We had our every 6 month metabolic appointment today, but our metabolicist is on vacation. To TIBET? LOL So we saw a new metabolicist who we have never seen, but I instantly liked. I had written down two things before our appointment - cornelia de lange syndrome, and ethylmalonic encephalopathy. The first two things HE asked about? Those exact two! It was sooo weird. Emily's nurse just looked at me like WOAH. :)
So we are running the blood test for
Ethylmalonic Encephalopathy first. She has a diagnosis of
SCAD Deficiency, but it doesn't account for all of her issues. So there is definately something else, but no one knows what. We are testing for EE because her metabolic labs always point to it. The test is super expensive and only done at Baylor University, which is why we haven't done it yet. So I take her Monday morning for her routine metabolic labs, as well as blood for the EE test. It will take 3-4 weeks to get the results back. I am scared sh*tless about this one.
The second topic was
Cornelia de Lange Syndrome. I have thought about this one for a long time, but I thought that ALL people with this syndrome have hand abnormalities. Evidently this isn't true! Most do, but not all. She fits SOOOO many of the characteristics of this syndrome, it's like reading a list of All About Emily. So if the EE test comes back normal, we will be running bloodwork to check for this. CdLS is definately a better diagnosis than the EE!
Do any of you have CdLS kiddos that do NOT have hand abnormalities? Are any of them as delayed as Emily is? She doesn't talk, she doesn't walk, she doesn't sign, she doesn't eat. Okay, so she doesn't even pee much on her own. ;)
Anyway, these are the two things we are looking at right now. Honestly, the EE fits her metabolic lab profiles to a T, which is worriesome. It's going to be a long 3-4 weeks of waiting for results!