Currently viewing the category: "Downs Syndrome"
Here’s a tripper: French researchers have reported that a man with an unusually small brain has been living a healthy, functional life as a civil servant and family man in France. MRI scans of the 44-year-old man’s brain showed that most of the room in the cranium was filled by a fluid filled chamber called a ventricle. Only a small, thin sheet of brain tissue was actually present.

The “small brained” man lived a very normal life; he was married with two children and worked as a civil servant (insert dumb joke here). He went to the hospital after suffering mild weakness in his left leg. Upon taking his medical history, doctors uncovered that he had a shunt inserted into his brain to treat him for hydrocephalus – water on the brain – as an infant. The shunt was removed when he was fourteen. Intelligence tests showed the man to have an IQ of 75, below the average score of 100 but not considered mentally retarded or disabled, either.

This story felt very satisfying to me because I’ve always been a little put off by the concept of a birth “defect”. Defective? According to who? What defect makes a human being defective? I know, I know…some variations threaten life. However, I’d argue that life spans vary – doesn’t make that individual defective in my eyes. Many people are born with circumstances that take them outside of the norm – heart murmurs, polydactyly, sickle cell, lactose intolerance, cleft palate, and now, small brains – they still can live rich rewarding lives within their own unique limits. You’ve got limits too, and so do I – doesn’t make us defective – so why someone with Downs Syndrome? I know of people with Downs Syndrome who live independently, work for a living, pay their rent, and LOVE their lives. And a man in France with a smaller brain is, I’m quite certain, happy to be alive.

As Dr. Max Muenke, a pediatric brain defect specialist at the National Human Genome Research Institute puts it, “What I find amazing to this day is how the brain can deal with something which you think should not be compatible with life. If something happens very slowly over quite some time, maybe over decades, the different parts of the brain take up functions that would normally be done by the part that is pushed to the side.” Ah, the miraculous adaptability of the human body. Makes you sort of rethink the notion of being defective, doesn’t it?

My wife asked me today, “Can you believe that Nicole Richie is pregnant? How can she hold a baby?” I presumed she meant the skinny, anorexic, drug user thing.

“Why wouldn’t she be able to?”, I asked.

“Because she’s so skinny?”

That question reminded me of something I found very interesting and, quite frankly, peculiar during our own pregnancy with our daughter Delilah. I noticed that an enormous amount of fear and caution is circulated among new, expecting mothers. Downs syndrome, Tay-Sachs, birth defects, emotional scarring, miscarriages, preschool enrollment – you name it, there was a precaution for it. Quite the bit of nail biting involved.

I have to say that I find it a bit counterproductive. I see where it comes from; liability is a grave concern among doctors, especially OB/GYN docs. As I understand it, obstetricians have the highest malpractice premiums of all doctors simply because they are the most often sued. Think about it: a child is born with a birth defect – gotta blame somebody, right? That’s the American way. Couldn’t be destiny or have greater, let’s say, spiritual meaning now could it? Nor could it possibly be a blessing – for the child and the parents. Nah – it’s gotta be the doctor’s fault. Sue him!

Here’s what I always say: It’s true, things do happen. And it’s always better to be safe than sorry, so testing is o.k. But let’s lighten up a bit. Don’t go through your pregnancy freaked out. Consider this: There are starving women in Africa having babies, and many survive. The human body is incredibly resilient, so for the most part, everything should be o.k. If you happen to fall within the small percentage of there being “a problem”, then I think it’s wiser to look at the deeper implication; the deeper meaning, if you will. It’s still a blessing. You just have to see it as such.

As far as Nicole Richie is concerned, I have a confession to make. I just couldn’t pass up the opportunity to say Nicole Richie in my blog. Paris, you’re next.

Copyright © 2013 Dr. Nick Campos - All Rights Reserved.