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Living with Trisomy 13 - Patau's Syndrome

Zoe Noelle

December 26, 2008.

   
  Zoe was born at Alma Birth Center (Portland, Oregon) on December 26, 2008. She was a couple weeks past her due date, but her midwives were not worried. She was healthy at birth, and after crying for a few minutes, she was quiet and alert. She barely slept for the next two days.  

Zoe was born with an extra finger on her left hand. Her pediatrician tried tying it off at four weeks old, but that didn’t work very well. The finger didn’t fall off like it was supposed to. The string came loose nine days later, and when Zoe started acting sick, we panicked and took her to the emergency room. They tested her blood to see if she had a bacterial infection from her finger, and though she didn’t have an infection, her liver enzymes were very high. Over the next two or three weeks, she was tested for everything the doctors could think of that might affect her liver, including Smith-Lemli-Opitz Syndrome. Finally, she was sent on to the geneticist. He told us he wanted to do a chromosome test, but said “Don’t worry, I don’t think it’s a trisomy or anything.” When the results came back, they showed that Zoe had partial trisomy 13. She has about two-thirds of the extra chromosome; I don’t remember the karyotype right now, but the extra piece is inverted.  

They never found out why her liver was reacting that way – the enzyme level came down slowly over the next seven months and is normal now.  

Zoe is doing much better than the doctors expected. She does have seizures, which are not under control yet, and serious sleep issues (she wakes up every hour and a half, and sleeps an average of seven hours out of 24). She started walking on April 6, 2010. She has to wear orthopedic inserts in her shoes because she has low tone, and without them she eventually starts walking sideways. She isn’t eating a lot of solids and at almost sixteen months old is still about 90% breastfed. She says “up” (her first and favorite word), “dada,” “mama,” “baba” (we think this means “bottle”), “papa,” and “puppy.” She doesn’t seem to be able to understand differences in facial expressions and tones of voice (she reacts the same whether someone is happy, mad, or sad). She loves people, and loves showing off the new things she can do.

We saw a developmental pediatrician on March 22, 2010. She said that Zoe seems to have some cognitive delays, but she doesn’t want to do a full developmental assessment until September. She was seen by a physical therapist the next week, who said that her problem-solving skills are on the low end of normal, but she’s in the normal range for her language and motor skills.  

We would love to hear from other parents. Please feel free to contact us.

Marc and Mandy
mandyrae84@hotmail.com  
 

Submitted  4-10-2010