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reply to nursing students classmate following response; “Xiang Yuan Huang Jun 4 10:57pm| Last reply Jun 5 2:03pm Manage Discussion by Xiang Yuan Huang Reply from Xiang Yuan Huang In Dr. Kevin’s TEDx talk, “Decoding the Unique Medical Needs of the Amish,” he provides a compelling example of how the genetic makeup of a society can impact the delivery of comprehensive health care. His presentation clearly shows that the genetic makeup of ancient communities such as the Amish and the Mennonites of Lancaster County results in higher rates of certain rare genetic diseases. But Dr. Strauss argues that these genetic risks are not limited to these groups, but rather overlap with risks that are prevalent throughout society. This highlights the value of empirical research. The Hospital for Special Needs, founded by Holmes and Caroline Morton, is a model of innovative and compassionate care. The hospital’s vision is to use genetic and biochemical knowledge to provide early diagnosis and routine treatment. The hospital’s ability to diagnose 150 genetic diseases within hours of birth and to identify approximately 10 new cases each year is a testament to its groundbreaking thinking. Beyond the medical advances, the wisdom of its approach is remarkable. By preventing serious illness, we not only alleviate human suffering, but also save millions of dollars in medical costs each year in areas without traditional health insurance. Dr. Strauss’s moving story of the first patient diagnosed with glutaric aciduria type 1 (GA1) adds a human dimension to the scientific narrative. His description of GA1, a developmental disorder previously misdiagnosed as “Amish cerebral palsy,” underscores the importance of early and accurate diagnosis. This idea becomes even clearer when I think back to a case I encountered during my clinical internship: a child with developmental delays and unexplained fevers. The child required months of testing and multiple visits to specialists, which placed a significant emotional and financial burden on the family. The diagnostic process is stressful for everyone involved. If systems like the Pediatric Clinic could offer rapid genetic testing, families would be able to get answers more quickly and personalized interventions to impact their child’s development. The clinical success of GA1 and its innovative pediatric model which has treated 22 children without brain damage since 2006 clearly demonstrates that well-designed trials can improve patients’ lives. As stated by Dr. Strauss that these advances reinforce the belief that many conditions previously classified as common and confusing diagnoses are actually genetic disorders that, if detected early, can be treated with specific, simple interventions. The success of the Clinic for Special Children offers a model for how we can leverage genomic knowledge to improve health outcomes for everyone. References TEDx Talks. “Decoding the Unique Medical Needs of the Amish | Kevin Strauss | TEDxLancaster.” YouTube, 30 May 2014, youtu.be/N2ox8g4uQqc.”
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