledgeable in her field of study, Genomics. Apart from this, what sets her at the top is her expertise to counsel her patients in a very approachable way and provide easy to follow recommendations, all the while motivating them. She patiently answers your questions and encourages you ask more questions until she makes sure you understood the matter at hand. Would definitely recommend her as she does her job putting her heart into her work.Neeharika Jakkampudi [End-to-End Product Ownership, Start-up Ecosystem, Crisis Management]
Dr. Risha Nahar Lulla. Thanks for great session on genomic report. Very Impressive insights. .Anil Sharma [Head, Strategy - Incubation & TCS Entrepreneurship Junction (TEJ)]
Dr. Risha Nahar Lulla is a thorough professional. She was able to alleviate all my doubts during the counselling session with great clarity.Xytiz Saraf [First Officer at Vistara - TATA SIA Airlines Ltd.]
Dr. Risha Nahar Lulla is One of most effective healthcare counsellor I met. The depth of knowledge, ability to apply genomics findings to healthcare recommendations and ability to explain in mundane language - are exceptional skills I attribute to her. I didn't realise that I spent close to two hours against slotted 45 minutes counselling session. She could preempt all my questions that I noted to ask the counsellor, which implies her ability to think empathetically about a case. Her recommendations are realistic. She could uncover very simple changes that I could adopt.Suryamohan Surampudi
[Head - Plant IT GxP Assurance & Administration]
We had Dr. Risha Nahar Lulla as our Genomic Counsellor when we were expecting a baby. She was extremely friendly, patient, & helped us understand the data really well. She's knowledgeable, has communication skills and empathy. Would happily recommend her & her organization to others.Arun Gadiraju [Founder & CEO at boomer.co]
Dr. Risha Nahar Lulla, She is a Brilliant Genomicist .Abhishek Gupta [DND]